A Qualitative Study on Community Usage of Antibiotics in Mogadishu-Somalia

Abstract

Aim: This study examines the knowledge and usage of antibiotics among participants in Somalia. Obtaining antibiotics from pharmacies based on perceived indications is common, driven by self-medication or advice from non-medical sources due to financial constraints.

Methods: The study used qualitative research design and data were gathered primarily through in-depth semi-structured interviews, employing a carefully designed interview guide. Participants were intentionally selected to encompass diverse medical and educational backgrounds, ensuring a comprehensive representation of the community. A total of 20 participants were interviewed, providing a sufficiently robust dataset for analysis.

Results: The study reveals that participants have a basic understanding of antibiotics and use them primarily for treating infections, naming specific examples. Dosage guidance varies, with participants relying on pharmacy salespersons, package leaflets, past prescriptions, or medical advice. Non-compliance with prescribed antibiotic courses is also prevalent. Concerns about the quality of antibiotics in the market are expressed, with participants favouring medicines imported from local markets of exporting countries

Conclusions: The findings underscore the need for education and awareness campaigns to address knowledge gaps and promote responsible antibiotic use. Improving healthcare access, implementing regulatory measures, enhancing pharmaceutical quality, and properly training pharmacy personnel are necessary to ensure safe antibiotic use and combat antibiotic resistance.