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Sari-sari Stores as Community Pharmacies? A Qualitative Exploration of Sari-sari Stores Selling Medicines in the Philippines

Authors

  • Melissa Louise M. Prieto Department of Anthropology, College of Social Sciences and Philosophy, University of the Philippines Diliman, Quezon City, Philippines , School of Government, Ateneo de Manila University, Quezon City, Philippines
  • Gamaliel P. Galigao Department of Anthropology, College of Social Sciences and Philosophy, University of the Philippines Diliman, Quezon City, Philippines , Social Medicine Unit, College of Medicine, University of the Philippines Manila, Manila, Philippines
  • Ana Rica S. Navarra-Cruz Department of Anthropology, College of Social Sciences and Philosophy, University of the Philippines Diliman, Quezon City, Philippines
  • Louise Gabriel R. Jimenez Department of Anthropology, College of Social Sciences and Philosophy, University of the Philippines Diliman, Quezon City, Philippines , College of Medicine, University of the Philippines Manila, Manila, Philippines , General Education Department, Bulacan State University–Meneses Campus, Bulacan, Philippines
  • Gideon Lasco, MD, PhD Department of Anthropology, College of Social Sciences and Philosophy, University of the Philippines Diliman, Quezon City, Philippines , Department of Development Studies, Ateneo de Manila University, Quezon City, Philippines

DOI:

https://doi.org/10.47895/

Keywords:

sari-sari stores community pharmacies medicines Philippines

Abstract

Background and Objective. Despite laws prohibiting the sale of pharmaceuticals outside licensed pharmacies, sarisari stores continue to informally sell medicines, bridging access challenges especially in remote areas. The study explores the roles and perceptions of sari-sari stores as informal medicine providers.

Methods. The study draws on ethnographic insights from key informant interviews with fourteen (14) sari-sari store owners or tinderas, probing into medicines sold in sari-sari stores and their perceived effectiveness. Data were analyzed using thematic analysis.

Results. Sari-sari stores serve as informal yet critical points of access to common medicines for everyday illnesses, especially in remote areas where pharmacies are distant and transportation options are limited. Many tinderas began stocking medicines initially for personal and family use, but later extended them to the community in response to demand, even offering advice based on their lived experiences. Nevertheless, tinderas distinguish their role from pharmacies by limiting sales to non-prescription drugs, although a few exceptions revealed access to antibiotics and prescription medicines. These position sari-sari stores as central to self-medication practices, arising as a reflection of health inequities in the Philippines.

Conclusion. The study underscores the critical role played by the sari-sari stores in local healthcare practices in the Philippines, especially in areas with limited formal healthcare access. It highlights the need for regulatory approaches that consider the socioeconomic realities of both storeowners and consumers, ensuring policies do not inadvertently restrict healthcare options for those who need them the most.

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