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Field tests for rational drug use in twelve developing countries

H V Hogerzeil1, Bimo, D Ross-Degnan

  • 1World Health Organization, Action Programme on Essential Drugs, Geneva, Switzerland.

Lancet (London, England)
|December 4, 1993
PubMed
Summary
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This study introduces drug-use indicators for developing nations, aiding in better prescribing and drug use. These indicators help raise awareness, identify problems like polypharmacy, and measure intervention effectiveness.

Area of Science:

  • Global Health
  • Pharmacoeconomics
  • Health Services Research

Background:

  • Improving drug use and prescribing in developing countries is a global health priority.
  • Objective assessment tools are crucial for evaluating and enhancing drug-use practices.

Purpose of the Study:

  • To present a set of drug-use indicators developed and validated across twelve developing countries.
  • To demonstrate the practical applications of these indicators in diverse healthcare settings.

Main Methods:

  • Development and testing of a standardized set of drug-use indicators.
  • Application of indicators in twelve developing countries for assessment and intervention evaluation.

Main Results:

  • Indicators were used to increase prescriber awareness in Malawi and Bangladesh.
Keywords:
AntibioticsData CollectionDelivery Of Health CareDeveloping CountriesDistributional ActivitiesDrugsHealthHealth FacilitiesOral RehydrationOrganization And AdministrationPrescriptions--standardsProgram ActivitiesProgramsResearch MethodologyRural Health CentersTreatment

Related Experiment Videos

  • Identified priorities included polypharmacy (Indonesia, Nigeria), overuse of injections (Uganda, Sudan, Nigeria), and poor patient understanding of dosage schedules (Malawi).
  • Quantified intervention impact in Yemen, Uganda, Sudan, and Zimbabwe.
  • Conclusions:

    • The developed drug-use indicators provide a valuable tool for improving prescribing behavior and drug utilization in developing countries.
    • These indicators facilitate targeted interventions and monitoring of healthcare quality.