Essays /

Self Medication Essay

Essay preview

• ---- _ _ _ _ _ _ _ :._W ___

w_, ___



Journal of Social and Administrali•e Pharmacy Vol. 7, No. 4, 1990

Self-Medication in
Department of Cultural Anthropology,
Uninmrtyof Amsterdam,
NL-1012 OK Amsterdam. The Netherlands

This paper sketches the self-medication situation in the developing countries. From a biomedical view-point the risks that are involved in developing countries are reportedly higher
than in industrialized countries. This can be related to the fact that in many developing countries prescription drugs are freely available over the counter. Drug regulations are limited
or not implemented and health care is malfunctioning. The economic-infrastructural and cultural-cognitive contexts that determine differences in self-medication practices are reviewed. Key words: Developing countries; Review; Selfmedication.


Paper presented at the Symposium on Self-Medication Consumer Aspects, Stockholm, Sweden. April 2-1. 1990

We have come to realize that self-medication
using pharmaceutical products is the "rule"
rather than the exception in medical care in the
industrialized countries of Europe, North
America and the Pacific. This is certainly true if
we include "non-compliance" with prescriptions in the definition of self-medication. Depending on how the concept is defined and the methodology used to measure it, it is estimated
that self-medication constitutes 50-90% of all
therapeutic interventions.
For some observers the high prevalence of
self-medication is a reason for optimism. It
demonstrates the continuous growth of consumers' self-awareness and self-reliance and their escape from the dependency and aliention brought about by medicalization. It reflects, as Bezold remarks, "a new attitude toward health, including increased self-responsibility for health" [1]. Others cu:e less pleased. Some are worried

about the biomedical effects of "irrational"

Read more


-1 -1012 -11 -66 -90 /185 1 12 13 14 15 16 199 1990 2 3 4 5 50 6 7 9 abort abortifaci absenc abstract access accord account acknowledg acqurr acut administrali alient almost alongsid altern although ambigu america among amsterdam anita anoth anthropolog antibiot anyth appear appropri april aspect aspirin attitud avail awar away bacteri bad ban behaviour belief believ besid best better bezold biomed birth bodi bou bought bound bra brazil broad brought bving call cameroon care case categori caus centr certain cheer childhood children choic ciiiiviiiii classifi clear cognit cold colombia combin come common communiti compar complianc concept concern consequ consid constitut consult consum contain context continu contribut correspand could counter countri cu cultur cultural-cognit curat cure danger data deepli defect defin definit demonstr depart depend depress der despit detail determin develop diarrhoea die differ dipyron direct diseas disguis disinfect disord distribut dosag dose doubt drug dwindl e e.g earli econom economic-infrastructur effect efficaci els elsewher enorm equival es escap especi essenti establish estim europ evalu even examin exampl except exist expand face facil fact factor far femi femi-oyewo fend field filipino find first foetus follow form found free freeli frequent frustrat function geest general get ghana given glass gloomi govern grave group growth h haak hand hard hardon hazard health help herbal high high-dos higher hormon hospit hot howev idea identifi iiiiy ill illeg illustr imping implement impos inappropri includ increas india induc industri infrastructur intervent introduct invis involv irrat issu item itiner iuj journal key kiosk knowledg l lack latter leav ledic legal less let level like limit liquifi littl local longer ma macro magnitud main major make malfunct mani may mclude measur med1cmes medic medicin meet menstruat mercuri methodolog micro mistaken misus mother must need neighbour netherland nevertheless new nigeria nigerian nl non non-compli non-funct non-sever norm north noth o/nicallv observ obtam occur odebivi offici often ointment ok old ome one onethird oper optim optimist oral other ouddjdsachterourgu outsid over-the-count overwhelm oyewo pacif paper paradis particular patchi pattern penicillin peopl per perat perhap personnel persuas peru pessim pessimist ph.o pharmac pharmaceut pharmaci phenomenon philippin phvsician physician pictur piperazin pleas point potenti power practic practition pregnanc pregnant prepar prescrib prescript prescription-on present preval prevent principl privat problem product promis provis provoc public purpos qualifi qualit quantit quinin rather re realiz reason recent recentlv reflect regard regim regul rehydr reinforc relat relianc remark render report resist respect respons result reveal review right risk rket road routin rule rural ruuntr sad safe sale say second secret see seem self self-awar self-car self-impos self-med self-reli self-respons selfmed sens servic sever shortstaf similar situat sjaa.k sketch so-cal social societi solid sometim stall start statement steroid still stipul stockholm store strain student studi su.ppiied subject subjug suboptim substanc subtl suggest supervis sweden symposium symptom system take technolog tend term termin therapeut therapi therr thing think third though thought threat time tjt toward tradit treat treatment true two type unavail uncontrol under-the-count understand understood uninmrtyof univers unqualifi upper urban us use ut van vendor view view-point villag visibl visit vol vt vulner w well well-funct western wherebi widespread without witj woman women word world worri wors write year zil ~emselv ~ht ~s ~t ~ving