Prescription pattern among primary care providers in catholic-church-owned primary health care facilities in Northern Ecclesiastical provinces of Abuja, Jos and Kaduna, Nigeria: Preliminary findings

Isah, HO

doi:10.4314/jophas.v5i2.48470

Cited by 2 publications

(1 citation statement)

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“…In addition, four prescriptions each containing antibiotics had no established diagnosis. The situation in this study is however better than reported in Nigeria where over 50% of the patient's folders reviewed had no established diagnosis . The factors that contribute to over prescribing of antibiotics include inadequate in‐service training, socio‐cultural factors and patient demand .…”

Section: Discussioncontrasting

confidence: 59%

Assessment of prescribing practices at the primary healthcare facilities in Botswana with an emphasis on antibiotics: Findings and implications

et al. 2017

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While most indications for antibiotic prescriptions were based on signs and symptoms according to ICD, antibiotic prescribing rates were high with some conditions not requiring antibiotics because they are viral infections. There is a need to further improve prescribing practices through induction and training of in-service prescribers. An effective management tool for monitoring antibiotic prescribing practices at Primary Health Care facilities should be designed and implemented, including developing robust quality indicators.

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Section: Discussioncontrasting

confidence: 59%

Assessment of prescribing practices at the primary healthcare facilities in Botswana with an emphasis on antibiotics: Findings and implications

et al. 2017

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Prescribing indicators at primary health care centers within the WHO African region: a systematic analysis (1995–2015)

Ofori‐Asenso¹,

Brhlíková²,

Pollock³

2016

BMC Public Health

168

173

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BackgroundRational medicine use is essential to optimize quality of healthcare delivery and resource utilization. We aim to conduct a systematic review of changes in prescribing patterns in the WHO African region and comparison with WHO indicators in two time periods 1995–2005 and 2006–2015.MethodsSystematic searches were conducted in PubMed, Scopus, Web of science, Africa-Wide Nipad, Africa Journals Online (AJOL), Google scholar and International Network for Rational Use of Drugs (INRUD) Bibliography databases to identify primary studies reporting prescribing indicators at primary healthcare centres (PHCs) in Africa. This was supplemented by a manual search of retrieved references. We assessed the quality of studies using a 14-point scoring system modified from the Downs and Black checklist with inclusions of recommendations in the WHO guidelines.ResultsForty-three studies conducted in 11 African countries were included in the overall analysis. These studies presented prescribing indicators based on a total 141,323 patient encounters across 572 primary care facilities. The results of prescribing indicators were determined as follows; average number of medicines prescribed per patient encounter = 3.1 (IQR 2.3–4.8), percentage of medicines prescribed by generic name =68.0 % (IQR 55.4–80.3), Percentage of encounters with antibiotic prescribed =46.8 % (IQR 33.7–62.8), percentage of encounters with injection prescribed =25.0 % (IQR 18.7–39.5) and the percentage of medicines prescribed from essential medicines list =88.0 % (IQR 76.3–94.1). Prescribing indicators were generally worse in private compared with public facilities. Analysis of prescribing across two time points 1995–2005 and 2006–2015 showed no consistent trends.ConclusionsPrescribing indicators for the African region deviate significantly from the WHO reference targets. Increased collaborative efforts are urgently needed to improve medicine prescribing practices in Africa with the aim of enhancing the optimal utilization of scarce resources and averting negative health consequences.

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Prescription pattern among primary care providers in catholic-church-owned primary health care facilities in Northern Ecclesiastical provinces of Abuja, Jos and Kaduna, Nigeria: Preliminary findings

Cited by 2 publications

References 0 publications

Assessment of prescribing practices at the primary healthcare facilities in Botswana with an emphasis on antibiotics: Findings and implications

Assessment of prescribing practices at the primary healthcare facilities in Botswana with an emphasis on antibiotics: Findings and implications

Prescribing indicators at primary health care centers within the WHO African region: a systematic analysis (1995–2015)

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