Hassan Fakhoury, Ricardo Trochez, Sunil Kripalani, Neesha Choma, Emily Blessinger, Lyndsay A Nelson
Patient engagement with an automated postdischarge text messaging program for improving care transitions
Journal of hospital medicine
artemisininbased combination therapies acts represent one mainstays malaria control despite evidence risk acts resistant infections resourcelimited countries studies rational use acts inform interventions prevent emergence andor spread limited aim study designed analyze practices toward acts use treating treatment uncomplicated malaria um urban community november 2015 april 2016 crosssectional prospective study conducted 6 health facilities pharmacies douala 5e subdivision cameroon anonymous interviews including open closedended questions conducted selected participants among drug prescribers patients attending health facilities customers visiting pharmacies data analysis performed using statase11 software version 11 se total 41 prescribers included study aware national treatment guidelines 377 reported waiting test results prescribing antimalarial drug main reason stockouts health facilities likewise artemetherlumefantrineal 81 dihydroartemisininpiperaquine 635 commonly used first secondline drugs respectively biological tests requested 992 128129 patients health facilities 600 74 performed 62 rationally managed overall 266 35 760 customers purchased antimalarial drugs 261 981 agreed participate 694 purchased antimalarial drugs without prescription acts accounted 900 antimalarials purchased pharmacies al commonly prescribed antimalarial drug 671 195 patients appropriately dispensed current data suggest gap knowledge practices prescribers well patients customers misconceptions regarding use acts douala 5e subdivision despite government efforts increase public awareness regarding use acts firstline treatment um findings point critical need development implementation scalingup control strategies continuing health education better use acts prescription dispensing cameroon