Tuesday, 3 May 2022

The Impact of Educational Intervention on Rational Prescribing at Public Health Facilities in Selected Rivers State Local Government Area, Nigeria | Chapter 12 | Emerging Trends in Disease and Health Research Vol. 7

 The purpose of this study is to see how effective an educational intervention on rational prescription is among prescribers in a few local government areas in Rivers State, Nigeria. According to the World Health Organization, half of all drugs are prescribed, delivered, and sold incorrectly, and patients do not utilise them correctly. This was a quasi-experimental study that used cluster sampling with randomization to determine the effect of educational intervention on rational drug prescribing among prescribers in public health facilities in two selected Local Government Areas (LGA) in Rivers State: Ikwerre LGA (KELGA) as the control and Port Harcourt LGA (PHALGA) as the intervention. To analyse paired data, McNemar's Chi-square test and the paired t-test were employed. P 0.05 was used as the significant level. The statistical software EPI-INFO version 7.02 was used in this investigation. Nurse/midwives were found to be the most common prescribers in both the intervention and control LGAs, accounting for 48.61 percent and 44.4 percent, respectively. Respondents in the intervention LGA's facilities increased their knowledge and attitude one month and three months after the intervention (P0.05). The interventions group had a lower average number of medicines per encounter (ANDPE), a lower proportion of encounters with an antibiotic (PEA), and a lower percentage of encounters with an injection (PEI) than the control group (P0.05). The intervention group had a higher percentage of generic drug prescriptions (PGD) than the control group (P=0.001). The state's educational intervention proven to be a successful and long-term method for improving rational prescription. Update courses and continuing medical education on rational drug use should be organised on a regular basis for health care professionals by the State and National Primary Health Care Development Agency, as well as other relevant stakeholders.


Author(S) Details


Golden Owhonda
Department of Public Health and Disease Control Services, Rivers State Ministry of Health, Port Harcourt, Nigeria.

Felix Emeka Anyiam
Centre for Health and Development, University of Port Harcourt, Port Harcourt, Nigeria.

View Book:- https://stm.bookpi.org/ETDHR-V7/article/view/6599

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