Prescribing practices in two health care facilities in Warri, Southern Nigeria: A comparative study

Erah, Patrick O; Olumide, G. O.; Okhamafe, Augustine O.

doi:10.4314/tjpr.v2i1.14583

Cited by 35 publications

(45 citation statements)

References 24 publications

(39 reference statements)

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“…Inappropriate prescribing is known all over the world as a major problem of healthcare delivery especially in developing countries 9,10,11,12 . Irrational prescribing is reported to negatively impact on health and economy of individuals and the society 13 leading to wastage of resources and widespread health hazards 14,15 .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of prescription pattern and patients’ opinion on healthcare practices in selected primary healthcare facilities in Ibadan, South-Western Nigeria

2016

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Background: Inappropriate prescribing negatively impacts on health and economy of individual and the society. Objectives: To evaluate the prescribing patterns and patients' opinions on healthcare practices in selected primary healthcare centres (PHC) in Ibadan, South-Western Nigeria. Methods: A prospective cross-sectional study was carried out among patients and healthcare workers in selected PHCs using semi-structured questionnaires. Also, patients' prescription records were reviewed using the WHO-prescribing indicators. Results: About one-half (210; 52.5%) were very satisfied with convenience of obtaining prescribed medicines in the PHCs, accessibility of PHC to abode (158;39.5%) and affordable medications (136;34.0%). Patients were dissatisfied with follow-up of care (191; 47.8%), courtesy of workers (184; 46.3%) and non-availability of medicines (138;34.5%). Number of drugs per encounter was 5.8±2.3 and % encounter with an antibiotic was >26.8% in each facility. Hematinics accounted for (814; 35.0%), analgesics (544; 23.4%), antimicrobials (303;13.0%) and antihypertensives (5; 0.2%). Conclusion: Primary healthcare attendees were satisfied with medication costs affordability and accessibility of PHC to abode but expressed dissatisfaction with follow-up of care and courtesy of workers. Also, inappropriate prescriptions characterized by polypharmacy and overuse of antibiotics were common underscoring the need for regular training of PHC workers on rational drug use and instituting appropriate measures for improvement.

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Section: Introductionmentioning

confidence: 99%

Evaluation of prescription pattern and patients’ opinion on healthcare practices in selected primary healthcare facilities in Ibadan, South-Western Nigeria

2016

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“…Inappropriate prescribing is known all over the world as a major problem of health care delivery [2]. This is more so in developing countries where health budgets are small and 30 -40 % of the total health budget is spent on drugs [3].…”

Section: Introductionmentioning

confidence: 99%

Drug Prescription Pattern in a Nigerian Tertiary Hospital

Tamuno¹,

Fadare²

2012

Trop. J. Pharm Res

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“…2 Inappropriate prescribing has been identified in many health facilities in developing countries. 3 Misuse of antibiotics, overuse of injections, and under-use of life-extending drugs for illnesses such as HIV/AIDS, heart disease, and other chronic illnesses together constitute a global epidemic of irrational use of medicines. According to figures gathered by surveys presented to WHO, in 2000, about 60% of antibiotics in Nigeria were prescribed unnecessarily.…”

Section: Introductionmentioning

confidence: 99%

Prescription pattern at a secondary health care facility in Ilorin, Nigeria

Akande

Ologe

2007

Ann Afr Med

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Background/Objectives: Expenditures due to irrational use of drugs have been a strain on the meagre health budgets of several developing countries and inappropriate prescribing has been identified in many health facilities in developing countries. This study examines the prescription pattern in a secondary health facility. Method: A descriptive cross-sectional survey was used in this study. Three hundred and three randomly selected prescriptions issued to patients attending out-patients' clinics in the facility over a period of three months were examined. Data obtained was analyzed using EPI-INFO 2000 computer software.Results: Mean number of drugs per prescription in the health facility is 3.99 ± 1.55. At least 4 drugs were prescribed in 61.6% of the prescriptions. Generic prescribing was generally low. Out of a total of 1219 drugs prescribed 511 (41.9%) were prescribed in generic names. Analgesics, antimalarials, antibiotics and antihypertensives accounted for 19.7%, 10.2%, 13.0% and 4.9% of the drugs prescribed respectively. Only 124 (40.9%) of the prescriptions had all drugs prescribed available in the health facility. Conclusion: This study found practice of polypharmacy prevalent as found in other studies in developing countries among prescribers and prescription in generic names is low. Regular orientation and re-orientation of prescribers on rational drug prescription and prescription in generic names in conformity with national drug policies is necessary. Key words: Drug prescription, pattern, health facilityRésume Introduction/Objectifs: Les dépenses dues à l'utilisation irrationnelles des médicaments ont été une rude épreuve sur des maigres budgets de la santé de plusieurs pays en voie de développement et de prescription inappropriée a été identifié dans de nombreux établissements de santé dans les pays en voie de développement. Cette étude fait un examen de la tendance de la prescription dans un centre des soins secondaire. Méthodes: Une étude descriptive d'un groupe représentant a été utilisé dans cette étude. Trois cents trois ordonnances délivrées aux patients choisis au hasard, aux patients fréquentant le clinique des patients externes du centre hospitalier pendant une période de trois mois sont été étudiés. Des données obtenues ont été analysées à l'aide de EPI INFO 200 logiciels informatiques. Résultats: Nombre moyen de médicaments par prescription dans le centre de la santé est 3,99 +-1,55. Au moins, 4 médicaments sont prescrits dans 61,6% des ordonnances. Prescrivant des génériques a été généralement faible sur un total de 1219 médicaments prescrits 511 soit 41,9% ont été prescrits dans noms génériques. Analgésiques, le antipaludiques, les antibiotiques et les antihypertensions sont représentés 19,7% 10,2% et 4,9% des médicaments prescrits respectivement. Seulement 124 (40,9%) des prescriptions de médicaments prescrits sont tous disponibles dans les établissement de la santé. Conclusion: A travers cette étude, nous remarquons que la pratique de la fréquence de la poly pharmacie comme ...

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Prescribing practices in two health care facilities in Warri, Southern Nigeria: A comparative study

Cited by 35 publications

References 24 publications

Evaluation of prescription pattern and patients’ opinion on healthcare practices in selected primary healthcare facilities in Ibadan, South-Western Nigeria

Evaluation of prescription pattern and patients’ opinion on healthcare practices in selected primary healthcare facilities in Ibadan, South-Western Nigeria

Drug Prescription Pattern in a Nigerian Tertiary Hospital

Prescription pattern at a secondary health care facility in Ilorin, Nigeria

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