scholarly journals Evaluation of drug use in Jordan using WHO prescribing indicators

2002 ◽  
Vol 8 (4-5) ◽  
pp. 537-543
Author(s):  
S. Otoom ◽  
A. Batieha ◽  
H. Hadidi ◽  
M. Hasan ◽  
K. Al Saudi
Keyword(s):  
Generic Drugs ◽  
Health Care Facilities ◽  
World Health ◽  
Prescribing Practices ◽  
Prescribing Indicators ◽  
Care Facilities ◽  
The Mean ◽  
Health Organization ◽  
Primary Health Care Facilities ◽  
Northern Jordan

Patterns of prescribing and use of pharmaceuticals by physicians and patients in Jordan have not previously been studied. We retrospectively evaluated pharmaceutical drug prescribing practices in 21 primary health care facilities in Irbid governorate, northern Jordan using World Health Organization-recommended core indicators. The mean number of drugs prescribed was 2.3 overall, ranging from 1.9 to 3.0. The percentage of drugs prescribed by generic name was very low, as was the percentage of prescriptions involving injections. The percentages of prescriptions involving antibiotics and drugs from the essential drugs list averaged 60.9% and 93% respectively. We conclude that the prescribing and use of drugs in Jordan requires rationalization, particularly the over-prescribing of antibiotics and the under-prescribing of generic drugs.

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 Evaluation of drug use in Jordan using WHO patient care and health facility indicators

2002 ◽  
Vol 8 (4-5) ◽  
pp. 544-549
Author(s):  
S. Otoom ◽  
A. Batieha ◽  
H. Hadidi ◽  
M. Hasan ◽  
K. Al Saudi
Keyword(s):  
Drug Use ◽  
Drug Dose ◽  
Health Care Facilities ◽  
World Health ◽  
Health Facility Indicators ◽  
Consumption Practices ◽  
Health Organization ◽  
Physician Patient ◽  
Mean Time ◽  
Primary Health Care Facilities

We prospectively studied current drug use in Jordan in 21 primary health care facilities in northern Jordan over a three-month period, using World Health Organization-recommended indicators. Both the mean time spent on physician-patient consultations [3.9 +/- 3.5 minutes] and mean pharmacy dispensing time [28.8 +/- 23.7 seconds] were short, resulting in a mean patient knowledge of prescribed drug dose of 77.7%. No centre had an essential drugs list and/or formulary available. An average of 80% of key drugs were available at centres. Baseline data gathered by this study can be used by researchers and policymakers to monitor and improve pharmaceutical prescribing and consumption practices in Jordan.

scholarly journals High altitude epidemic malaria in Bamian province, central Afghanistan

2021 ◽  
Vol 9 (3) ◽  
pp. 232-239
Author(s):  
M. Abdur Rab ◽  
T. W. Freeman ◽  
S. Rahim ◽  
N. Durrani ◽  
A. Simon Taha ◽  
...  
Keyword(s):  
Plasmodium Falciparum Malaria ◽  
Health Care Facilities ◽  
World Health ◽  
Severe Morbidity ◽  
Protracted Conflict ◽  
Blood Smears ◽  
Care Facilities ◽  
The World ◽  
Health Organization ◽  
Peripheral Blood Smears

We report an epidemic of Plasmodium falciparum malaria in the remote valley of Bamian [altitude 2250 m-2400 m] in the central highl and s of Afghanistan. A team of malaria experts from the World Health Organization and HealthNet International carried out the investigation. A total of 215 peripheral blood smears were obtained and 63 cases of malaria [90.5% P. falciparum, the remainder P. vivax] were confirmed. The study revealed that areas vulnerable to malaria in Afghanistan are more widespread than previously recognized. The area had been malaria-free until recently, when the disease appears to have been introduced as a consequence of protracted conflict and resultant population movement, and transmitted locally during the short summer months. The outbreak led to severe morbidity and high mortality in a province having only a few poorly-provisioned health care facilities

scholarly journals Drug Utilisation Pattern in Ear, Nose and Throat Inpatient Department using WHO Prescribing Indicators

2021 ◽  
Vol 1 (1) ◽  
pp. 21-28
Author(s):  
Deependra Prasad Sarraf ◽  
Bajarang Prasad Sah
Keyword(s):  
Drug Utilisation ◽  
Generic Drugs ◽  
Tertiary Care ◽  
Essential Medicines ◽  
World Health ◽  
Prescribing Practices ◽  
Prescribing Indicators ◽  
Utilisation Pattern ◽  
Nose And Throat ◽  
Inpatient Department

Introduction: Assessment of drug utilisation pattern (DUP) based on World Health Organisation (WHO) drug prescribing indicators would enhance the standards of patient care at all levels of the healthcare. It helps to improve the quality of life in developing countries like Nepal. Objective: To assess DUP in patients admitted in ear, nose and throat inpatient department at a tertiary hospital in Eastern Nepal using the WHO prescribing indicators. Methods: A hospital based cross-sectional descriptive study was carried out in 96 patients in ENT department of a tertiary care teaching hospital from February-April 2019. Pre-designed proforma was used to collect the relevant data from the medical case sheets and drug charts. Descriptive statistics were calculated using Microsoft Excel 2010. Results: Out of 96 patients, 52 (54.17%) were female. Most of the patients (46, 47.18%) were pre­scribed four drugs. Combination of Ibuprofen and Paracetamol (77, 19.74%) was the commonest prescribed drug. Ceftriaxone (62, 63.92%) was the most frequently prescribed systemic antibiotic. The average number of drugs per prescription was 4.06. None of the drugs were prescribed by generic name. Out of 360 drugs, only 118 (30.26%) were prescribed from National List of Essential Medicines (NLEM) and 117 (30.00%) drugs were fixed drug combinations. Ninety two (95.83%) patients had been prescribed at least one antibiotic. Conclusions: The prescribing practices of essential medicines, generic drugs, antibiotics and inject­able drugs showed deviation from the standard recommended by the WHO. The prescribers should be motivated to enhance prescription of drugs by generic names and from NLEM.

scholarly journals Evaluation of prescribing pattern at basic health care facilities of Islamabad Pakistan

2020 ◽  
Vol 11 (3) ◽  
pp. 3119-3126
Author(s):  
Nabeel Siddique ◽  
Azhar Hussain ◽  
Madeeha Malik
Keyword(s):  
Significant Risk ◽  
Health Care Facilities ◽  
Prescribing Patterns ◽  
World Health ◽  
Prescribing Pattern ◽  
Prescribing Indicators ◽  
Healthcare Facilities ◽  
Basic Health ◽  
Essential Drug List ◽  
Health Organization

Failure to adopt the rational pattern of prescribing and dispensing by health professionals represents a significant risk to the safety of patient and lead to pharmaceuticals wastage. This study was designed to evaluate the prescribing and dispensing pattern at the selected basic healthcare facilities of Islamabad Pakistan. World Health Organization with collaboration to International Network for the Rational Use of Drugs has provided the core indicators to configure and examine the prescribing patterns. The study was conducted in 2018, using these indicators following the study sites, fourteen Basic Health Units, three Rural Health Centres and three local dispensaries located in Islamabad (Pakistan) were randomly visited and that accounts overall 600 prescribing episodes collected retrospectively. The results of this study highlighted that the average number of drugs prescribed was 2.751. Percentage of drugs prescribed by generic was 41.15%. Percentage of steroids, injections and antibiotics were 7.68%, 16.05% and 48.6%. The drugs prescribed from Essential Drug List were 75.08%. Average consultation time was 2.699 minutes. The average dispensing time was 1.479 minutes. We concluded that high number of average drugs per prescription, over prescription of antibiotics, low generic prescribing, less average consultation and dispensing time found in healthcare facilities. Keywords: Prescribing pattern, Basic health facilities, INRUD prescribing indicators, WHO prescribing indicators

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