Introduction: Self-medication is widespread throughout the world, especially in developing countries. It is at the root of very harmful health consequences. This study was therefore conducted to determine its prevalence and identify the factors that explain this practice among children under 5 years of age, with a view to finding appropriate solutions. Methods: A cross-sectional analytical study was conducted in the City of Mwene-Ditu from July to August 2022. This study involved a sample of 422 children aged 0 - 59 months. Data were collected using a questionnaire, processed and analysed using Epi Info 7. The Chisquare Test of Independence was used to test the association between the dependent variable and the independents with a significant p-value < 0.05. Results: The prevalence of children self-medication was 94.5%. The explanatory factors identified were the child’s age (6 to 59 months), the number of children aged 0 to 59 months in the household (2 or more), household size (≥ 2 people), unaffordable medical cost, parents’ socio-economic level (low and medium), low household income, occupation (farmer) and level of education (secondary and university) with p-value < 0.05. Malaria was the disease most frequently self-medicated (36.5%). Conclusion: Self-medication is widely practised in Mwene Ditu as a result of factors identified by this study. Intensified action to change the behaviour of mothers and the community and the implementation of a policy to improve the economic status of the population is essential to tackle this problem.
Cite this paper
Musasa, C. M. , Tshimanga, I. M. , Ebondo, A. K. , Musasa, P. M. , Bantu, F. B. , Tshipata, M. M. , Vé, Matanda, R. K. , Musasa, C. M. and Kabeya, T. K. (2025). Factors Explaining Self-Medication in Children Aged 0 - 5 years in the Town of Mwene-Ditu in the Democratic Republic of Congo: A Cross-Sectional Study. Open Access Library Journal, 12, e3018. doi: http://dx.doi.org/10.4236/oalib.1113018.
Ahmed, N., Ijaz, S., Manzoor, S. and Sajjad, S. (2021) Prevalence of Self-Medication in Children Under-Five Years by Their Mothers in Yogyakarta City Indonesia. Journal of Family Medicine and Primary Care, 10, 2798-2803. https://doi.org/10.4103/jfmpc.jfmpc_2457_20
Chiribagula, V.B., Mboni, H.M., Amuri, S.B., kamulete, G.S., Byanga, J.K., Duez, P., et al. (2015) Prévalence et caractéristiques de l’automédication chez les étudiants de 18 à 35 ans rési-dant au Campus de la Kasapa de l’Université de Lubumbashi. Pan African Medical Journal, 21, Article 107. https://doi.org/10.11604/pamj.2015.21.107.5651
Alonso-Castro, A.J., Ruiz-Noa, Y., Martínez-de la Cruz, G.C., Ramírez-Morales, M.A., Deveze-álvarez, M.A., Escutia-Gutiérrez, R., et al. (2022) Factors and Practices Associated with Self-Medicating Children among Mexican Parents. Pharmaceuticals, 15, Article 1078. https://doi.org/10.3390/ph15091078
Mboni, H.M., Tshikongo, A.K., Chirubagula, V.B., Shakalenga, C.M., Kanyegere, A.M., Rugema, B.B., et al. (2023) Evaluation des pratiques de l’automédication et leurs caractéristiques auprès des étudiants d’Uvira en République Démocratique du Congo. Pan Afri-can Medical Journal, 45, 53. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460111
Ge, J., Sun, X., Meng, H., Risal, P.G. and Liu, D. (2021) Factors Associated with Self-Medication in Children and the Decomposition of Rural-Urban Disparities in China. BMC Public Health, 21, Article No. 2123. https://doi.org/10.1186/s12889-021-12137-1
Ayalew, M.B. (2017) Self-Medication Practice in Ethiopia: A Systematic Review. Patient Preference and Adherence, 11, 401-413. https://doi.org/10.2147/ppa.s131496
Pons, E.D.S., Pizzol, T.D.S.D., Knauth, D.R. and Mengue, S.S. (2024) Self-Medication in Children Aged 0-12 Years in Brazil: A Population-Based Study. Revista Paulista de Pediatria, 42, e2022137. https://doi.org/10.1590/1984-0462/2024/42/2022137
OMS (2022) Journée mondiale de la sécurité des patients 2022. https://www.afro.who.int/fr/regional-director/speeches-messages/journee-mondiale-de-la-securite-des-patients-2022
Bert, F., Previti, C., Calabrese, F., Scaioli, G. and Siliquini, R. (2022) Antibiotics Self Medication among Children: A Systematic Review. Antibiotics, 11, Article 1583. https://doi.org/10.3390/antibiotics11111583
OMS (2017) Dans les pays en développement, 1 médicament sur 10 est de qualité inférieure ou falsifié. https://www.who.int/fr/news/item/28-11-2017-1-in-10-medical-products-in-developing-countries-is-substandard-or-falsified
Arrais, P.S.D., Fer-nandes, M.E.P., Pizzol, T.D.S.D., Ramos, L.R., Mengue, S.S., Luiza, V.L., et al. (2016) Prevalence of Self-Medication in Brazil and Associated Factors. Revista de Saúde Pública, 50, S13. https://doi.org/10.1590/s1518-8787.2016050006117
Abula, T. and Worku, A. (2001) Self-Medication in Three Towns of North West Ethiopia. Ethiopian Journal of Health Development, 15, 25-30. https://doi.org/10.4314/ejhd.v15i1.9893
Mbeva, J.B.K., Prudence, M.N., Musubao, E.T., Nzanzu, M., Namegabe, N., Kimanuka, C., et al. (2021) It-inéraire thérapeutique du patient en milieu urbain africain: Cas de la ville de Goma à l’est de la RD Congo. International Journal of Innovative Scientific Re-search, 53, 85-97.https://www.ulb-cooperation.org/wp-content/uploads/2021/02/ijisr_itineraire-therapeutique-du-patient-en-milieu-urbain-africain.pdf
Kabore, A., Ramde, D., Some, M.T., Dao, L., Savadogo, H., Ouedraogo, S.A.P., et al. (2014) Recours thérapeutique en pédiatrie: Place de l’automédication chez les enfants reçus au Centre Hospitalier Universitaire Charles de Gaulle de Ouaga-dougou (Burkina Faso). Science Santé, 37, 77-84. https://revuesciences-techniquesburkina.org/index.php/sciences_de_la_sante/article/view/313
Pierson, C. (2014) évaluation des pratiques d’automédication familiale en cas de toux aiguë chez les enfants de moins de 6 ans. https://books.google.cd/books?id=mkw6zQEACAAJ