The phrase 'purchasing act' is correct and usable in written English.
You can use it to refer to a piece of legislation that specifies regulations around buying and selling goods or services. For example: "The Purchasing Act of 2019 requires all businesses to submit a detailed list of purchases for each financial period."
The proportion of consumers in the intervention districts purchasing ACTs rose from 1% at baseline to 44.2% one year later p<0.0011), and was significantly higher among consumers purchasing for children under 5 than for adults (p = 0.005).
Consumers purchasing ACTs for children under 5 paid significantly less than those buying for adults (16+ years), at a mean expenditure of $0.35 (SD = $0.19) and $0.70 (SD = $0.28) respectively (p<0.001).
Overall, each $1 decrease in price was linked to a 24 percentage point increase in the fraction of suspected malaria cases purchasing ACTs (R = 0.302).
A list of potentially important confounders was identified a priori consisting of ADDO accreditation certificate, number of customers purchasing ACTs in the previous week, dispenser medical qualification, dispenser training on ACTs, patient age, and patient education.
The majority of customers (72.9%) who succeeded in purchasing ACTs only completed primary school, and these regions are below the national average for key indicators like the percent of households connected to the electricity grid or receiving piped water [ 7].
It is not known to what extent the relative inconvenience of the dosing schedule or other factors related to the appearance of the drugs or the packaging deters individuals from purchasing ACTs in ADDOs.
Individuals buying non-ACT antimalarial drugs at shops stocking ACTs tended to be of significantly higher SES than those buying ACTs; those individuals purchasing ACTs where they were available paid an average of Tsh680 (about $US 0.59) compared to an average of Tsh936 (about $US 0.78) for other antimalarial drugs (t=10.55, 1129 d.f., p<0.01).
Economically, farming in this area was less productive and this could also limit the ability of the households to purchase ACT if unavailable from the government health facilities.
The lack of a comprehensive BCC strategy specifically targeting ACT availability in ADDOs is a significant barrier to encouraging communities to purchase ACTs in ADDOs to treat uncomplicated malaria.
Table 2 presents exit interview data on uptake for AL, artemisinin monotherapy, and the two other most commonly purchased antimalarials, amodiaquine and SP. The proportion of anti-malarial consumers in the intervention districts who purchased ACTs increased strikingly during the project, from 4/399 (1.0%) in August 2007 to 201/455 (44.2%) in August 2008 p<0.0011).
