In this section
@article{Cox:2024:10.26633/RPSP.2024.109,
author = {Cox, H and Roeder, F and Okell, L and Niles-Robin, R and James, K and Valz, O and Hauck, K and Sicuri, E and Sicuri, E},
doi = {10.26633/RPSP.2024.109},
journal = {Pan American Journal of Public Health},
title = {The private market for antimicrobials: an exploration of two selected mining and frontier areas of Guyana},
url = {http://dx.doi.org/10.26633/RPSP.2024.109},
volume = {48},
year = {2024}
}
TY - JOUR
AB - Objective. To identify challenges that may raise pathogens’ resistance to antimicrobial drugs by exploring theprivate market for antimicrobials in two selected mining and frontier areas of Guyana.Methods. The private sector supply was mapped by approaching all authorized pharmacies and informaloutlets, e.g., street vendors and grocery stores, around the two selected towns. Interviews were conductedwith a) sellers on the availability of drugs, expiration dates, prices, and main producers; and b) customers onpurchased drugs, diagnoses, and prescriptions received before purchasing drugs, and intention to completethe treatment. The information collected was described, and the determinants of the self-reported intention ofcustomers to complete the whole treatment were identified.Results. From the perspective of the supply of antimicrobials, essential medicines faced low and insecureavailability, and prescriptions frequently deviated from diagnoses. From the perspective of the demand forantimicrobials, one-third of purchased antibiotics had a high potential for antimicrobial resistance as per theWorld Health Organization AWaRe classification. A high price reduced the self-reported intention to completethe treatment among those who had a prescription, while buying the medication in a licensed pharmacyincreased such intention.Conclusions. In Guyana, there persists a need to establish and revise policies addressing both supply anddemand, such as restricting the sale of antimicrobials to licensed pharmacies and upon prescription, improving prescription practices while reducing the financial burden to patients, guaranteeing access to first-linetreatment drugs, and instructing patients on appropriate use of antimicrobials. Revising such policies is anessential step to contain antimicrobial resistance in the analyzed areas and across Guyana.
AU - Cox,H
AU - Roeder,F
AU - Okell,L
AU - Niles-Robin,R
AU - James,K
AU - Valz,O
AU - Hauck,K
AU - Sicuri,E
AU - Sicuri,E
DO - 10.26633/RPSP.2024.109
PY - 2024///
SN - 0030-0632
TI - The private market for antimicrobials: an exploration of two selected mining and frontier areas of Guyana
T2 - Pan American Journal of Public Health
UR - http://dx.doi.org/10.26633/RPSP.2024.109
VL - 48
ER -