WORLD HEALTH ORGANIZATION DRUG PRESCRIBING INDICATORS AT A UNIVERSITY PRIMARY HEALTH-CARE CENTER IN OMAN

  • AL-RUBKHI SS College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
  • AL-HINAI M Department of Family Medicine and Public Health, Sultan Qaboos University Hospital, Muscat, Oman.
  • AL-GHAFRI F Department of Pathology, Sultan Qaboos University, Muscat, Oman.
  • AL BALUSHI KA Department of Pharmacology and Clinical Pharmacy, Sultan Qaboos University, Muscat, Oman. http://orcid.org/0000-0003-4638-8787

Abstract

Objective: This study aimed at evaluating the prescribing patterns of drugs based on the World Health Organization (WHO) indicators at the primary health-care Family Medicine and Community Health Clinic in Sultan Qaboos University Hospital, Oman.


Methods: This was a retrospective cross-sectional study covering a 6-month period in 2016 (January–June) for all patients attended Family Medicine and Community Health Clinic in Sultan Qaboos University Hospital, Oman. Data of 300 patients with 892 prescriptions were assessed during the study period.


Results: The average number of drugs per encounter (2.82), the percentage of encounters with antibiotics (13.3%), and the percentage of encounters with an injection (7.6%) were within the optimal range set by the WHO. The percentage of drugs prescribed by generic name (80.1%) and the percentage of drugs prescribed from an essential drug list (EDL) (40.4%) did not reach the optimal 100% value set by the WHO.


Conclusion: Most of the WHO core prescribing indicators in the study were within the optimal range. Prescribing from the WHO EDL was sub-optimal. These data will set ground to optimize rational drug prescribing in the primary health-care setting.

Keywords: Rational, Prescribing pattern, Prescribing indicators

Author Biography

AL BALUSHI KA, Department of Pharmacology and Clinical Pharmacy, Sultan Qaboos University, Muscat, Oman.
Dr Khalid AlBalushi Assistant Dean of Research, SQU Associate Professor, Department of Pharmacology and Clinical Pharmacy College of Medicine and Health Sciences Sultan Qaboos University, Oman Tel.: 00968-24145923 Fax: 00968-24141107

References

1. World Health Organization. Promoting Rational Use of Medicines: Core Components-Who Policy Perspectives on Medicines. Geneva: World Health Organization. 2002. Available from: http://www.apps.who.int/medicinedocs/en/d/Jh3011e. [Last accessed on 2018 May].
2. World Health Organization. Medicines use in Primary Care in Developing and Transitional Countries: Facts Book Summarizing Results from Studies Reported between 1990 and 2006. Geneva, Switzerland: World Health Organization; 2009. Available from: http://www.who.int/medicines/publications/who_emp_2009.3/en. [Last accessed on 2018 May].
3. World Health Organization. The Rational use of Drugs: Report of the conference of experts, Nairobi, 25-29 November 1985. Geneva: World Health Organization; 1987. Available from: http://www.apps.who.int/medicinedocs/documents/s17054e/s17054e.pdf. [Last accessed on 2018 May].
4. Atif M, Sarwar MR, Azeem M, Umer D, Rauf A, Rasool A, et al. Assessment of WHO/INRUD core drug use indicators in two tertiary care hospitals of Bahawalpur, Punjab, Pakistan. J Pharm Policy Pract 2016;9:27.
5. Summoro TS, Gidebo KD, Kanche ZZ, Woticha EW. Evaluation of trends of drug-prescribing patterns based on WHO prescribing indicators at outpatient departments of four hospitals in Southern Ethiopia. Drug Des Dev Ther 2015;9:4551-7.
6. Krähenbühl-Melcher A, Schlienger R, Lampert M, Haschke M, Drewe J, Krähenbühl S. Drug-related problems in hospitals: A review of the recent literature. Drug Saf 2007;30:379-407.
7. Awad A, Al-Saffar N. Evaluation of drug use practices at primary healthcare centers of Kuwait. Eur J Clin Pharmacol 2010;66:1247-55.
8. Al-Azayzih A, Al-Azzam SI, Alzoubi KH, Shawaqfeh M, Masadeh MM. Evaluation of drug-prescribing patterns based on the WHO prescribing indicators at outpatient clinics of five hospitals in Jordan: A cross sectional study. Int J Clin Pharmacol Ther 2017;55:425 32.
9. Ahmadi F, Zarei E. Prescribing patterns of rural family physicians: A study in Kermanshah Province, Iran. BMC Public Health 2017;17:908-14.
10. Akl OA, El Mahalli AA, Elkahky AA, Salem AM. WHO/INRUD drug use indicators at primary healthcare centers in Alexandria, Egypt. J Taibah Univ Med Sci 2014;9:54-64.
11. Available from: http://www.who.int/medicines/publications/essentialmedicines/EML2015_8-May-15.pdf. [Last accessed on 2018 May].
12. Naveen A, Ramesh B, Teki S. Prescription auditing in regard with the prescription patterns in a tertiary care teaching hospital. Asian J Pharm Clin Res 2018;11:176-80.
13. Ofori-Asenso R, Brhlikova P, Pollock AM. Prescribing indicators at primary health care centers within the WHO African region: A systematic analysis (1995-2015). BMC Public Health 2016;16:724 37.
14. Holloway KA, Ivanovska V, Wagner AK, Vialle-Valentin C, Ross Degnan D. Have we improved use of medicines in developing and transitional countries and do we know how to? Two decades of evidence. Trop Med Int Health 2013;18:656-64.
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AL-RUBKHI SS, AL-HINAI M, AL-GHAFRI F, and AL BALUSHI KA. “WORLD HEALTH ORGANIZATION DRUG PRESCRIBING INDICATORS AT A UNIVERSITY PRIMARY HEALTH-CARE CENTER IN OMAN”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 13, no. 1, Nov. 2019, pp. 41-43, doi:10.22159/ajpcr.2020.v13i1.35567.
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