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Year : 2011  |  Volume : 14  |  Issue : 2  |  Page : 85-93

Improving rational drug prescription practice: Outcome of a training intervention program on rational drug prescription among care providers in catholic church phc facilities in Northern Nigeria

1 Department of Community Health and Primary Health Care, Bingham University, Karu, Nasarawa State, Nigeria
2 Gillings School of Global Public Health, Maternal and Child Health Department, University of North Carolina, Chapel Hill, NC, USA
3 CAFOD, 3 Fan Drive, Jenta Adamu, Jos, Nigeria

Correspondence Address:
H O Isah
Department of Community Health and Primary Health Care, Bingham University, PMB 005 Karu, Nasarawa State
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Source of Support: None, Conflict of Interest: None

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Background: The quality of clinical case management is significantly determined by the quality of prescription. This informed the rational drug use training and which this survey assesses the impact on health care providers in Catholic Church-owned PHC facilities in Northern Nigeria. Method: This a before-and-after training survey on rational drug prescribing profile among 76 health care workers from 67 Catholic Church-owned PHC facilities in Northern Nigeria using structured self- administered questionnaire to collect information on participants' knowledge and practice of rational drug prescription and audited prescriptions pre and post training. Post-training supportive supervision and on-site mentoring along with work aid were provided participants to re-enforce knowledge and skill taught. ResuIt: Knowledge and practice profile as indicated by their mean scores in both domains significantly improved from 60.2±16.0% to 84.0±11.8% (p<0.0001) and 43.1±12.9% to 65.4±12.7% (p<0.0001) respectively Proportions of participants with improved prescription profile increase significantly with intervention. Disparity in knowledge and practice profile pre-training was eliminated by the intervention. Drugs per prescription dropped from 6 to between 3-5, antibiotics and injections from 78% to 40-60% and 61% to 20-30% respectively. Prescriptions from essential drug list and in generic names increased from 67% to 80-90% and 61% to 75-80% respectively. Conclusion: Training intervention successfully improved the prescription knowledge and practice profile of participants, and is thus a recommended strategy in attaining similar objective.

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