Assessment of medicine use based on WHO drug use indicators in public health facilities of South Indian Union Territory

2021 ◽  
Author(s):  
Dinesh Kumar Meena ◽  
Jayanthi Mathaiyan ◽  
Mahalakshmy Thulasingam ◽  
Kesavan Ramasamy
Keyword(s):  
Public Health ◽  
Drug Use ◽  
Health Facilities ◽  
Medicine Use ◽  
Public Health Facilities ◽  
South Indian ◽  
Union Territory

scholarly journals The Effect of Educational Intervention on Rational Prescribing in Public Health Facilities in Selected Local Government Areas of Rivers State: An Interventional Study

2021 ◽  
pp. 79-95
Author(s):  
Golden Owhonda ◽  
Felix Emeka Anyiam
Keyword(s):  
Public Health ◽  
Health Care ◽  
Local Government ◽  
Drug Use ◽  
Educational Intervention ◽  
The State ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Rational Prescribing ◽  
Rivers State

Background: Despite progress made so far in identifying intervention models to improve drug use, irrational use of drugs has remained a serious global health problem. The study intends to determine the effectiveness of an educational intervention on rational prescribing among prescribers in selected local government areas of Rivers State. Methods: This was a quasi-experimental study that measured the effect of educational intervention on rational prescribing of drugs among prescribers in public health facilities in two selected Local Government Areas (LGA) of Rivers State: Ikwerre LGA (KELGA) which served as the control and Port Harcourt LGA (PHALGA) which served as the intervention by using cluster sampling with randomization. Paired data were analysed using McNemar’s Chi-square test and the paired t-test. The level of significance was set at P≤ 0.05. The EPI-INFO version 7.02 statistical software was used in the analysis. Results: Findings showed that the largest category of prescribers was nurse/midwives representing 48.61% and 44.4% in the intervention and control LGA respectively. There was an improvement in the knowledge and attitude of respondents in the facilities in the intervention LGA at one month and three months post-intervention (P<0.05). The average number of drugs per encounter (ANDPE), the percentage encounters with an antibiotic (PEA), the percentage encounters with an injection (PEI) were lower for the interventions group compared to the control (P<0.05). Percentage generic drug prescription (PGD) was higher in the intervention group compared to the control (P=0.001). Conclusion: Educational intervention was an effective and sustainable means of improving rational prescribing in the state. Update courses and continuing medical education on rational drug use should be held periodically for health care professionals by the State and National Primary Health Care Development Agency as well as other interested stakeholders.

scholarly journals Evaluation of drug prescription pattern using World Health Organization prescribing indicators in public health facilities found in Ethiopia: systematic reviews and meta-analysis

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Bereket Bahiru Tefera ◽  
Melese Getachew ◽  
Bekalu Kebede
Keyword(s):  
Public Health ◽  
Drug Use ◽  
World Health Organization ◽  
Drug Prescription ◽  
Health Facilities ◽  
World Health ◽  
Prescribing Indicators ◽  
Public Health Facilities ◽  
The World ◽  
Health Organization

Abstract Background Drug use evaluation is a structured, methodological, and criteria-based drug assessment system that helps to evaluate the actual trend of drug use in a particular setting. If drug prescription practices are inappropriate, need to examine the patterns of drug use is necessary to change prescribing patterns accordingly. Therefore, this review aimed to determine the drug prescription pattern in public health facilities found in Ethiopia using prescribing indicators developed by the World Health Organization. Methods This review was conducted as per the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guideline. Extensive searching to identify articles was conducted in PubMed, Medline, Web of Science, Research Gate, Africa Journal of Online, and Google scholar. Finally, 10 eligible articles were selected for analysis based on inclusion and exclusion criteria. The median value, as well as the 25th and 75th percentiles for each WHO prescribing indicator, were computed. Result The pooled median value of WHO prescribing indicators was reported as follows: the average number of drugs prescribed per encounter = 2.14 (IQR 1.79–2.52), the percentage of encounters with antibiotics prescribed = 43.46% (IQR 30.01–58.67), the percentage of encounters with an injection prescribed = 13.20% (6.47–40.7), percentage of drugs prescribed by generic name = 93.49% (89.13–97.96), and the percentage of medicines prescribed from essential medicines list = 92.54% (85.10–97.7). The forest plots determined for each prescribing indicator indicated that there is a high degree of heterogeneity across articles. Conclusion All of the prescribing indicators were not consistent with the standard values recommended by the World Health Organization. Therefore, public health facilities should take appropriate measures for improving the prescription patterns as per the recommendation set by the World Health Organization.

scholarly journals Analysis the Centralized Drug Procurement Results at Ho Chi Minh city Department of Health

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Le Ngoc Danh ◽  
Do Van Dung ◽  
Ly Thanh Trung ◽  
Chau Thuc Oanh ◽  
Truong Van Dat ◽  
...  
Keyword(s):  
Public Health ◽  
Drug Use ◽  
World Bank ◽  
Health Facilities ◽  
Ho Chi Minh City ◽  
Brand Name ◽  
Ministry Of Health ◽  
Public Health Facilities ◽  
Department Of Health ◽  
Bid Prices

In recent years, the procurement of drugs in public health facilities is mostly done in the form of bidding. In particular, the concentrated bidding form at the Department of Health brings advantages to the process of drug supply as well as safe, appropriate and effective management of drug use. In the period 2014-2019, at the Ho Chi Minh City Department of Health (DoH), the number of drugs in the concentrated bidding list increases year by year, from 92 (2014) to 101 (2019). The number of winning drugs on the list promulgated by the Ministry of Health has increased year by year. DoH focuses mainly on purchasing drugs under generic packages when the quantity of drugs is in the range of 67-70% higher than the quantity of drugs in the original brand name package (30-33%). In terms of value, compared to the total planned value, the generic package decreased by 65% (2017-2019), while the original brand name package only decreased by 35%. Bid prices and winning prices of each commodity decrease over the years. The difference between bid prices and winning bid prices ranged from 20% to 40%. DoH's locally concentrated list of tenders has not yet fully met the needs of local health facilities, so there is still planning to add new drugs out of the list. Therefore, it is advisable to conduct a further survey on drug use needs in each health facility through data from open bidding at hospitals in Ho Chi Minh City. From there, consider which drugs should be added to DoH's centralized procurement list. Keywords: Centralized bidding, generic bidding package, original brand name bidding package, drug price, HCMC Department of Health. References [1] World Health Organization, How pharmaceutical systems are organized in Asia and the Pacific, OECD Publishing, 2018.[2] Government of Vietnam, The World Bank, Fiscal Policies towards Sustainability, Efficiency, and Equity, World Bank Washington DC, 2017.[3] Ministry of health, Circular 09/2016/TT-BYT promulgation of list of drugs for procurement through bidding, list of drugs for concentrated procurement, list of drugs for procurement through price negotiation, 2016 (Vietnamese).[4] Ministry of health, Circular 21/2013/TT-BYT prescribing organization and operation of the drug and treatment council in hospitals, 2013. (Vietnamese).[5] Xuan-Phuoc Nguyen-Thi et al, Analysis of drug bidding results in the form of centralized drug bidding at the Nghe An Province Health Department, Pharmaceutical journal 59 (7), 2019, 03-07 (Vietnamese).[6] Ministry of health, Circular 11/2016/TT-BYT bidding for supply of drugs for public health facilities, 2016 (Vietnamese).[7] Ministry of health, Joint Circular 01/2012/TTLT-BYT-BTC guiding bidding of drugs procurement in the medical facilities, 2012 (Vietnamese).          

scholarly journals Drug use in the management of uncomplicated malaria in public health facilities in the Democratic Republic of the Congo

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Nsengi Y. Ntamabyaliro ◽  
Christian Burri ◽  
Didier B. Nzolo ◽  
Aline B. Engo ◽  
Yves N. Lula ◽  
...  
Keyword(s):  
Public Health ◽  
Drug Use ◽  
Uncomplicated Malaria ◽  
Democratic Republic ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Republic Of The Congo

scholarly journals Linkage to primary-care public health facilities for cardiovascular disease prevention: a community-based cohort study from urban slums in India

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e045997
Author(s):  
Abhijit Pakhare ◽  
Ankur Joshi ◽  
Rasha Anwar ◽  
Khushbu Dubey ◽  
Sanjeev Kumar ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Multivariate Analysis ◽  
Urban Slum ◽  
Primary Care Providers ◽  
Health Facilities ◽  
Care Providers ◽  
Community Based ◽  
Public Health Facilities ◽  
Care Facilities

ObjectivesHypertension and diabetes mellitus are important risk factors for cardiovascular diseases (CVDs). Once identified with these conditions, individuals need to be linked to primary healthcare system for initiation of lifestyle modifications, pharmacotherapy and maintenance of therapies to achieve optimal blood pressure and glycaemic control. In the current study, we evaluated predictors and barriers for non-linkage to primary-care public health facilities for CVD risk reduction.MethodsWe conducted a community-based longitudinal study in 16 urban slum clusters in central India. Community health workers (CHWs) in each urban slum cluster screened all adults, aged 30 years or more for hypertension and diabetes, and those positively screened were sought to be linked to urban primary health centres (UPHCs). We performed univariate and multivariate analysis to identify independent predictors for non-linkage to primary-care providers. We conducted in-depth assessment in 10% of all positively screened, to identify key barriers that potentially prevented linkages to primary-care facilities.ResultsOf 6174 individuals screened, 1451 (23.5%; 95% CI 22.5 to 24.6) were identified as high risk and required linkage to primary-care facilities. Out of these, 544 (37.5%) were linked to public primary-care facilities and 259 (17.8%) to private providers. Of the remaining, 506 (34.9%) did not get linked to any provider and 142 (9.8%) defaulted after initial linkages (treatment interrupters). On multivariate analysis, as compared with those linked to public primary-care facilities, those who were not linked had age less than 45 years (OR 2.2 (95% CI 1.3 to 3.5)), were in lowest wealth quintile (OR 1.8 (95% CI 1.1 to 2.9), resided beyond a kilometre from UPHC (OR 1.7 (95% CI 1.2 to 2.4) and were engaged late by CHWs (OR 2.6 (95% CI 1.8 to 3.7)). Despite having comparable knowledge level, denial about their risk status and lack of family support were key barriers in this group.ConclusionsThis study demonstrates feasibility of CHW-based strategy in promoting linkages to primary-care facilities.

scholarly journals Health facility capacity to provide postabortion care in Afghanistan: a cross-sectional study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Farzana Maruf ◽  
Hannah Tappis ◽  
Enriquito Lu ◽  
Ghutai Sadeq Yaqubi ◽  
Jelle Stekelenburg ◽  
...  
Keyword(s):  
Public Health ◽  
Family Planning ◽  
High Volume ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Care Services ◽  
Vacuum Aspiration ◽  
Postabortion Care ◽  
Products Of Conception ◽  
Family Planning Counseling

Abstract Background Afghanistan has one of the highest burdens of maternal mortality in the world, estimated at 638 deaths per 100,000 live births in 2017. Infections, obstetric hemorrhage, and unsafe abortion are the three leading causes of maternal death. Contraceptive prevalence rate has fluctuated between 10 and 20% since 2006. The 2016 Afghanistan National Maternal and Newborn Health Quality of Care Assessment evaluated facility readiness to provide quality routine and emergency obstetric and newborn care, including postabortion care services. Methods Accessible public health facilities with at least five births per day (n = 77), a nationally representative sample of public health facilities with fewer than five births per day (n = 149), and 20 purposively selected private health facilities were assessed. Assessment components examining postabortion care included a facility inventory and record review tool to verify drug, supply, equipment, and facility record availability, and an interview tool to collect information on skilled birth attendants’ knowledge and perceptions. Results Most facilities had supplies, equipment, and drugs to manage postabortion care, including family planning counseling and services provision. At public facilities, 36% of skilled birth attendants asked to name essential actions to address abortion complications mentioned manual vacuum aspiration (23% at private facilities); fewer than one-quarter mentioned counseling. When asked what information should be given to postabortion clients, 73% described family planning counseling need (70% at private facilities). Nearly all high-volume public health facilities with an average of five or more births per day and less than 5% of low volume public health facilities with an average of 0–4 deliveries per day reported removal of retained products of conception in the past 3 months. Among the 77 high volume facilities assessed, 58 (75%) reported using misoprostol for removal of retained products of conception, 59 (77%) reported using manual vacuum aspiration, and 67 (87%) reported using dilation and curettage. Conclusions This study provides evidence that there is room for improvement in postabortion care services provision in Afghanistan health facilities including post abortion family planning. Access to high-quality postabortion care needs additional investments to improve providers’ knowledge and practice, availability of supplies and equipment.

scholarly journals Managing pneumonia through facility-based integrated management of childhood management (IMCI) services: an analysis of the service availability and readiness among public health facilities in Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmed Ehsanur Rahamn ◽  
Shema Mhajabin ◽  
David Dockrell ◽  
Harish Nair ◽  
Shams El Arifeen ◽  
...  
Keyword(s):  
Public Health ◽  
Distribution System ◽  
Integrated Management ◽  
Child Death ◽  
Health Facilities ◽  
Family Welfare ◽  
Service Availability ◽  
District Health ◽  
Public Health Facilities ◽  
District Hospitals

Abstract Background With an estimated 24,000 deaths per year, pneumonia is the single largest cause of death among young children in Bangladesh, accounting for 18% of all under-5 deaths. The Government of Bangladesh adopted the WHO recommended Integrated Management of Childhood Illness (IMCI)-strategy in 1998 for outpatient management of pneumonia, which was scaled-up nationally by 2014. This paper reports the service availability and readiness related to IMCI-based pneumonia management in Bangladesh. We conducted a secondary analysis of the Bangladesh Health Facility Survey-2017, which was conducted with a nationally representative sample including all administrative divisions and types of health facilities. We limited our analysis to District Hospitals (DHs), Maternal and Child Welfare Centres (MCWCs), Upazila (sub-district) Health Complexes (UHCs), and Union Health and Family Welfare Centres (UH&FWCs), which are mandated to provide IMCI services. Readiness was reported based on 10 items identified by national experts as ‘essential’ for pneumonia management. Results More than 90% of DHs and UHCs, and three-fourths of UH&FWCs and MCWCs provide IMCI-based pneumonia management services. Less than two-third of the staff had ever received IMCI-based pneumonia training. Only one-third of the facilities had a functional ARI timer or a watch able to record seconds on the day of the visit. Pulse oximetry was available in 27% of the district hospitals, 18% of the UHCs and none of the UH&FWCs. Although more than 80% of the facilities had amoxicillin syrup or dispersible tablets, only 16% had injectable gentamicin. IMCI service registers were not available in nearly one-third of the facilities and monthly reporting forms were not available in around 10% of the facilities. Only 18% of facilities had a high-readiness (score 8–10), whereas 20% had a low-readiness (score 0–4). The readiness was significantly poorer among rural and lower level facilities (p < 0.001). Seventy-two percent of the UHCs had availability of one of any of the four oxygen sources (oxygen concentrators, filled oxygen cylinder with flowmeter, filled oxygen cylinder without flowmeter, and oxygen distribution system) followed by DHs (66%) and MCWCs (59%). Conclusion There are substantial gaps in the readiness related to IMCI-based pneumonia management in public health facilities in Bangladesh. Since pneumonia remains a major cause of child death nationally, Bangladesh should make a substantial effort in programme planning, implementation and monitoring to address these critical gaps to ensure better provision of essential care for children suffering from pneumonia.

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