scholarly journals Factors Influencing Rational Use Of Psychotropic Medicines In Mathari National Teaching And Referral Hospital In Nairobi, Kenya

2021 ◽  
Vol 11 (8) ◽  
pp. 637-656
Author(s):  
Dipti Ashish Bhavsar ◽  
Dr. Kezia Njoroge ◽  
Ms. Lillian Muiruri
Keyword(s):  
Referral Hospital ◽  
Rational Use ◽  
Factors Influencing ◽  
Psychotropic Medicines

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 Consumption of psychotropic medicines at a referral hospital Namibia: findings and implications

2020 ◽  
Vol 20 (2) ◽  
pp. 1000-1010
Author(s):  
Maria N Kafula ◽  
Emmanuel Ugburo ◽  
Dan Kibuule
Keyword(s):  
Consumption Rate ◽  
Mental Illnesses ◽  
Descriptive Statistics ◽  
Referral Hospital ◽  
Sub Saharan Africa ◽  
Anal Ysis ◽  
Psychotropic Medicines ◽  
Consumption Rates ◽  
Sedative Hypnotics ◽  
Sub Saharan

Setting: In Namibia, the burden of mental illnesses is estimated at 25.6% and is expected to double by 2025. Few studies in sub-Saharan Africa estimate the consumption rates of psychotropic medicines as a proxy of irrational use. Aim: The consumption rate of psychotropic medicines at a referral hospital was determined. Method: A hospital-based retrospective medicine utilization analysis of Facility Electronic Stock Card (FESC) psychotropic medication was conducted at Intermediate Hospital Katutura over a 7 year period, 2011-2017. Data on consumption and expenditure on psychotropic medicines were abstracted from FESC and analysed using descriptive statistics in SPSS v22. The main outcomes were consumption rates, daily Defined Dose, (DDD) and/or expenditure. Results: Of the 580 351,4 DDD of psychotropic medicines consumed, 84% were anti-psychotics, 9.2% anti-depressants and 6.8% anxiolytics. Anti-psychotics (48.8%) and anxiolytics (47.9%) had the highest consumption by cost relative to anti- depressants (3.3%). The most consumed antidepressants were imipramine (62%) by DDD and fluoxetine (55.8%) by cost. The most consumed anti-psychotics were chlorpromazine (74.6%) by DDD and haloperidol (68.4%) by cost respectively. Diazepam (79.4%) and hydroxyzine (94.2%) were most consumed sedative-hypnotics by DDD and cost respectively. Conclusion: The consumption of new psychotropics contributes to higher costs. There is need for cost-effectiveness anal- ysis of new versus conventional psychotropics to optimize treatment, outcomes and costs. Keywords: Pyschotropics, consumption rate, DDD, Namibia.

scholarly journals Factors influencing HIV group counseling participation at a referral hospital in Jakarta, Indonesia

2018 ◽  
Vol 9 (1) ◽  
pp. 25-30
Author(s):  
Masdalina Pane ◽  
Siti Maemun ◽  
Philip Bautista
Keyword(s):  
Social Support ◽  
Hepatitis B ◽  
Family Member ◽  
Group Counseling ◽  
Referral Hospital ◽  
Full Time ◽  
Hiv Counseling ◽  
Factors Influencing ◽  
Keywords Hiv ◽  
History Of

Abstrak Latar Belakang: Beberapa penelitian sebelumnya memperlihatkan bahwa dukungan sosial termasuk Konseling HIV dan dukungan kelompok memiliki efek langsung terhadap kepatuhan pada pengobatan HIV. Faktor yang berpengaruh terhadap partisipasi pada konseling kelompok pasien HIV di Indonesia belum diketahui. Penelitian ini dilakukan untuk mengetahui partisipasi pasien HIV pada konseling kelompok di Rumah Sakit Penyakit Infeksi-Sulianti Saroso, Jakarta Utara. Faktor demografi dan klinis pada pasien HIV diduga berhubungan dengan partisipasi dalam konseling kelompok. Metode: Penelitian ini dilakukan pada bulan Juli – Oktober 2013 menggunakan metode kuantitatif dengan desain studi potong lintang. Pasien HIV yang menggunakan anti retroviral sebanyak 1440 orang diminta kesediannya untuk berpartisipasi pada penelitian ini. Analisis dilakukan menggunakan analisis regresi logistik. Hasil: 709 dari 880 pasien yang mengikuti konseling kelompok telah melengkapi kuesioner dan bersedia menjadi sampel penelitian. Sebagian besar responden adalah laki-laki (71.1%), lulus SMP (84.3%), dan bekerja penuh waktu (51.5%). Stadium klinis mayoritas responden (87.3%) stadium 3 dan 4. Sebagian kecil responden (9.7%) memiliki ko-infeksi hepatitis B atau C, dan 12.7 % memiliki anggota keluarga HIV positif. Sebanyak 272 (38,4%) responden mengikuti konseling kelompok. Umur, waktu kerja, kepuasan terhadap penghasilan, memiliki anggota keluarga dengan HIV positif dan responden yang pernah menggunakan narkoba suntik (IDU) merupakan faktor-faktor yang mempengaruhi partisipasi responden pada konseling kelompok. Kesimpulan: Konseling kelompok harus dikenalkan pada penderita HIV yang sulit dijangkau, termasuk pasien yang lebih tua dan pasien dengan riwayat IDU. Selain itu, penyedia layanan kesehatan harus mempertimbangkan jadwal alternatif untuk pasien yang bekerja penuh waktu dan tidak dapat menghadiri konseling kelompok selama jam kerja. Keywords: HIV, konseling, partisipasi, dukungan, sosial   Abstract: Background: Previous studies indicate that social support, including HIV counseling and support groups, have a direct effect on adherence to HIV therapy. Currently, factors of non-participation in HIV counseling in the Indonesian population are unknown. Based on this condition, we performed this study to explore HIV patient in group counseling participation at Prof. Sulianto Saroso Infectious Disease Hospital (RSPI-SS), a national referral hospital in Northern Jakarta in Indonesia. We assessed demographic and clinical factors that are associated with participation in HIV group counseling. Methods: A cross-sectional study was conducted between July and October 2013. 1,440 HIV patients in Jakarta obtaining ART from RSPI-SS were approached to participate in a quantitative survey. Factors associated with group counseling participation were assessed using logistic regression analyses. Results: A total of 709 (80.6%) out of 880 patients in group counseling completed the survey. The most of respondents were male (71.1%), had completed at least secondary school (84.3%), and worked full-time (51.5%). The majority (87.3%) of respondents had advanced disease (clinical stage 3 and 4). A small proportion (9.7%) of patients had hepatitis B or C co-infection, and 12.7 % reported having a family member (partner or child) who was also HIV positive. Only 272 (38,4%) of surveyed patients reported attending HIV group counseling. Five variables were found to be independently associated as factors influencing with participation in HIV group counseling including age, hours worked, income satisfaction, Family member with HIV, and history of Injection Drug User’s (IDU’s).   Conclusion: Based on findings, outreach activities promoting HIV group counseling should target patients who are unable or less likely to attend group counseling, including older patients and patients with history of IDU’s. Additionally, health care providers should consider alternative schedules for patients who work full-time and are unable to attend group counseling during work hours. Keywords: HIV, counseling, participation, social, support

scholarly journals THE SYSTEM OF FACTORS INFLUENCING THE IMPROVEMENT OF LAND RELATIONS

2021 ◽  
Vol 10 (34) ◽  
Author(s):  
L.V SERGEYEVA ◽  
Keyword(s):  
Agricultural Land ◽  
The State ◽  
Factors Affecting ◽  
Rational Use ◽  
Social Basis ◽  
Factors Influencing ◽  
Land Relations ◽  
Stable Economy ◽  
The Moment ◽  
Almost All

The article analyzes and forms the system and the relationship of factors influencing the development of land relations. The relevance of the study is obvious, since the rational use of land constitutes the ecological, economic, political and social basis of the country and implies a system of mechanisms that contribute not only to the preservation and improvement of the land fund, but also to increase soil fertility. The factor that determines the economic position of the state is the effective use of its land fund. As a result of the agrarian reform carried out in our country, the entire system of land relations has changed. As a result of the reform, almost all agricultural land was transferred to private ownership - despite the measures taken in the new land legislation, the state weakened control over the use of agricultural resources. In turn, this leads to many problems - the desolation of fertile soils, overgrowth of small forests, a drop in productivity and agricultural production. These problems are capable of introducing negative trends in the national security of the state. A stable economy of the country is characterized by sufficient provision of citizens with food and industrial goods and meeting the demand for primary services. At the moment, it is extremely important to analyze the factors affecting the system of land relations and develop methods for the rational use of land.

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