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首頁(yè)> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Impact of ministry of health interventions on private medicine retailer knowledge and practices on anti-malarial treatment in Kenya.
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Impact of ministry of health interventions on private medicine retailer knowledge and practices on anti-malarial treatment in Kenya.

機(jī)譯:衛(wèi)生部干預(yù)措施對(duì)肯尼亞私人藥品零售商有關(guān)抗瘧疾治療的知識(shí)和做法的影響。

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摘要

Small-scale interventions on training medicine retailers on malaria treatment improve over-the-counter medicine use, but there is little evidence on effectiveness when scaled up. This study evaluated the impact of Ministry of Health (MoH) training programs on the knowledge and practices of medicine retailers in three districts in Kenya. A cluster randomized trial was planned across 10 administrative divisions. Findings indicated that 30.7% (95% confidence interval [CI]: 23.3, 39.0) and 5.2% (95% CI: 2.1, 10.3) of program and control retailers, respectively, sold MoH amodiaquine with correct advice on use to surrogate clients (OR = 8.8; 95% CI: 2.9, 26.9; P < 0.001). Similarly, 61.8% (95% CI: 54.2, 69.1) and 6.3% (95% CI: 2.7, 12.1) of program and control retailers, respectively, reported correct knowledge on dosing with amodiaquine (OR = 29.8; 95% CI: 8.2, 108.8). Large-scale retailer training programs within the national malaria control framework led to significant improvements in retailers' practices across three districts.
機(jī)譯:對(duì)藥品零售商進(jìn)行瘧疾治療培訓(xùn)的小規(guī)模干預(yù)措施可以改善非處方藥的使用,但擴(kuò)大規(guī)模后尚無(wú)有效證據(jù)。這項(xiàng)研究評(píng)估了衛(wèi)生部(MoH)培訓(xùn)計(jì)劃對(duì)肯尼亞三個(gè)地區(qū)藥品零售商的知識(shí)和實(shí)踐的影響。計(jì)劃在10個(gè)行政區(qū)中進(jìn)行一項(xiàng)整群隨機(jī)試驗(yàn)。調(diào)查結(jié)果表明,計(jì)劃零售商和對(duì)照零售商分別銷(xiāo)售了30.7%(95%的置信區(qū)間[CI]:23.3、39.0)和5.2%(95%的置信區(qū)間[CI]:2.1、10.3),并用正確的建議替代了MoH阿莫二喹(( OR = 8.8; 95%CI:2.9,26.9; P <0.001)。同樣,分別有61.8%(95%CI:54.2,69.1)和6.3%(95%CI:2.7,12.1)的計(jì)劃零售商和對(duì)照組零售商報(bào)告了正確的阿莫地喹劑量用法知識(shí)(OR = 29.8; 95%CI:8.2) ,108.8)。國(guó)家瘧疾控制框架內(nèi)的大型零售商培訓(xùn)計(jì)劃使三個(gè)地區(qū)的零售商行為得到了顯著改善。

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