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Published on: May 31, 2024
Reducing use of injections through interactional group discussions: a randomized controlled trial
R Bhunia1, Y Hutin, R Ramkrishnan
1Field Epidemiology Training Programme, National Institute of Epidemiology, Indian Council of Medical Research, Chennai, India. rbhunia@gmail.com
Objective:
To determine whether interactional group discussions could reduce prescriptions of injections by physicians.
Study Design:
Randomized controlled trial.
Setting:
Rural public health care facilities, North 24 Parganas district, West Bengal, India.
Subjects:
72 medical officers, 36 each in intervention and control groups.
Intervention:
Interactional group discussions.
Outcome Measure:
Proportion of prescriptions including at least one injection.
Results:
In the intervention group, 249 of 1,080 prescriptions (23%) included at least one injection compared with 79 of 1,080 prescriptions (7%) before and after the intervention, respectively. (RR: 0.32, 95% CI: 0.25-0.40). In the control group, 231 of 1,080 prescriptions (21%) included at least one injection before the intervention vs 178 of 1,080 prescriptions (16%) after the intervention (RR 0.77, 95% CI: 0.65-0.92).
Conclusion:
Interactional group discussions reduce prescription of injections.
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