Malaria rapid diagnostic tests in community pharmacies in Rwanda:availability,knowledge of community pharmacists,advantages,and disadvantages of licensing their use  

作　　者：Amon Nsengimana Joyce Isimbi Theogene Uwizeyimana Emmanuel Biracyaza Jean Claude Hategekimana Charles Uwambajimana Olivia Gwira Vedaste Kagisha Domina Asingizwe Ahmed Adedeji Jean Baptiste Nyandwi 

机构地区：[1]USAID Global Health Supply Chain Program-Procurement and Supply Management,Kigali,Rwanda [2]Department of Pharmacy,School of Medicine and Pharmacy,University of Rwanda,Kigali,Rwanda [3]University of Global Health Equity,Kigali,Rwanda [4]School of Rehabilitation,Faculty of Medicine,University of Montreal,Montréal,QC,Canada [5]Department of Physiotherapy,School of Health Sciences,University of Rwanda,Kigali,Rwanda [6]East African Community Regional Center of Excellence for Vaccines,Immunization and Health Supply Chain Management,Kigali,Rwanda

出　　处：《Global Health Research and Policy》2023年第1期135-146,共12页全球健康研究与政策（英文）

摘　　要：Background Presumptive treatment of malaria is often practiced in community pharmacies across sub-Saharan Africa(SSA).To address this issue,the World Health Organization(WHO)recommends that malaria Rapid Diagnostic Tests(m-RDTs)be used in these settings,as they are used in the public sector.However,their use remains unlicensed in the community pharmacies in Rwanda.This can lessen their availability and foster presumptive treatment.Therefore,this study investigated the availability of m-RDTs,knowledge of community pharmacists on the use of m-RDTs,and explored Pharmacists’perceptions of the advantages and disadvantages of licensing the use of m-RDTs in community pharmacies.Methods This was a cross-sectional study among 200 licensed community pharmacists who were purposefully sampled nationwide from 11th February to 12th April 2022.Data was collected using an online data collection instrument composed of open-ended and closed-ended questions.Statistical analyses were performed using the Statistical Package for the Social Sciences(SPSS)version 25.0.The chi-square test was used to evaluate the association between the availability of m-RDTs and independent variables of interest.Content analysis was used for qualitative data.Results Although 59%were consulted by clients requesting to purchase m-RDTs,only 27%of the participants had m-RDTs in stock,66.5%had no training on the use of m-RDTs,and 18.5%were not at all familiar with using the m-RDTs.Most of the participants(91.5%)agreed that licensing the use of m-RDTs in community pharmacies could promote the rational use of antimalarials.The chi-square test indicated that being requested to sell m-RDTs(x^(2)=6.95,p=0.008),being requested to perform m-RDTs(x^(2)=5.39,p=0.02),familiarity using m-RDTs(x^(2)=17.24,p=0.002),availability of a nurse in the Pharmacy(x^(2)=11.68,p<0.001),and location of the pharmacy(x^(2)=9.13,p=0.048)were all significantly associated with the availability of m-RDTs in the pharmacy.Conclusions The availability of m-RDTs remains low in community pha

关 键 词：AVAILABILITY KNOWLEDGE Malaria rapid diagnostic test Community pharmacists 

分 类 号：R53[医药卫生—内科学]