@incollection{fdi:010084100,
  title = {{W}hen the pharmaceutical system creates persistent attachments or new appropriations of drug molecules : divergent {ACT} distribution and use in {B}enin and {G}hana},
  author = {{B}axerres, {C}arine and {S}ams, {K}. and {A}rhinful, {D}.{K}. and {L}e {H}esran, {J}ean-{Y}ves},
  editor = {},
  language = {{ENG}},
  abstract = {{I}n this chapter, the authors examine artemisinin-based combination therapy ({ACT}) use in {B}enin and {G}hana. {A}lthough these two neighboring countries have similar epidemiological profiles and perceptions of malaria, {ACT}s are used in very different ways: much more appropriately in {G}hana than in {B}enin. {I}n this latter country, there is a surprising simultaneous presence of different antimalarial treatments (quinine, {ACT}s, sulfadoxine-pyrimethamine [{SP}], and even chloroquine). {T}he compounds were integrated into the countries' existing pharmaceutical systems, which have a considerable impact on how the medications are used. {T}his chapter highlights how the ties that bind individuals to pharmaceutical compounds - through attachment, rejection, or appropriation - are constructed through existing legislation and pharmaceutical distribution methods. {T}he different situations in the two countries raise questions for public health regarding both issues of parasite resistance and of inappropriate medication for malaria. {U}nderstanding the availability of inexpensive molecules (whether subsidized or reimbursed through various insurance mechanisms), the distribution channels used (formal or informal) and how they are present in the country, is essential to build policies to combat diseases and assess their consequences on individual and public health as well as on the economy and society.},
  keywords = {{BENIN} ; {GHANA}},
  booktitle = {{U}nderstanding drugs markets : an analysis of medicines, regulations and pharmaceutical systems in the {G}lobal {S}outh},
  numero = {},
  pages = {157--174},
  address = {{O}xon ({GBR}) ; {N}ew-{Y}ork},
  publisher = {{R}outledge},
  series = {{R}outledge {S}tudies in the {S}ociology of {H}ealth and {I}llness},
  year = {2021},
  DOI = {10.4324/9780429329517-7},
  ISBN = {978-1-03-204313-5},
  URL = {https://www.documentation.ird.fr/hor/fdi:010084100},
}