Increasingly, it is recognised by health planners and social scientists tha
t self medication with drugs bought over the counter in private pharmacies
is extremely widespread. Some anthropologists see this trend as an aspect o
f the 'commodification of health'. In this study, group interviews with hea
lth service users and providers in Gaza revealed many health service users
reporting an inadequate supply of drugs resulting in the purchasing of drug
s in private pharmacies. As a result, a. survey of the pattern of utilizati
on of three private pharmacies in three contrasting urban areas within the
Gaza Strip was undertaken. Using a questionnaire, data were collected from
all customers buying drugs; The results show that variations in the pattern
s of health seeking behaviour were associated with socioeconomic status. Ad
ult males were the most frequent customers of all three pharmacies. They we
re buying medicines for members of their nuclear family more often than for
themselves. Overall, pain and influenza were the most commonly reported co
nditions. The drugs purchased most frequently for women were for reproducti
ve health problems, particularly infertility. Customers of the pharmacy in
the relatively prosperous area more commonly purchased drugs which were pre
scribed by a private doctor. (C) 1999 Elsevier Science Ltd. All rights rese
rved.