Assessment of medication prescription pattern at Bole health center, Ethiopia
Keywords:Irrational drug use, WHO drug use indicators, Drug prescribing pattern
Background: Inappropriate use of medicines becomes a common global problem. The aim of this study was to assess the drug prescription patterns at Bole health center, using some of the World Health Organization (WHO) core drug use indicators.
Methods: A cross-sectional study was conducted to determine the current prescribing practices at the health center. A sample of 720 prescriptions was selected by using stratified random sampling method from 11,040 prescriptions written for the 5 month period from August 1- December 30, 2016. Data were collected from prescription papers filed in the pharmacy.
Results: The average number of drugs prescribed per encounter was 2.03. The percentage of encounters in which antibiotics prescribed was 67.36%. The proportion of drugs prescribed by generic name and from an essential drug list was 98.14% and 99.25%, respectively.
Conclusions: The prescribing practice for antibiotic and average number of medicines per prescription shows deviation from the standard recommended by WHO. Great emphasis should be given to restrict inappropriate use of antibiotics.
WHO, The Pursuit of Responsible Use of Medicines: Sharing and Learning from country experiences. Geneva Switzerland, 2012.
WHO, The World Medicines Situation: Rational Use of Medicines, Report of the Conference of Experts. Geneva Switzerland, 2011.
Desta Z, Abula T, Gebre-Yohannes A, Worku A. Drug prescribing patterns for outpatients in three hospitals in North-West Ethiopia. Ethiop J Health. 2002;16(2):183–9.
Batieha A, Hasan M, Otoom S. Evaluation of drug use in Jordan using WHO prescribing indicators. Eastern Mediterranean Health J. 2002;18:196-201.
Bhartiy SS, Shinde M, Nandeshwar S, Tiwari SC. Pattern of prescribing practices in the Madhya Pradesh, India. Kathmandu University Med J. 2008;6(21):55-9.
WHO, Medicines use in primary care in developing and transitional countries, Fact book summarizing results from studies reported between 1990 and 2006. Geneva Switzerland, 2009.
Federal Democratic Republic of Ethiopia Ministry of Health. Assessment of the Pharmaceutical Sector in Ethiopia; 2003: 1-44.
WHO: How to investigate drug use in health facilities: selected drug use indicators. Geneva: WHO/DAP/93.1, 1993.
Otoom S, Batieha A, Hadidi H, Hasan M, Al-Saudi K. Evaluation of drug use in Jordan using WHO prescribing indicators. Eastern Mediterranean Health J. 2002;8:537-43.
Desalegn AA. Assessment of drug use pattern using WHO prescribing indicators at Hawassa University teaching and referral hospital, South Ethiopia: a cross-sectional study. BMC Health Services Res. 2013;13:170-6.
Assen A, Abrha S. Assessment of Drug Prescribing Pattern in Dessie Referral Hospital. Int J Pharma Sci Res. 2014;5(11):776-81.
Tsega B, Hailu W, Ergetie Z. measuring quality of drug use in primary health care facilities: A yearlong assessment of WHO prescribing indicators wolkite town south west Ethiopia. Int J Pharm Ind Res. 2012;2(04):485-91.
Christensen RF, A strategy for the improvement of prescribing and drug use in rural health facilities in Uganda, a randomized controlled trial. Report of an assignment carried out under the auspices of the Uganda Essential Drugs Management Program 1990.
Tamuno I. Prescription pattern of clinicians in private health facilities in Kano, Northwestern Nigeria. Asian Pacific J Trop Dis. 2011;1:235-8.