The Problem of Antimalarial-Drug Abuse by the Inhabitants of Ghana

Author:

Zieliński Ewa1ORCID,Kowalczyk Marek23,Osowiecka Karolina2ORCID,Klepacki Łukasz4ORCID,Dyśko Łukasz3ORCID,Wojtysiak Katarzyna5

Affiliation:

1. Department of Emergency Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, 85-067 Torun, Poland

2. Department of Psychology and Sociology of Health and Public Health, University of Warmia and Mazury, 10-719 Olsztyn, Poland

3. Clinic of Oncological and General Surgery, University Clinical Hospital in Olsztyn, 11-041 Olsztyn, Poland

4. Department of Anatomy, University of Warmia and Mazury in Olsztyn, 11-041 Olsztyn, Poland

5. Department of Social and Medical Sciences, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, 85-067 Torun, Poland

Abstract

Introduction: Malaria is still a huge social and economic health problem in the world. It especially affects the developing countries of Africa. A particular problem is the misuse and abuse of over-the-counter antimalarials. This problem could lead to the emergence of drug-resistant strains and the subsequent elimination of more antimalarials from the list of effective antimalarials in Ghana. Methods: During the implementation of the study, an original questionnaire was used to collect data among Ghanaians on their knowledge of malaria, attitude towards antimalarials and their use of antimalarials. Results: The proportion in the analyzed subgroups was compared using the chi-square test. The analysis was conducted using TIBCO Software Inc., Krakow, Poland (2017) and Statistica (data analysis software system), version 13. In total, 86.29% of respondents knew the symptoms of malaria (p = 0.02) and 57.2% knew the cause of malaria (p < 0.001). Respondents with higher education were significantly more likely to know the symptoms of malaria (96%) p < 0.001. In the study group, only 74.59% of the respondents consulted medical personnel before taking the antimalarial drug (p = 0.51) and only 14.2% of the remaining respondents performed a rapid diagnostic test for malaria. Conclusions: The awareness of Accra and Yendi native inhabitants about the causes and symptoms of malaria and alternative ways of prevention is quite high. People’s education very significantly influences the way Accra residents deal with suspected malaria. Widespread public education and awareness and accessibility to places where antimalarial drugs are sold play a very important role in the proper use of antimalarial drugs.

Publisher

MDPI AG

Subject

General Medicine

Reference24 articles.

1. WHO (2022). World Malaria Report 2022, World Health Organization.

2. (2021, May 04). Website of World Bank. Available online: www.data.worldbank.org.

3. (2021, May 04). Website of Centers for Disease Control and Prevention, Available online: www.cdc.gov.

4. World Health Organization (2006). WHO Briefing on Malaria Treatment Guidelines and Artemisinin Monotherapies, WHO.

5. (2021, May 04). Guidelines for Case Management of Malaria in Ghana. Available online: https://www.severemalaria.org/sites/mmv-smo/files/content/attachments/2017-03-09/Ghana%20GUIDELINE%20FOR%20CASE%20MANAGEMENT%20.pdf.

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