Assessment of Rational Medicines Prescribing in Healthcare Facilities in Four Regions of Tanzania

Irunde, Henry; Minzi, Omary; Moshiro, Candida

doi:10.5530/jppcm.2017.4.64

Cited by 24 publications

(56 citation statements)

References 11 publications

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“…The study finding was less than the findings of another study by [10] for African Regions (25%), study in Pakistan (27.1%) [26] and Tanzania 18.1% [27]. It was higher than the research findings of another study in Saudi Arabia of value 2%…”

Section: Discussioncontrasting

confidence: 67%

Assessment of Rational Prescribing in General Outpatient Department of Kampala International University Teaching Hospital, Western Uganda

Akunne¹,

Lam²,

Ezeonwumelu³

et al. 2019

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Section: Discussioncontrasting

confidence: 67%

Assessment of Rational Prescribing in General Outpatient Department of Kampala International University Teaching Hospital, Western Uganda

Akunne¹,

Lam²,

Ezeonwumelu³

et al. 2019

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“…The finding of this study was less than those found in previous studies (14) (25) (31) (27). However, the percentage was higher compared to that reported at the public health facilities of Tanzania (56.2%) (26). The findings of this study could be an indication that some drugs may have been out of stock.…”

Section: Patient-care Indicatorscontrasting

confidence: 93%

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

Okalebo

Guantai

Nyabuti

2020

Preprint

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Background: Irrational 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. Methods: Ten 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. Results: The average number of drugs per prescription was 2.9 (SD 0.5) (recommended: 1.6 to 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 to 26.8%), and with an injection prescribed was 24.9% (recommended: 13.4 to 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: more than 10 min), the average dispensing time was 131.5 sec (SD 41.5) (recommended: more than 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. Conclusion: The 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.

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“…The IRDP of these government hospitals in Freetown was lower than that obtained from some other studies. From a study of rational prescribing in Tanzania, the overall IRDP was 3.8 and that of facilities in urban areas like the ones in this study was 3.42 [41]. In Western China, the IRDP was 3.32 ranging from 3.12 to 3.98 across 10 selected provinces [16].…”

Section: Discussionmentioning

confidence: 85%

An evaluation of rational prescribing in hospital outpatient practice in Sierra Leone and assessment of affordability of a prescription as an outcome

Cole¹,

Routledge²

2018

Pan Afr Med J

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Introduction Medicines are the most frequently used intervention in healthcare. Rational and cost-effective prescribing is especially important in countries where access to effective medicines may be challenged by affordability issues. This study describes the prescribing patterns of doctors in government hospitals in Freetown, Sierra Leone, considering the scope for rationalising prescribing and reducing cost to the patient. Methods A descriptive, retrospective, cross-sectional study was conducted at four hospitals, using selected World Health Organisation (WHO) indicators applied to 600 prescriptions, after systematic random sampling. The data was analysed using SPSS.16 and the Index of Rational Drug Prescrib-ing (IRDP) calculated. The Spearman's rank coefficient was used to examine possible associations between the number of medicines prescribed as generics and from the National Essential Medicines List (NEML) and cost of the prescription respectively. Affordability was determined from the average number of days of work required to purchase a prescription, based on the minimum wage of the lowest paid government worker in Sierra Leone. Results The mean number of medicines per prescription from the four hospitals was 4.37(range 4.18-4.56) with 57% prescribed generically and 64% from the NEML. An antibiotic and injection were found on 72% and 26% of prescriptions respectively. The overall IRDP was 2.65/5. The aver-age cost per prescription was Le. 29,376.30 ($6.78), equivalent to 43 days of work of the lowest paid government worker. Conclusion In this study, opportunities were identified for significant rationalisation and improvement in cost-effective prescribing.

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Assessment of Rational Medicines Prescribing in Healthcare Facilities in Four Regions of Tanzania

Cited by 24 publications

References 11 publications

Assessment of Rational Prescribing in General Outpatient Department of Kampala International University Teaching Hospital, Western Uganda

Assessment of Rational Prescribing in General Outpatient Department of Kampala International University Teaching Hospital, Western Uganda

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

An evaluation of rational prescribing in hospital outpatient practice in Sierra Leone and assessment of affordability of a prescription as an outcome

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