The role of drug vendors in improving basic health-care services in Nigeria

Type Journal Article - Bulletin of the World Health Organization
Title The role of drug vendors in improving basic health-care services in Nigeria
Volume 94
Issue 4
Publication (Day/Month/Year) 2016
Page numbers 267-275
Objective To characterize patent and proprietary medicine vendors and shops in Nigeria and to assess their ability to help improve access
to high-quality, primary health-care services.
Methods In 2013 and 2014, a census of patent and proprietary medicine shops in 16 states of Nigeria was carried out to determine: (i) the
size and coverage of the sector; (ii) the basic characteristics of shops and their staff; and (iii) the range of products stocked for priority health
services, particularly for malaria, diarrhoea and family planning. The influence of the medical training of people in charge of the shops on
the health-care products stocked and registration with official bodies was assessed by regression analysis.
Findings The number of shops per 100 000 population was higher in southern than in northern states, but the average percentage of people
in charge with medical training across local government areas was higher in northern states: 52.6% versus 29.7% in southern states. Shops
headed by a person with medical training were significantly more likely to stock artemisinin-based combination therapy, oral rehydration
salts, zinc, injectable contraceptives and intrauterine contraceptive devices. However, these shops were less likely to be registered with the
National Association of Patent and Proprietary Medicine Dealers and more likely to be registered with the regulatory body, the Pharmacist
Council of Nigeria.
Conclusion Many patent and proprietary medicine vendors in Nigeria were medically trained. With additional training and oversight,
they could help improve access to basic health-care services. Specifically, vendors with medical training could participate in task-shifting

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