A study on rational drug use was undertakep in nine health centres (HCs) and nine health stations (HSs) in Ethiopia.
Prescribing, patient care and facility specific factors were measured using drug use indicators.
Prescribing patterns of drugs were also assessed.
With only few exceptions, the drug use indicators in HCs and HSs and between retrospective and prospective studies were similar despite differences in manpower and facilities.
The average consultation time (in minutes) in HSs and HCs was 5.1±0.8 and 5.8±1.06, respectively.
The dispensing time (in minutes) was 1.51±. 7 in HSs and 1.9±0.6 in HCs.
Both patient care indicators seem to be adequate to influence patient satisfaction to the overall health service and patient knowledge of important dosage instructions.
Most drugs (more than 89% in HCs and 71% in HSs) were actually dispensed from the health facilities and labelling was satisfactory.
Prescribing by generic names (average : 75% in HCs and 83% in HSs) was encouraging.
While the availability of key drugs was ensured, essential documents were missing in most facilities or they were unpopular for use, and those available required revision and updating.
Polypharmacy in which the number of drugs/encounter was<2.5 was minimal, but that a large proportion of the prescriptions contained two or more drugs could result in adverse drug-drug interactions. (...)
Mots-clés Pascal : Rationalisation, Utilisation, Médicament, Observance médicamenteuse, Automédication, Prescription, Homme, Ethiopie, Afrique
Mots-clés Pascal anglais : Rationalization, Use, Drug, Drug compliance, Self prescription, Prescription, Human, Ethiopia, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0226554
Code Inist : 002B30A03A. Création : 11/09/1998.