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首页> 外文期刊>BMC Public Health >What is in the drug packet?: access and use of non-prescribed poly-pharmaceutical packs (Yaa Chud) in the community in Thailand
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What is in the drug packet?: access and use of non-prescribed poly-pharmaceutical packs (Yaa Chud) in the community in Thailand

机译：药物包中的内容是什么？：在泰国的社区中访问和使用非规定的多药品包（YAA Chud）

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'Yaa Chud' is a non-prescribed poly-pharmaceutical pack containing several types of drugs, including antibiotics and steroids, which can be purchased over the counter in Thailand for self-medication. Although it is illegal, it is still available at some community outlets. This study aimed to understand access to and use of Yaa Chud at the community level in order to raise awareness on its usage and to provide policy recommendations to address the problem. This study employed qualitative methods, including in-depth interviews with 18 drug suppliers and 16 community members, and six focus group discussions. It included inventories from 17 drug suppliers. Data were collected in selected communities of the Kanchanaburi Demographic Surveillance System, located in the western region of Thailand.Thematic analysis was based upon the Health Services Utilization Model and conducted using the Open Code qualitative software program. Overcrowding, long waiting times, and a perceived unwelcoming environment at public health-care service outlets were identified as factors that drive people into the private sector, where loose regulation of drug laws facilitates access and use of Yaa Chud. Migrants and older people were most likely to seek and use Yaa Chud, especially for mild illness. Availability, easy access through a user's network, low cost, and perceived effectiveness were identified as factors that enable access and use of Yaa Chud. Though illegal in Thailand, Yaa Chud is likely to remain available for self-medication by community members, due to the persisting demand by the elderly and migrant workers. There is an urgent need to replace these mixed medications with better choices. Safer Yaa Chud may be a preferred, first-line health-care option, which could help reduce congestion in the formal health-care setting. At the same time, enforcement of regulatory compliance needs to be continued in order to stop the supply of unsafe Yaa Chud.
机译：'Yaa Chud'是一种非规定的多药物包，包含几种药物，包括抗生素和类固醇，可以在泰国的柜台上购买自我药物。虽然它是非法的，但它仍然可以在某些社区出口。本研究旨在了解对社区一级的yaa Chud的访问和使用，以提高对其使用的认识，并提供解决问题的政策建议。本研究采用了定性方法，包括与18种药物供应商和16名社区成员的深入访谈，以及六个焦点小组讨论。它包括17种药物供应商的库存。在位于泰国西部地区的北碧人口监督系统的所选社区中收集了数据。近期分析基于健康服务利用模式，并使用开放式代码定性软件程序进行。过度拥挤，漫长的等待时间和公共卫生保健服务网点的感知不受欢迎的环境被确定为驱使人们进入私营部门的因素，其中松散的药物法律的规定促进了yaa chud的访问和使用。移民和老年人最有可能寻求和使用Yaa Chud，特别是轻度疾病。可用性，通过用户的网络轻松访问，低成本和感知的有效性被确定为能够访问和使用Yaa Chud的因素。虽然在泰国是非法的，但由于老年人和移民工人的持续需求，Yaa Chud可能仍然可供社区成员自我用药。迫切需要更好地取代这些混合的药物。更安全的YAA Chud可能是一个首选的一线保健选择，可以帮助减少正式的医疗保健环境中的拥堵。与此同时，需要继续执行监管合规性以阻止供应不安全的YAA Chud。

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