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Exploring the knowledge, attitude, and practices of over-the-counter medical sellers in Ghana
BACKGROUND: Rural areas in sub-Saharan Africa face a high prevalence and morbidity of skin disease while also lacking access to dermatologists. In Ghana, where approximately 25 licensed dermatologists are available for 25 million people, community pharmacies, called over-the-counter medical sellers...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280237/ https://www.ncbi.nlm.nih.gov/pubmed/37347067 http://dx.doi.org/10.4081/jphia.2023.2122 |
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author | Simister, Sam Flint, Nicholas Webb, Joshua Nyarko, Obed Secrest, Aaron Lewis, Bethany Dickerson, Ty |
author_facet | Simister, Sam Flint, Nicholas Webb, Joshua Nyarko, Obed Secrest, Aaron Lewis, Bethany Dickerson, Ty |
author_sort | Simister, Sam |
collection | PubMed |
description | BACKGROUND: Rural areas in sub-Saharan Africa face a high prevalence and morbidity of skin disease while also lacking access to dermatologists. In Ghana, where approximately 25 licensed dermatologists are available for 25 million people, community pharmacies, called over-the-counter medical sellers (OTCMS), were established to respond to accessibility inequities, albeit without equitable training. OBJECTIVE: Our study evaluates the dermatologic knowledge, attitudes, and practices (KAP) of OTCMS in Ghana’s Ashanti Region. METHODS: To assess dermatologic KAP, we created a standardized questionnaire and recorded 13 interviews with OTCMS in seven communities. Interviews were completed with help from Ghanaian translators and transcripts were transcribed verbatim, then analyzed qualitatively to determine common themes for analysis. RESULTS: This analysis identified six major themes: i) prescriber qualifications; ii) diagnostics; iii) therapeutics; iv) economics; v) health systems integration; vi) care-seeking behavior. Analysis of these themes outlined many cultural roles and challenges of OTCMS, including serving as the primary contact for dermatologic conditions in rural communities. While possibly necessary due to the lack of accessible dermatologists, this raises concerns for potential harm in diagnostic error and misuse of therapeutics due to the lack of formal dermatology training. CONCLUSION: In rural parts of Ghana, the KAP of OTCMS play a pivotal role in assessing and treating skin disease for those who might otherwise lack access to adequate dermatologic management. Furthermore, although our study identifies potential issues related to the roles played by OTCMS, it also suggests strategies to improve the dermatologic health of many Ghanaians by enhancing education and healthcare delivery in rural areas. |
format | Online Article Text |
id | pubmed-10280237 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-102802372023-06-21 Exploring the knowledge, attitude, and practices of over-the-counter medical sellers in Ghana Simister, Sam Flint, Nicholas Webb, Joshua Nyarko, Obed Secrest, Aaron Lewis, Bethany Dickerson, Ty J Public Health Afr Article BACKGROUND: Rural areas in sub-Saharan Africa face a high prevalence and morbidity of skin disease while also lacking access to dermatologists. In Ghana, where approximately 25 licensed dermatologists are available for 25 million people, community pharmacies, called over-the-counter medical sellers (OTCMS), were established to respond to accessibility inequities, albeit without equitable training. OBJECTIVE: Our study evaluates the dermatologic knowledge, attitudes, and practices (KAP) of OTCMS in Ghana’s Ashanti Region. METHODS: To assess dermatologic KAP, we created a standardized questionnaire and recorded 13 interviews with OTCMS in seven communities. Interviews were completed with help from Ghanaian translators and transcripts were transcribed verbatim, then analyzed qualitatively to determine common themes for analysis. RESULTS: This analysis identified six major themes: i) prescriber qualifications; ii) diagnostics; iii) therapeutics; iv) economics; v) health systems integration; vi) care-seeking behavior. Analysis of these themes outlined many cultural roles and challenges of OTCMS, including serving as the primary contact for dermatologic conditions in rural communities. While possibly necessary due to the lack of accessible dermatologists, this raises concerns for potential harm in diagnostic error and misuse of therapeutics due to the lack of formal dermatology training. CONCLUSION: In rural parts of Ghana, the KAP of OTCMS play a pivotal role in assessing and treating skin disease for those who might otherwise lack access to adequate dermatologic management. Furthermore, although our study identifies potential issues related to the roles played by OTCMS, it also suggests strategies to improve the dermatologic health of many Ghanaians by enhancing education and healthcare delivery in rural areas. PAGEPress Publications, Pavia, Italy 2023-04-19 /pmc/articles/PMC10280237/ /pubmed/37347067 http://dx.doi.org/10.4081/jphia.2023.2122 Text en ©Copyright: the Author(s) https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Noncommercial License (by-nc 4.0) which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. |
spellingShingle | Article Simister, Sam Flint, Nicholas Webb, Joshua Nyarko, Obed Secrest, Aaron Lewis, Bethany Dickerson, Ty Exploring the knowledge, attitude, and practices of over-the-counter medical sellers in Ghana |
title | Exploring the knowledge, attitude, and practices of over-the-counter medical sellers in Ghana |
title_full | Exploring the knowledge, attitude, and practices of over-the-counter medical sellers in Ghana |
title_fullStr | Exploring the knowledge, attitude, and practices of over-the-counter medical sellers in Ghana |
title_full_unstemmed | Exploring the knowledge, attitude, and practices of over-the-counter medical sellers in Ghana |
title_short | Exploring the knowledge, attitude, and practices of over-the-counter medical sellers in Ghana |
title_sort | exploring the knowledge, attitude, and practices of over-the-counter medical sellers in ghana |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10280237/ https://www.ncbi.nlm.nih.gov/pubmed/37347067 http://dx.doi.org/10.4081/jphia.2023.2122 |
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