Assessment of Drug Use Practices Using Standard WHO Indicators in Lumame Primary Hospital
Received 15 October 2020
Accepted for publication 4 February 2021
Published 19 February 2021 Volume 2021:13 Pages 59—69
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Prof. Dr. Siew Siang Chua
Agumas Alemu Alehegn,1 Robel Gursm Aklilu,1 Kaleab Ayalew Tadesse,1 Bantayehu Addis Tegegne,2 Zemene Demelash Kifle3
1Department of Pharmacy, Lumame Primary Hospital, Lumame, Ethiopia; 2Debremarkos University, College of Medicine and Health Sciences, Pharmacy Department, Debremarkos, Ethiopia; 3University of Gondar, College of Medicine and Health Sciences, School of Pharmacy, Department of Pharmacology, Gondar, Ethiopia
Correspondence: Agumas Alemu Alehegn Lumame, Ethiopia
Background: Irrational use of drugs has been one of the major problems around the globe. However, the degree of the problem is higher in developing countries like Ethiopia. The WHO has developed several indicators to evaluate the practices of drug use. This study aimed to assess the overall drug use practices using standard WHO indicators in Lumame Primary Hospital.
Methods: Hospital-based retrospective cross-sectional study was employed to investigate the overall drug use practices at the hospital. Six hundred prescriptions were selected from a total of 19,242 prescriptions by systematic sampling technique over one year from July 1, 2019, to June 30, 2020, in a retrospective review. For the patient care study, 100 patients were selected for collecting the required information. Facility indicators were assessed by checking the availability of STG/formularies and essential drugs. The results were interpreted according to the standard values of WHO.
Results: All 600 sampled prescriptions were 100% standard. Weight, dosage form, and quantity were written in 1.5– 13.3% of the prescriptions. Patient address was recorded in 51%, while qualification of prescriber and dispenser were recorded in 71.5% and 56% of the cases, respectively, but all other information were complete in 88.5– 100% of the prescriptions. The mean number of drugs per encounter, generic prescribing, prescribing from essential drug list, encounters with antibiotics and injectable drugs were 2.3, 97.9%, 99.8%, 48.8%, and 11.2%, respectively. The average dispensing time was found to be 171.9 seconds. Percentage of actually dispensed drugs, adequacy of labeling, patient knowledge, and patient satisfaction were 95.3%, 22.6%, 83%, and 88%, respectively. About 92% of tracer drugs and all reading materials, except national drug list and facility-level drug formulary, were available in the study period.
Conclusion: Generally, appreciable results were obtained for most of the indicators but improvement in antibiotic prescribing, polypharmacy and labeling practice is recommended.
Keywords: rational drug use, Lumame Primary Hospital, WHO indicators
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