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Research Article Open access CC BY 4.0

Self-medication with Antimicrobials Perceptions among the Households in Nyalenda Informal Settlement, Kisumu County, Kenya: Post-Community Mobilization Intervention

Isabel Akoth Owuor, Harrysone Atieli, Collins Ouma

International Journal of TROPICAL DISEASE & Health · pp. 1–12 · Published 4 Nov 2019

10.9734/ijtdh/2019/v39i130197

Abstract

Self-medication is very common especially in developing countries and is documented to be associated with many health risks including antibiotic resistance. Antibiotic resistance is shrinking the range of effective antibiotics and is currently listed as a global health problem. This study investigated the perceptions of self-medication with antimicrobials (SMWA) after community mobilization intervention among the households in Nyalenda B, an informal settlement, within Kisumu County, Kenya. This enabled the study to establish the magnitude of SMWA and the perceptions that persist given such intervention within the region. Data was collected through structured questionnaires administered to 380 households. Focus group discussions (FGDs) were also facilitated and targeted purposively-selected 30 CHVs.  Descriptive and binary logistic regression analyses were used to determine the association between socio-demographic characteristics and the perceptions influencing SMWA. The study established that 316 households had used antimicrobials of which 20.9% were self-medicating with antimicrobials. Age (OR=0.647, 95% CI=0.431, 0.973, P=0.037) is significantly related to SMWA, use of NHIF for outpatient services (OR=1.772, 95% CI=0.652, 2.887, P=0.133) and use of Universal Healthcare Services (OR=1.165, 95% CI=0.922, 1.472, P=0.201) may have contributed to SMWA reduction but not significantly as compared to other socio-demographic factors. Likewise, sources of information or advice on self-medication (OR=0.732, 95% CI=0.613, 0.873, P=0.001) and illness or symptoms of illness (OR=1.324, 95% CI=1.129, 1.554, P=0.001) may significantly influence SMWA as compared to other SMWA perceptions. Community mobilization using empowerment as a strategy and implemented through participatory learning and action is a successful method for reduction of SMWA level and development of SMWA perceptions with an experiential value especially when strengthened with structural modification. SMWA is a serious problem in developing countries and so such intervention should be prolonged and continuous to offer sustained changes in public perception and attitudes towards the misuse of antimicrobials.

Self-medication antimicrobials perceptions health risks antibiotic resistance.

References (12)

  1. 1 Self-medication with antibiotics and antimalarials in the community of Khartoum State, Sudan.
  2. 2 Self medication with antibiotics in Yogyakarta City Indonesia: a cross sectional population-based survey [DOI]
  3. 3 Public Knowledge, Beliefs and Behavior on Antibiotic Use and Self-Medication in Lithuania [DOI]
  4. 4 Self-medication with antibiotics in rural population in Greece: a cross-sectional multicenter study [DOI]
  5. 5 Antibiotic use and knowledge in the community of Yemen, Saudi Arabia, and Uzbekistan [DOI]
  6. 6 Drugs in the home: danger and waste.
  7. 7 Prevalence, determinants and knowledge of antibacterial self-medication: A cross sectional study in North-eastern Tanzania [DOI]
  8. 8 Antibiotics Self-Medication among Southern Iranian University Students [DOI]
  9. 9 256 Self-medication with drugs and complementary and alternative medicines in Alexandria, Egypt: prevalence, patterns and determinants [DOI]
  10. 10 Sex—Differences on self‐medication in Spain [DOI]
  11. 11 Guidelines for Overcoming Design Problems in Family Planning Operations Research [DOI]
  12. 12 The Role of Participatory Learning and Action on Strengthening the Different Domains of Empowerment on Self-medication with Antimicrobials in Nyalenda Informal Settlement, Kisumu County, Kenya [DOI]

Cited by 3

Comparative Assessment of the Prevalence, Practices and Factors Associated with Self-medication with Antibiotics in Africa: A Systematic Review and Meta-analysis

Eugene Vernyuy Yeika, Brecht Ingelbeen, Ben-Lawrence Kemah · 2021

Influences on use of antibiotics without prescription by the public in low- and middle-income countries: a systematic review and synthesis of qualitative evidence

Christie Cabral, Tingting Zhang, Isabel Oliver · JAC-Antimicrobial Resistance · 2024

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