Drug distribution and utilization: a community-based study

Abstract

This study aimed at assessing channels of drug distribution and utilization in some communities in Edo State Nigeria. Two research methods were used. The first involved a house-to-house survey, using updated maps, household listing and numbering of the 2006 National Population and census figure. The second method involved in-depth interviews and focused group discussions among stakeholders in the community, using a topic guide. Collected survey data were processed with the aid of a computer and percentage frequencies were calculated. On the other hand, the qualitative data from the field notes were reviewed by the investigators according to the research theme, and where necessary supplemented by playing the recorded tape until clarity was assured. Results showed that patent medicine shops (40%) were the most sought for medication and management of common household illnesses. The reason for using the various drug distribution channels by the respondents included: hospitals, because they felt that they would receive quality care (64.8%); community pharmacies, for good quality drugs (47.8%); patent medicine shops (65.9%) and maternity (57.6%), because of accessibility and convenience. Medicines, such as paracetamol, vitamins, chloroquine were most readily stored at home. In addition, respondents believed that herbal medicines were safe, while pharmaceuticals were said to be unsafe during pregnancy. Patent medicine vendors were identified as the main sources of medication in the community. The observed inappropriate medication use patterns provide challenges for optimum patient care at the study communities, and this pattern may reflect the practice in other parts of the country.

Keywords: Drug Distribution; Drug Utilization; Community study