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I Buy Medicines From the Streets Because I Am Poor

A Qualitative Account on why the Informal Market for Medicines Thrive in Ivory Coast

Bibliographic Data

ID13775789
AuthorsArmel Dagrou (University of Bergen), Victor Chimhutu (0000-0001-7160-642X, University of Bergen, corresponding author)
Year2022
Volume59
Pages469580221086585-469580221086585
Publication date2022-01-01
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00469580221086585
PMID35311389
OpenAlexW4221065864
LanguageEN
Citations received4
References cited19

The informal market for medicines has been growing. In Ivory Coast, this informal market is an unofficial core part of the health system. Given the risks associated with the informal market for medicines, it is important to understand why this market continues to grow. It becomes even more important in the context of COVID-19, as a huge chunk of falsified medical products end up at the informal market. A qualitative case study design was chosen for this study, with in-depth interviews (IDIs) and focus group discussions (FGDs) being the methods for data collection. 20 IDIs and 3 FGDs were conducted. Participants in this study are sellers, buyers, and pharmaceutical experts. We found out that the informal market for medicines thrives because it is highly accessible, convenient, affordable, and that it is used for various social, cultural, and religious reasons. The study concludes that although this informal market presents a clear danger to public health, it is thriving. For authorities to address this public health challenge, there is need for a holistic and multi-pronged approach, which includes addressing health systems factors and strengthening regulatory framework

Business · Context (archaeology · Economic growth · Economics · Essential medicines · Focus group · Geography · Informal sector · Political science · Public health · Public relations · Qualitative property · Qualitative research · Social science · Sociology · Thriving · Global Maternal and Child Health · Marketing · Medicine · Nursing · Pharmaceutical Economics and Policy · Pharmaceutical Quality and Counterfeiting

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    Open Access•Adélaïde Compaoré•African Journal of Social…•2026

  • Logics of acquiring medicines from informal retailers in four African countries

    Open Access•Janelle Wagnild, Samuel Asiedu Owusu et al.•Global Health Action•2025

  • Scoping review on lessons learnt on the promotion and use of drugs and traditional medicine in Africa during Covid-19

    Open Access•Rujeko Samanthia Chimukuche, Rachel Kawuma et al.•Global Public Health•2024

  • Knowledge and Practices on Household Disposal of Unused Antimicrobials in Ho Municipality, Ghana

    Open Access•Thelma Mpoku Alalbila, Jonathan Jato et al.•International Journal of…•2025

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  • Experiences of care in the context of payment for performance (P4P) in Tanzania

    Open Access•Victor Chimhutu, Marit Tjomsland et al.•Globalization and Health•2019

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    Open Access•Sayed M Ahmed, Md Akhter Hossain et al.•Health Policy and Planning•2009

  • Drug shop regulation and malaria treatment in Tanzania why do shops break the rules, and does it matter

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  • Making health markets work better for poor people

    Open Access•Gerald Bloom, Hilary Standing et al.•Health Policy and Planning•2011

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  • Where do pharmaceuticals on the market originate? An analysis of the informal drug supply in Cotonou, Benin

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Citations per year2
Citation span2024 - 2026 (3)
Highly citedNo

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