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Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility

Zahida Parveen, Seema Gupta, Dinesh Kumar, Shahid Hussain.

Cited by (4)

Abstract
Background: Incorrect prescribing practices result in ineffective and insecure treatment, exacerbation or continuation of illness, damage to patient, increased cost, and development of drug resistance.

Aims and Objective: To assess the pattern of drug utilization including rationality in the outpatient departments of primary and secondary health-care facilities in rural health block of Jammu, India, using WHO indicators.

Materials and Methods: Data was collected prospectively from 500 prescriptions on detailed prescribers indicator form, and prescribing, patient care, and health facility indicators were calculated.

Result: The average number of drugs per encounter was 2.75, and 51.8% drugs were prescribed by generic name. Use of antibiotic (55% of encounter) was frequent, and injection use was (11.6%) little high. Only 40.9% of drugs prescribed conformed to essential drug list. Most patients (75.6%) knew the correct dosage, and average consultation time taken was 3.13 min. No copy of essential drug list was available. The availability of key drugs was 26%. Interventions to rectify overprescription of antibiotics, underprescribing by generic names, lack of knowledge of dosage, and lack of access to an essential drug list are necessary to further improve rational drug use.

Conclusion: Some of drug prescribing and patientcare practices were found to be inappropriate indicating need for intervention. Strategies can be targeted toward changing specific problems of irrationality. Clear and comprehensive rules should be formulated and implemented by the state government to ensure rational use of drugs.

Key words: Drug utilization; Essential Drugs; Polypharmacy; Prescribing Indicators; Health Facility Indicators


 
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REFERENCES
1. WHO. The Rational Use of Drugs. Report of the Conference of Experts. Geneva: World Health Organization, 1985.
2. Hogerzeil HV. Promoting rational prescribing: an International perspective. Br J Clin Pharmacol. 1995;39(1):1-6. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
3. WHO. How to Investigate Drug Use in Health Facilities: Selected Drug Use Indicators. Geneva: World Health Organization, 1993.
4. WHO. Expert Committee. The Selection of Essential Drugs, Technical Report Series no. 615. Geneva: World Health Organization, 1977.
5. WHO. Policy Perspective on Medicines; Promoting Rational Use of Medicines; Core Components. Geneva: World Health Organization, 2002.
6. WHO. WHO Model list of Essential Medicines. Geneva: WHO, 2013.
7. Hazra A, Tripathi SK, Alam MS. Prescribing and dispensing activities at the health facilities of a non-governmental organization. Natl Med J India. 2000;13(4):177-182. [Pubmed]   
8. Taskeen M, Anitha N, Ali SR, Bharath R, Khan AB. A study on rational drug prescribing pattern in geriatric patients in Hyderabad metropolitan. J Drug Deliv Ther. 2012;2(5):109-113.
9. Babalola CP, Awoleye SA, Akinyemi JO, Kotila OA. Evaluation of prescription pattern in Osun state (southwest) Nigeria. J Public Health Epidemiol. 2011;3(3):94-98.
10. Pirmohamed M, James S, Meakin S, Green C, Scott AK, Walley TJ, et al. Adverse drug reactions as cause of admission to hospital: prospective analysis of 18 820 patients. BMJ. 2004;329(7456):15-19. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
11. Rishi RK, Sangeeta S, Surendra K, Tailang M. Prescription audit: experience in Garhwal (Uttaranchal), India. Trop Doct. 2003;33:76-79. [Pubmed]   
12. Angamo MT, Nasir TW, Raju NJ. Assessment of patterns of drug use by using World Health Organization’s prescribing, patient care and health facility indicators in selected health facilities in southwest Ethiopia. J Appl Pharm Sci. 2011;1(7):62-66.
13. Dahal P, Bhattarai B, Adhikari D, Shrestha R, Baral SR, Shrestha N. Drug use pattern in primary health care facilities of Kaski district, western Nepal. Sunsari Tech Coll J. 2012;1(1):1-8.
14. Desalegn AA. Assessment of drug use pattern using WHO prescribing indicators at Hawassa University Teaching and Referral Hospital, South Ethiopia, a cross-sectional study. BMC Health Serv Res. 2013;13(170):1-6. [DOI via Crossref]   
15. Bhattarai N, Budhathoki D, Kusi S, Adhikari K, Basnet S. Prescription pattern in various medical wards of Tribhuvan University teaching hospital under World Health Organization (WHO) prescription indicators. Int J Pharm Sci. 2014;4(3):572-576.
16. WHO. Investigating Drug Use. The Selection, Procurement, Distribution and Use of Pharmaceuticals. West Hartford, CT: Kumarian Press for Management Sciences for Health and World Health Organization, Action Programme on Essential Drugs, 1997. pp. 430-449.
17. Addu-Agaye I, Chedi BAZ, Kwanashie HO. Analysis of patient care and facility indicators in public health institutions in Kano sate, Nigeria. Niger J Pharm Sci. 2009;8(2):72-78.
18. Ghimire S, Nepal S, Bhandari S, Nepal P, Palaian S. A prospective surveillance of drug prescribing and dispensing in a teaching hospital in Nepal. J Pak Med Assoc. 2009;59(10):726-731. [Pubmed]   

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How to Cite this Article
Pubmed Style

Zahida Parveen, Seema Gupta, Dinesh Kumar, Shahid Hussain. Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility. Natl J Physiol Pharm Pharmacol. 2016; 6(3): 182-186. doi:10.5455/njppp.2016.6.23122015108

Web Style

Zahida Parveen, Seema Gupta, Dinesh Kumar, Shahid Hussain. Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility. https://www.njppp.com/?mno=214075 [Access: August 03, 2022]. doi:10.5455/njppp.2016.6.23122015108

AMA (American Medical Association) Style

Zahida Parveen, Seema Gupta, Dinesh Kumar, Shahid Hussain. Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility. Natl J Physiol Pharm Pharmacol. 2016; 6(3): 182-186. doi:10.5455/njppp.2016.6.23122015108


Vancouver/ICMJE Style

Zahida Parveen, Seema Gupta, Dinesh Kumar, Shahid Hussain. Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility. Natl J Physiol Pharm Pharmacol. (2016), [cited August 03, 2022]; 6(3): 182-186. doi:10.5455/njppp.2016.6.23122015108


Harvard Style

Zahida Parveen, Seema Gupta, Dinesh Kumar, Shahid Hussain (2016) Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility. Natl J Physiol Pharm Pharmacol, 6 (3), 182-186. doi:10.5455/njppp.2016.6.23122015108


Turabian Style

Zahida Parveen, Seema Gupta, Dinesh Kumar, Shahid Hussain. 2016. Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility. National Journal of Physiology, Pharmacy and Pharmacology, 6 (3), 182-186. doi:10.5455/njppp.2016.6.23122015108


Chicago Style

Zahida Parveen, Seema Gupta, Dinesh Kumar, Shahid Hussain. "Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility." National Journal of Physiology, Pharmacy and Pharmacology 6 (2016), 182-186. doi:10.5455/njppp.2016.6.23122015108


MLA (The Modern Language Association) Style

Zahida Parveen, Seema Gupta, Dinesh Kumar, Shahid Hussain. "Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility." National Journal of Physiology, Pharmacy and Pharmacology 6.3 (2016), 182-186. Print. doi:10.5455/njppp.2016.6.23122015108


APA (American Psychological Association) Style

Zahida Parveen, Seema Gupta, Dinesh Kumar, Shahid Hussain (2016) Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility. National Journal of Physiology, Pharmacy and Pharmacology, 6 (3), 182-186. doi:10.5455/njppp.2016.6.23122015108


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