- Keywords > antimalarial medicines (AMLs)
- Keywords > antimalarial treatment policy
- Keywords > antimalarials – supply and distribution
- Keywords > Artemisinin based Combination Therapies (ACT)
- Keywords > diagnosis and treatment
- Keywords > malaria
- Keywords > private sector
- Keywords > procurement - RDTs for malaria
- Keywords > rapid diagnostic test (RDT)
(2013; 90 pages)
Shretta, R., J. Jones, D. Levi Hinneh, J. Gilayeneh-Smith, M. Dunah, and K Eghan. 2013. Feasibility of Introducing ACTs and RDTs in Private Sector Pharmacies and Medicine Shops in Montserrado County, Liberia: A Qualitative Study. Submitted to the US Agency for International Development by the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program. Arlington, VA: Management Sciences for Health.
The overall objective of the current study was to explore the feasibility and willingness of private sector pharmacies and medicine shops in Montserrado County to perform RDTs, to select appropriate products according to national treatment guidelines, and to determine factors necessary for feasibility, sustainability, and effectiveness.
The study was conducted in October 2012, using qualitative research techniques in the community and at the provider level. Findings indicated that radio and health facilities were the most common source for health and malaria information. People generally trusted messages from the MOHSW. Most respondents seemed to respect the health messages originating from the ministry and stated that they were likely to adopt the behaviors recommended. Community members in urban areas such as Greater Monrovia were more likely to use medicine stores and pharmacies than those in rural areas such as St. Paul. The rate of use of “street sellers” or “black baggers” appeared greater in urban Greater Monrovia than in rural St. Paul. Public facilities were considered better than medicine stores and pharmacies in rural St. Paul because they were free and they were more professional. Young children are often taken to public health facilities whereas adults more often access treatment from medicine stores and pharmacies.
The study concluded that medicine stores and pharmacies are a valuable source of treatment and that the MOHSW enjoys a high status among community members that should be taken advantage of by reinforcing key messages.