scholarly journals Drug use pattern using WHO core drug use indicators in public health centers of Dessie, North-East Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Teklehaimanot Fentie Wendie ◽  
Abdulmejid Ahmed ◽  
Solomon Ahmed Mohammed
Keyword(s):  
Public Health ◽  
Drug Use ◽  
Health Centers ◽  
Essential Medicines ◽  
World Health ◽  
Essential Drug ◽  
Rational Use ◽  
North East ◽  
Essential Drug List ◽  
Drug List

Abstract Background Rational drug use requires that patients receive and take medication appropriately. Though the process of diagnosis and pharmaceutical care is complex, World Health Organization (WHO)/international network for rational use of drugs (INRUD) core drug use indicators investigate drug use to minimize the hazardous effect of the drug and enhance the wise use of scares resources. This study assessed drug use patterns in health centers of Dessie town using WHO/INRUD indicators. Methods A cross-sectional study was conducted in public health centers of Dessie town. Data were retrospectively collected from 1500 prescriptions dispensed from January 1, 2018, to December 31, 2018 using WHO data collection tool to assess prescribing indicators. For patient care and health facility indicators, 600 patients and 3 health centers were prospectively reviewed. Systematic random sampling was used to select samples. Data were analyzed using the Statistical Package for the Social Sciences version 20. Results The average number of drugs per encounter was 2.1. The percentage of encounters with antibiotics and injection was 44% and 13.9%, respectively. The percentage of drugs prescribed by generic name and from an essential drug list was 98% and 100%, respectively. On average, patients spent 4.7 min for consultation and 105 s for dispensing. From 1305 prescribed drugs, 92% were dispensed, while only 4% were labeled adequately. More than half (54.8%) of patients had adequate knowledge of their medication. None of the health centers had an essential drug list. The availability of key essential medicines was 64.10%. Conclusion This study demonstrated irrational drug use practices in all healthcare facilities. Polypharmacy, antibiotics over-prescribing, short consultation and dispensing times, inadequate labeling of medicines, inadequate level of patients' knowledge about prescribed medicines, and unavailability of key drugs in stock were found to be the major problems. Continuous refreshment trainings on rational use of drugs and WHO recommendations should be given for prescribers and pharmacists. Further, we recommend studies involving large number of facilities to estimate overall prescribing practices.

scholarly journals Prescription auditing based on World Health Organization (WHO) prescribing indicators: A case of Dilla University referral hospital

2018 ◽  
Vol 8 (6-s) ◽  
pp. 21-25 ◽  
Author(s):  
Nigatu Addisu Bekele ◽  
Jarsso Tadesse
Keyword(s):  
Referral Hospital ◽  
World Health ◽  
Prescribing Practices ◽  
Essential Drug ◽  
Cross Sectional ◽  
Prescribing Indicators ◽  
Rational Use ◽  
Essential Drug List ◽  
Drug List ◽  
Health Organization

Introduction: Rational use of drugs requires that patients receive medications appropriate to their clinical needs, in doses that meet their own individual requirements for an adequate period of time, at the lowest cost to them and their community. The issues of irrational use of medicines is global and that a global approach coordinated by WHO with more vigorous implementation of leadership and evidence based advocacy of rational use of medicine is essential Materials and Methods: Cross-sectional descriptive and quantitative study was conducted at Dilla University Referral Hospital to determine the current prescribing practices. 1440 prescription were selected using systematic random sampling and reviewed retrospectively for a 2-year period from from September 01/2016 to August 31/ 2018 using prescriptions and Prescription registry. Results: The average number of drugs prescribed per prescription was 1.813  ranging from 1 and 6. 1437(99.79%), 1287(89.38%), 1392 (96.67%), 1428 (99.17%) and 0(0%) of the analyzed prescriptions had name of the patient, date, medical record number, age and address of the patients respectively. Antibiotic and injection was prescribed in 842(58.47%) and 94(6.53%) of encounters respectively. The Percentage of drugs prescribed by generic name and from an essential drug list was 85.33% (n=2227) and 97.43% (n=2543), respectively. Of the total 2610 drugs, 2431(93.14%) drugs were actually dispensed. Conclusion: Polypharmacy, percentage of encounters with with injection and percentage of drugs from essential drug list was within acceptable range. The prescribing practice for antibiotics and generic medicines shows significant deviation from WHO. Keywords: Prescription auditing, WHO prescribing indicators,  Dilla University Referral Hospital.

scholarly journals Prescribing patterns of a garment medical centre in Bangladesh

2014 ◽  
Vol 3 (1) ◽  
pp. 7-11
Author(s):  
Mohammad Afsan ◽  
Muhammad Mahbubul Alam ◽  
Nushrat Noor ◽  
AH Hamid Ahmed
Keyword(s):  
Medical Center ◽  
Medical Centre ◽  
Prescribing Patterns ◽  
World Health ◽  
Current Status ◽  
Prescribing Practices ◽  
Essential Drug ◽  
Rational Use ◽  
Essential Drug List ◽  
Drug List

Objectives: The aim of the study was to audit the prescription and dispensing pattern in a garment medical center to observe the rational use of drug. Irrational use of medicine is a global problem. Polypharmacy, injudicial use of antibiotics, unnecessary use of vitamins are commonly seen in Bangladesh. To find out the current status of the prescribing and dispensing practices and identify factors underlying irrational prescription writing in a Garment medical center for factory workers in Gajipur and to sensitize the future prescribers about the rational prescriptions, this study was carried out. Materials and methods: A cross-sectional descriptive study was carried out to analyze the patterns of prescriptions by using World Health Organization , WHO/INRUD- core drug prescribing indicators and some additional indices. Place and period of study: A total of 300 prescriptions of the patients (garment workers) who had attended in Hannan Textile and Garment Medical Centre, Board Bazar, Dhaka, Bangladesh in between January and November’2008 were considered for analysis. Results: The average number of drugs per prescription was 3.1 and no single drug was prescribed by generic name. Use of antibiotic (50% of encounters) was frequent. Only 50.75% drugs were prescribed from national essential drug list (EDL). Percentage of encounters with an antiulcerant, a NSAID and a multivitamin & multimineral prescribed were 41.67%, 46.67% and 23.67% respectively. Conclusion: This study revealed some of irrational practices like poly pharmacy, overuse of antibiotics and vitamins, no use of generic names, and less prescribed from essential drug list. It is suggested that the periodic evaluation of prescribing practices at the healthcare facilities should be done by proper involvement of physician, nurse and pharmacist for the rational use of medicine. DOI: http://dx.doi.org/10.3329/updcj.v3i1.17978 Update Dent. Coll. j: 2013; 3 (1): 07-11

scholarly journals The Pattern of Medicine Use in Ethiopia Using the WHO Core Drug Use Indicators

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Solomon Ahmed Mohammed ◽  
Abebe Getie Faris
Keyword(s):  
Drug Use ◽  
National Level ◽  
Health Facilities ◽  
Essential Medicines ◽  
Medicine Use ◽  
Essential Drug ◽  
Essential Drug List ◽  
Drug List ◽  
Rational Drug ◽  
Use Pattern

Introduction. Rational medicine use is an appropriate prescribing, dispensing, and patient use of medicines for the diagnosis, prevention, and treatment of diseases. It is affected by several factors. Irrational use of medicine is a widespread problem at all levels of care. This review is aimed at assessing the medicine use pattern in health facilities of Ethiopia using the medicine use pattern developed by WHO/INRUD. Methods. Relevant literature was searched from Google Scholar, PubMed, Hinari, Web of Science, and Scopus using inclusion and exclusion criteria. A systematic review was used to summarize the medicine use pattern in health facilities of Ethiopia, and that WHO core drug use indicators were employed. Result. From 188 searched studies, 30 literatures were reviewed. The average number of drugs per encounter was 2.11. The percentage of encounters with antibiotics and injection was 57.16% and 22.39%, respectively. The percentage of drugs prescribed by generic name and from an essential drug list was 91.56% and 90.19%, respectively. On average, patients spent 5.14 minutes for consultation and 106.52 seconds for dispensing. From prescribed drugs, 67.79% were dispensed, while only 32.25% were labeled adequately. The availability of key essential medicines was 64.87%. The index of rational drug use value was 7.26. Moreover, the index of rational drug prescribing, index of rational patient-care drug use, and index of rational facility-specific drug use were 3.74, 2.51, and 1.01, respectively. Conclusion. Ethiopian health facilities were faced with antibiotic overprescribing, short consultation, and dispensing times, poor labeling of medicines, poor availability of key drugs, and nonadherence to the essential drug list. Routine, multidisciplinary awareness creation, and regulation should be implemented to promote rational medicine use at a national level.

scholarly journals Examination of WHO/INRUD Core Drug Use Indicators at Public Primary Healthcare Centers in Kisii County, Kenya

2020 ◽  
Author(s):  
Faith A. Okalebo ◽  
Eric M. Guantai ◽  
Aggrey O. Nyabuti
Keyword(s):  
Drug Use ◽  
Low Income ◽  
Primary Healthcare ◽  
Essential Medicines ◽  
World Health ◽  
Low Income Countries ◽  
Rational Use ◽  
Health Organization ◽  
Consultation Time ◽  
Primary Healthcare Centers

ABSTRACTBackgroundIrrational drug use is a global problem. However, the extent of the problem is higher in low-income countries. This study set out to assess and characterize drug use at the public primary healthcare centers (PPHCCs) in a rural county in Kenya, using the World Health Organization/ International Network for the Rational Use of Drugs (WHO/INRUD) core drug use indicators methodology.MethodsTen PPHCCs were randomly selected. From each PPHCC, ninety prescriptions from October to December 2018 were sampled and data extracted. Three-hundred (30 per PPHCC) patients and ten (1 per PPHCC) dispensers were also observed and interviewed. The WHO/INRUD core drug use indicators were used to assess the patterns of drug use.ResultsThe average number of drugs per prescription was 2.9 (SD 0.5) (recommended: 1.6– 1.8), percentage of drugs prescribed by generic names was 27.7% (recommended: 100%); the percentage of prescriptions with an antibiotic was 84.8% (recommended: 20.0–26.8%), and with an injection prescribed was 24.9% (recommended: 13.4–24.1%). The percentage of prescribed drugs from the Kenya Essential Medicines List was 96.7% (recommended: 100%). The average consultation time was 4.1 min (SD 1.7) (recommended: ≥10 min), the average dispensing time was 131.5 sec (SD 41.5) (recommended: ≥90 sec), the percentage of drugs actually dispensed was 76.3% (recommended: 100%), the percentage of drugs adequately labeled was 22.6% (recommended: 100%) and percentage of patients with correct knowledge of dispensed drugs was 54.7% (recommended: 100%). Only 20% of the PPHCCs had a copy of KEML available, and 80% of the selected essential drugs assessed were available.ConclusionThe survey shows irrational drug use practices, particularly polypharmacy, non-generic prescribing, overuse of antibiotics, short consultation time and inadequacy of drug labeling. Effective programs and activities promoting the rational use of drugs are the key interventions suggested at all the health facilities.

scholarly journals The public health sector supply of modern contraceptives in rural Nigeria: an analysis of selection, forecasting and inventory control

2011 ◽  
Vol 2 (3) ◽  
pp. 185-193
Author(s):  
Asa Auta ◽  
Samuel B Banwat
Keyword(s):  
Public Health ◽  
Inventory Control ◽  
Health Sector ◽  
Essential Drug ◽  
The Public ◽  
Public Health Sector ◽  
Essential Drug List ◽  
Drug List ◽  
Modern Contraceptives ◽  
Rural Nigeria

Public health facilities in rural Nigeria have been experiencing a long period of stock-outs and unavailability of modern contraceptives. This work was carried out to review the public health sector supply of modern contraceptives in rural Nigeria in order to make recommendations on how to improve the supply of modern contraceptives in this area. The study reviewed secondary data from country documents and literature obtained from Pubmed, Popline, and Global Health databases; as well as websites of USAID/DELIVER Project, Measure DHS and Federal Ministry of Health. The study revealed that a wide range of contraceptives are included in the essential drug list to be used in secondary facilities, while only a few ones are selected to be used in primary facilities which serve the majority of rural population. Forecasting is done using issue data from the central warehouse because facilities are not generating reliable consumption data. Inventory control is poor in rural facilities, and these facilities do not follow the established inventory control guidelines. The study therefore demonstrates that the current essential drug list should be reviewed in order to include injectables for use in primary facilities, strengthen the current forecasting, data reporting and inventory control system.

scholarly journals The Assessment of Drug Utilization Study of Anticancer Drugs Using WHO Prescribing Indicators in a Government Tertiary Care Hospital of the Hyderabad - Karnataka Region of India

2019 ◽  
Vol 7 (7) ◽  
pp. 1203-1208 ◽  
Author(s):  
Asmatanzeem Bepari ◽  
Nayana Sakre ◽  
Ishrat Rahman ◽  
Shaik Kalimulla Niazi ◽  
Asmabi M. Dervesh
Keyword(s):  
Anticancer Drugs ◽  
Anticancer Agents ◽  
Tertiary Care ◽  
Inappropriate Drug ◽  
Care Hospital ◽  
Essential Drug ◽  
Prescribing Indicators ◽  
Rational Use ◽  
Essential Drug List ◽  
Drug List

BACKGROUND: Cancer is a major burden and threat to global society. A wide range of chemotherapeutic agents is extensively used to treat cancer at different stages. Inappropriate drug use may also lead to the raised cost of medical care, adverse drug effects, and patient mortality. Hence, in recent years, drug utilisation studies have become a potential tool to be used in the evaluation of different health care systems including cancer. AIMS: The objectives of the study were to identify the various types of cancer, the commonly prescribed drugs, rational use of anticancer drugs, and analyse the prescribing indicators in a tertiary care government hospital of India. MATERIAL AND METHODS: Newly diagnosed cancer and/or known case of carcinoma of either sex which required treatment/on treatment with chemotherapy aged > 18 yrs admitted in Radiotherapy Department from April 2016 to September 2016 were included in the study and analysed for prescribing indicators. RESULTS: The head & neck cancers were the prevalent cancers observed with more preponderance among males. Most of the patients were prescribed with a single anticancer drug. Cisplatin was the most commonly used cytotoxic drug followed by carboplatin, and antimetabolites. The most commonly used adjuvant drugs in our study were anti-emetics and anti-peptic ulcer drugs. Over 82% of anticancer agents were taken from the essential drug list and were prescribed in generic names, indicating rational use. CONCLUSION: Over 82% of anticancer agents were taken from the essential drug list and were prescribed in generic names, indicating rational use.

The antibacterial activity of acetic acid and Burow's solution as topical otological preparations

1998 ◽  
Vol 112 (10) ◽  
pp. 925-928 ◽  
Author(s):  
M. A. Thorp ◽  
J. Kruger ◽  
S. Oliver ◽  
E. L. K. Nilssen ◽  
C. A. J. Prescott
Keyword(s):  
Antibacterial Activity ◽  
Acetic Acid ◽  
Streptococcus Pyogenes ◽  
World Health ◽  
Zone Of Inhibition ◽  
Essential Drug ◽  
Essential Drug List ◽  
Drug List ◽  
The World ◽  
Zones Of Inhibition

AbstractAt present there are no topical otological preparations on the World Health Organisation's essential drug list, largely due to the ototoxic potential of preparations containing aminoglycoside antibiotics. Acetic acid and Burow's solution have long been used in the treatment of the discharging ear. The aim of this study was to ascertain the antibacterial activity of these two preparations against the most commonly occurring bacteria isolated from discharging ears in our department. Twenty fresh isolates of each of the following organisms – Pseudomonas aeruginosa, Staphylococcus aureus, Proteus mirabilis and Streptococcus pyogenes – were plated onto blood agar and tested against one per cent, two per cent and three per cent acetic acid and Burow's solution (13 per cent aluminium acetate). The activity of each agent was ascertained by the size of the zone of inhibition of bacterial growth. Burow's solution showed significantly larger average zones of inhibition than acetic acid (p < 0.001). The two per cent and three per cent acetic acid as well as the Burow's solution were active against all the organisms tested.

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