Exploring the operations of itinerant medicine sellers within urban bus terminals in Kumasi, Ghana

This paper explores Itinerant Medicine Sellers’ (IMSs) operations at loading bays within bus terminals in the Kumasi metropolis. The paper examines how the sellers negotiated access into the loading bays, how they marketed their medicines, where they sourced their medicines from, and the challenges...

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Main Authors: Joy Ato Nyarko, Kofi Osei Akuoko, Jonathan Mensah Dapaah, Margaret Gyapong
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Health Policy Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590229623000205
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author Joy Ato Nyarko
Kofi Osei Akuoko
Jonathan Mensah Dapaah
Margaret Gyapong
author_facet Joy Ato Nyarko
Kofi Osei Akuoko
Jonathan Mensah Dapaah
Margaret Gyapong
author_sort Joy Ato Nyarko
collection DOAJ
description This paper explores Itinerant Medicine Sellers’ (IMSs) operations at loading bays within bus terminals in the Kumasi metropolis. The paper examines how the sellers negotiated access into the loading bays, how they marketed their medicines, where they sourced their medicines from, and the challenges they faced. An exploratory qualitative survey design was adopted for the study. Through convenience sampling, 18 IMSs operating within the bus terminals in the Kumasi metropolis participated in this study. In-depth interviews were conducted, audio-recorded and transcribed. The transcripts were thematically analysed. The study found that these hawkers negotiated access to the loading bays through multiple informal gatekeepers and employed direct customer engagement in marketing their medicines. It was further revealed that the IMSs sourced their medicines from both formal and informal sources for different reasons, such as affordability and informality of medicines acquisition. The participants operated outside government-prescribed regulations and faced challenges of low capital and sales revenue, poor reception by prospective clients, and government clampdown. The study concludes that medicine hawking is an illegal livelihood strategy and a public health concern. As a phenomenon outside government’s policy guidelines, it is recommended that government intensifies its clampdown activities on these hawkers and engage in public health education on the negative implications of accessing medicines from these IMSs.
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spelling doaj.art-db764149042648be91601b9a67beae4e2023-12-20T07:36:51ZengElsevierHealth Policy Open2590-22962023-12-015100108Exploring the operations of itinerant medicine sellers within urban bus terminals in Kumasi, GhanaJoy Ato Nyarko0Kofi Osei Akuoko1Jonathan Mensah Dapaah2Margaret Gyapong3Department of General and Liberal Studies, School of Basic and Biomedical Sciences, University of Health and Allied Sciences, Ho, Ghana; Department of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; Corresponding author.Department of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaDepartment of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaInstitute of Health Research, University of Health and Allied Sciences, Ho, GhanaThis paper explores Itinerant Medicine Sellers’ (IMSs) operations at loading bays within bus terminals in the Kumasi metropolis. The paper examines how the sellers negotiated access into the loading bays, how they marketed their medicines, where they sourced their medicines from, and the challenges they faced. An exploratory qualitative survey design was adopted for the study. Through convenience sampling, 18 IMSs operating within the bus terminals in the Kumasi metropolis participated in this study. In-depth interviews were conducted, audio-recorded and transcribed. The transcripts were thematically analysed. The study found that these hawkers negotiated access to the loading bays through multiple informal gatekeepers and employed direct customer engagement in marketing their medicines. It was further revealed that the IMSs sourced their medicines from both formal and informal sources for different reasons, such as affordability and informality of medicines acquisition. The participants operated outside government-prescribed regulations and faced challenges of low capital and sales revenue, poor reception by prospective clients, and government clampdown. The study concludes that medicine hawking is an illegal livelihood strategy and a public health concern. As a phenomenon outside government’s policy guidelines, it is recommended that government intensifies its clampdown activities on these hawkers and engage in public health education on the negative implications of accessing medicines from these IMSs.http://www.sciencedirect.com/science/article/pii/S2590229623000205Itinerant Medicine SellersBus TerminalsGhanaMedicine
spellingShingle Joy Ato Nyarko
Kofi Osei Akuoko
Jonathan Mensah Dapaah
Margaret Gyapong
Exploring the operations of itinerant medicine sellers within urban bus terminals in Kumasi, Ghana
Health Policy Open
Itinerant Medicine Sellers
Bus Terminals
Ghana
Medicine
title Exploring the operations of itinerant medicine sellers within urban bus terminals in Kumasi, Ghana
title_full Exploring the operations of itinerant medicine sellers within urban bus terminals in Kumasi, Ghana
title_fullStr Exploring the operations of itinerant medicine sellers within urban bus terminals in Kumasi, Ghana
title_full_unstemmed Exploring the operations of itinerant medicine sellers within urban bus terminals in Kumasi, Ghana
title_short Exploring the operations of itinerant medicine sellers within urban bus terminals in Kumasi, Ghana
title_sort exploring the operations of itinerant medicine sellers within urban bus terminals in kumasi ghana
topic Itinerant Medicine Sellers
Bus Terminals
Ghana
Medicine
url http://www.sciencedirect.com/science/article/pii/S2590229623000205
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