Assessment of the availability of snakebite antivenom in health facilities in Ndola District, Zambia: a cross-sectional study

Trans R Soc Trop Med Hyg. 2022 Jun 1;116(6):592-594. doi: 10.1093/trstmh/trab178.

Abstract

Background: Despite snakebite antivenom being included on the WHO list of essential medicines, many parts of the world, especially Africa, lack effective and safe antivenoms.

Methods: A descriptive, field-based, cross-sectional study was undertaken from August to November 2020 in 40 out of 71 health facilities in Ndola district. Interviews and physical inspection were conducted at each facility.

Results: The study revealed that only three (8%) of all the private health facilities had antivenom available at the time of the assessment. Factors significantly associated with antivenom supply included lack of central country supply (90%), lack of demand of the antivenom (55%) and no budget allocation for the antivenom (95%).

Conclusions: Despite the high number of notified snakebites within Ndola district, there remains poor availability of snakebite antivenom within the district.

Keywords: Ndola, snakebites; Zambia; accessibility, antivenom, availability.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antivenins* / therapeutic use
  • Cross-Sectional Studies
  • Health Facilities
  • Humans
  • Snake Bites* / drug therapy
  • Snake Bites* / epidemiology
  • Zambia / epidemiology

Substances

  • Antivenins