title: [Sale of chloroquine in the street in Niamey (Niger)].
abstract: Self-treatment of malaria with chloroquine is extremely common in West Africa for the febrile attacks self-diagnosed as a presumed malaria case. A survey was conducted for one year in Niamey to assess the importance of the self-treatment practice. Transmission of malaria is permanent along the river banks and seasonal in some suburbs. Chloroquine is made available by local ambulatory sellers. A sample of 199 persons purchase on average four tablets each which is less than the curative dose recommended by WHO. Self-medication is an adequate practice for reaching the primary goal of malaria strategy in sub-Saharan Africa, i.e. to reduce morbidity and mortality through prompt therapy. Developing this practice is a top public health priority. Even if the dose is not appropriate, self-medication protects against serious attacks without preventing immunization and does not seem to induce greater risk of extension of chloroquine-resistance.
authors.affiliation: Ministère de la santé publique/Mission de coopération, Niamey, Niger.
authors.forename: J
authors.initials: J
authors.lastname: Julvez
mesh_terms: D002738:Chloroquine / Q000008:administration & dosage* / Q000600:supply & distribution* / Q000627:therapeutic use; D006801:Humans; D008288:Malaria / Q000517:prevention & control; D009548:Niger; D012651:Self Medication
chemical_list: D002738:Chloroquine