A Study Evaluating Rational Drug Use In Malaria Management Among Public And Private Healthcare Facilities At Two Pakistan Cities
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Date
2013-10
Authors
Malik, Madeeha
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Malaria continues to be a major public health issue in Pakistan, due to
socioeconomic and epidemiological reasons. The thesis aimed to assess current
scenario related to rational drug use, knowledge, perceptions and adherence of
prescribers with standard treatment guidelines for malaria in public and private
healthcare facilities in two cities of Pakistan; Islamabad (national capital) and
Rawalpindi (twin city). A combination of quantitative and qualitative research
methods were used for data collection. The perceptions’ of malaria control program
officials, prescribers and hospital pharmacists regarding factors affecting rational
treatment practices for malaria were explored by conducting semi-structured
interviews. Simple random sampling technique was used to draw the sample of
public and private tertiary (n = 20), secondary (n = 10), primary (n = 20) healthcare
facilities and community pharmacies from Islamabad (n = 118) and Rawalpindi
(n=120) respectively. Besides that, a sample of 360 prescribers was selected
randomly from the two cities (n = 180 each city). Prescribing practices were
evaluated by assessing prescriptions for malaria using WHO prescribing indicator
form while a structured questionnaire was used to assess the perceptions and
knowledge of prescribers regarding standard treatment guidelines. United State
Agency for International Development (USAID) stock out form and questionnaire
were use to review drug availability and process of drug management respectively.
Simulated visits were also performed to observe disease case management of
malaria at community pharmacies.
Description
Keywords
Drug Use In Malaria , Public And Private Healthcare Facilities