# E-DRUG: Inpatient Drug Use Indicators Zimbabwe 1998

**URL:** <https://talk.edrugplus.org/t/e-drug-inpatient-drug-use-indicators-zimbabwe-1998/4136>\
**Category:** e-drug\
**Created:** [January 4, 1999, 11:36am UTC](https://talk.edrugplus.org/t/e-drug-inpatient-drug-use-indicators-zimbabwe-1998/4136 "1999-01-04T11:36:01Z")\
**Posts on this page:** 1\
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**Author:** ![richardl1951](https://avatars.discourse-cdn.com/v4/letter/r/b3f665/32.png) [@richardl1951](https://talk.edrugplus.org/u/richardl1951)\
**Post date:** [January 4, 1999, 11:36am UTC](https://talk.edrugplus.org/t/e-drug-inpatient-drug-use-indicators-zimbabwe-1998/4136/1 "1999-01-04T11:36:01Z")

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E-drug: Inpatient Drug Use Indicators Zimbabwe 1998  
---------------------------------------------  
As part of the work to develop hospital drug and therapeutic committees in  
Zimbabwe data was collected on inpatient drug use in eight hospitals. The  
hospitals were two central hospitals, three provincial hospitals, two  
mission hospitals and a private hospital at a large colliery.

At each hospital 100 case notes were collected from a representative sample  
of all admissions for 1997. The result of these surveys were:  
Average duration of admissions: 6.65 days (3.8-9.4)  
Average number of drugs per admission: 3.03 drugs (1.5 - 4.12)  
Average Percentage of generics: 79% (61%-94%)  
Average Percentage of Antibiotics: 35% (23%-53%)  
Average Percentage of Injections: 23% (13%-37%)

The average drug cost was collected at five hospitals but different price  
lists were used and so the information was not comparable. The most common  
cause of admission was normal delivery in those hospitals where deliveries  
were undertaken. There was no relationship between duration of admission  
and drug use indicators.

The major lesson from this small study was to carefully define which  
patients would be included. I would suggest that obstetric admissions be  
excluded. Also it is important to agree on a standard price list which  
should be used in all hospitals.

It would be interesting to hear from other hospitals in other countries how  
their results compare to these results.

I am grateful to the staff of all of the hospitals involved for collecting  
the data and the local project facilitators, Dr Juliet Manyemba and Mr  
Cephas Dzuda who coordinated this study. WHO and Danida provided support  
for the workshop at which this data was presented and analyzed.

Richard Laing

Associate Professor  
Department of International Health  
Boston University School of Public Health  
715 Albany St  
Boston MA 02118-2526  
E-mail richardl@bu.edu  
Tel 617 414-1444  
Fax 617 638-4476

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