E-DRUG: Improving prescribing practices in PHC facilities of Nepal (4)
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Dear all,
We appreciate the readers interest on methodology and findings on "Successful intervention to improve prescribing practices in PHC facilities of Nepal" posted on e-drug. As described in the publication, there are two phases of the study. The first phase (research phase) was testing strategies in nine districts of Nepal and the second phase has been pilot implementation of the successful intervention, the peer- group discussion (PD) in a district. The full version of the report on research phase(Test of strategies for implementing standard treatment schedule in improving use of drugs) is available on our website (www.inrud-nepal.org.np). The second phase of our publication is pilot testing of the successful intervention i.e. peer-group discussion in a district. The PD is conducted by the District Health Officer every two months on self- monitoring data presented by the incharges from the health facilities. The self- monitoring data are generated by each health facilit!
y from the carbon copy prescriptions. We would like to make clear that the PD is different from the FGD.
The findings from each health facility and cumulative data from the district of each PD are available with the District Health Office and a copy of the same is also available with us. We are delighted in including the findings from few PDs for the reference of the readers. So far, 18 PDs are being held in last three years.
[The rows in the table could be too long so the message may need some reformatting before reading. Moderator]
Indicators Baseline* 6th PD 11th PD 14th PD 18th PD*
Use of ORS alone in
acute diarrhoea in 11.5 88.9 97.2 96.0 100.0
children below
five years
Use of co-trimoxazole 58.2 72.0 98.1 99.5 100.0
or amoxycillin alone
or with paracetamol
in pneumonia
in children below five years
Use of Benzyl Benzoate 20.7 94.8 98.3 97.8 100.0
or Gamma benzene hexachloride
alone in scabies
Use of antibiotics in 22.4 10.5 5.6 0.0 0.0
no pneumonia
in children below five years
* Results published in e-drug
We believe, the elaboration answers the comments raised by the readers. The full version of the report on pilot implementation up to 6th months (M&S-final) is also available on our website.
With regards,
KK Kafle
INRUD, Nepal
Prof. Kumud K. Kafle
Head of Clinical Pharmacology
Institute of Medicine
TU Teaching Hospital, Kathmandu,Nepal
Tel: 977-1-4115636(Res), 4412605( Work)
Fax: 977-1-4115515
discussion@healthnet.org.np