The role of the Okigusuri system in medicine accessibility, availability, and affordability in kisarawe district.

Mnyanyi, Gothbert Peter (2023) The role of the Okigusuri system in medicine accessibility, availability, and affordability in kisarawe district. Masters thesis, The Open University of Tanzania.

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Abstract

The study aimed to evaluate the role of Okigusuri system in medicine accessibility, affordability and availability in kisarawe district. The cross-sectional design was employed and a purposivesampling technique was used to attain the sample size of 140 respondents from Bwama and Mlegele villages where by 70 respondents were beneficiaries of Okigusuri system and 70 respondents were notOkigusuri beneficiaries. The questionnaire, and documentary review methods were used in datacollection. Thequantitative data were analyzed using SPSS involving both descriptive and inferential statistical analysis to getfrequencies, mean,crosstabulations and carryout correlation as well as linear regressionanalysis. Time costs and medical costs were found to be the burden to medical accessibility, the major means of transport was motorcycle with a mean cost of 3750 Tshs, the mean waiting time and consultation time were46.57 minutes and 15.43 minutes respectively. The average medical cost was 12000Tshs but only 12.9% of non Okigusuri users were willing to pay for this bill, and it was reported that it might take them 1 to 3 days to cover this bill. It was also reported that 44.3% of Okigusuri users have gained health knowledge on appropriate self-medications, it has also been seen in regression analysis that Okigusuri use has 26.1% variations on appropriate self-medication and it is significance since it has a p-value of.000 which is less than 0.05.Multisectoral engagement in ensuring medicine availability in rural areas is needed, as Okigusuri has succeeded in its goals although more coverage and engagement is needed. MSD has to ensure constant supply of medicines in public dispensaries in rural areas to avoid frequent out of stock.

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