Arute JE, Agbamu E, Agare G, Achi CJ, Odili VU, Omomulere A
Arute JE1*, Agbamu E2, Agare G3, Achi CJ1, Odili VU4, Omomulere A1
1Department of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, Delta State University, Abraka, Delta State.
2Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Delta State University, Abraka, Delta State.
3Department of Pharmacology and Toxicology, Faculty of Pharmacy, Delta State University, Abraka, Delta State.
4Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, University of Benin, Benin City, Edo State.
Volume - 15,
Issue - 6,
Year - 2022
Malaria is an epidemic with 1.3% reduction in annual per capital economic growth rate. This study was to assess physicians’ antimalarial utilization in children below five years and conformity to guidelines. This is a retrospective and cross-sectional random sampling of prescriptions of antimalarials in under five between January 2012 and December 2014 in the secondary facility and January 2012 to December 2017 in two health facilities. Data was recorded using WHO indicator forms and analyzed using SPSS. Exactly, 800 prescriptions giving a total of 1,243 and 1313 drugs were prescribed in the Secondary Facility (CH), Warri and Primary Health Care (PHC), Oria respectively with an average of drugs prescribed per encounter (DPPE), CH (3.1 ± 0.01) and PHC, (3.3 ± 0.1). Antimalarials, were the most prescribed. Generic prescription was more in PHC (59%) than in CH (58%). Syrups were most prescribed 70.96% in CH, Warri and 53% in PHC, Oria. However, 27(50.9%) of physicians based prescription on experience, 13(24.5%) and 4(7.5%) followed WHO and National Antimalarial Treatment Policy (NATP) guidelines respectively while (17.1%) on the efficacy of the antimalarial. The antimalarial utilization practices conform to the WHO guidelines although there are lapses. Prescription was predominantly based on experience.
Cite this article:
Arute JE, Agbamu E, Agare G, Achi CJ, Odili VU, Omomulere A. Physicians’ Antimalarial Utilization Practices in Children below 5 years in a Secondary and Primary Health Facilities in Delta State. Research Journal of Pharmacy and Technology. 2022; 15(6):2756-0. doi: 10.52711/0974-360X.2022.00461
Arute JE, Agbamu E, Agare G, Achi CJ, Odili VU, Omomulere A. Physicians’ Antimalarial Utilization Practices in Children below 5 years in a Secondary and Primary Health Facilities in Delta State. Research Journal of Pharmacy and Technology. 2022; 15(6):2756-0. doi: 10.52711/0974-360X.2022.00461 Available on: https://www.rjptonline.org/AbstractView.aspx?PID=2022-15-6-65
1. Rahul DK. Mayur B. Dheraj C. Current Scenario of Prescription Writing. Asian Journal of Pharmacy and Technology. 2017; 7(3): 144-146. DOI: 10.5958/2231-5713.2017.00023.X
2. Amit B. Prashant B. Avinash K. Prospective cross-sectional study in evaluation of prescribing pattern of doctors for oncology treatment. Research Journal of Pharmacy and Technology. 2011; 4(4): 634-637.
3. Nwolisa CE. Erinaugha EU. Ofoleta SI. Prescribing practices of doctors attending to under-fives in a children’s outpatient clinic in Owerri. Journal of Tropical Pediatric. 2006; 52(3): 197-200. doi.org/10.1093/tropej/fmi095
4. Hersh AL. Jackson AM. Lauri A. Hicks and the Committee on Infectious Disease. Principles of judicious antibiotic prescribing for upper respiratory tract infections in pediatrics. Pediatrics. 2013; 132(6): 1146–1154. DOI: https://doi.org/10.1542/peds.2013-3260
5. Hensen B. Paintain SL. Shretta R. Bruce J. Caroline J. Webster J. Taking stock; provider prescribing practices in the presence and absence of ACT stock. Malaria Journal. 2011; 10:218.
6. Liya John. Medication Error. International Journal of Nursing Education and Research. 2016; 4(4): 502-505.
7. Minu S. Gurpreet K. Jhag DP. Jyoti S. Lalita T. Monika S. Mandip MK. Mary S. Manjot K. Rupashree DG. Knowledge of under five children's’ mothers regarding the six killer diseases. Asian Journal of Nursing Education and Research. 2018; 8(1): 159-162. doi: 10.5958/2349-2996.2018.00033.2
8. Mangham LJ. Cundill B. Ezeoke O. Nwala E. Uzochukwu BS. Wiseman V. Onwujekwe O. Treatment of uncomplicated malaria at public health facilities and medicine retailers in southeastern Nigeria. Malaria Journal 2011; 101:55.
9. Onwujekwe O. Uzochukwu B. Dike N. Uguru N. Nwobi E. Shu E. Malaria treatment perceptions, practices and influences on provider behaviour: comparing hospitals and non-hospitals in south-east Nigeria. Malaria Journal. 2009; 8:246. doi.org/10.1186/1475-2875-8-246
10. Ezenduka CC. Ogbonna BO. Ekwunife O. Okonta MJ. Esimone CO. Drugs use pattern for uncomplicated malaria in medicine retail outlets in Enugu urban, southeast Nigeria: implications for malaria treatment policy. Malaria Journal. 2014; 13:243. DOI: 10.1186/1475-2875-13-243
11. Mangham LJ. Cundill B. Ezeoke O. Nwala E. Uzochukwu BS. Wiseman V. Onwujekwe O. Treatment of uncomplicated malaria at public health facilities and medicine retailers in southeastern Nigeria. Malaria Journal 2011; 101:55.
12. Chuma J. Abuya T. Memusi D. Juma E. Akhwale W. Ntwiga J. Andrew N. Tetteh G. Shretta R. Amin A. Reviewing the literature on access to prompt and effective malaria treatment in Kenya: implications for meeting the Abuja targets. Malaria Journal. 2009; 8:243.
13. Ango UM. Oche MO. Kaoje AU. Bello MM. Umar MT. Adamu A. Kalgo YF. Basakkwace SA. Musa A. (2021). Pattern of Prescription of Anti-malarial Drugs in the Primary Health Care Facilities in Sokoto State Nigeria. International Journal of TROPICAL DISEASE & Health. 2021; 42(2):30-38. doi.org/10.9734/ijtdh/2021/v42i230437
14. Salako L. Chemotherapy of malaria: a historical overview. Keynote address at the 8th Annual General and Scientific Meeting of the West African Postgraduate College of Pharmacist, Abuja. 2006; 1-16.
15. Okoli R. Isah AO. Ozolua RI. Ohaju-Obodo JO. Nwokike OC. Ovienria WA. Drug prescribing pattern in three levels of health care facilities in the north and central senatorial districts of Edo State, Nigeria. International Journal of Herbs and Pharmacological Research. 2015; 4(3):46-57.
16. Enwere OO. Falade CO. Salako BL. Drug prescribing pattern at the medical Outpatient Clinic of a Tertiary hospital in South Western Nigeria. Pharmacoepidemiology and Drug Safety 2007; 16(11):1244-9.
17. World Health Organization (WHO). How to investigate drug use in health facilities: selected drug use indicators. DAP Research, Series 1993; No. 7
18. Mahalakshmi T. Sudha R. Mosquito, Malaria and Medicines – A Review. Research Journal of Pharmacy and Technology. 2016; 9(8):1268-1276. doi: 10.5958/0974-360X.2016.00241.9
19. Maheshwari P. Manimekalai P. Anuja P. Abuk B. Antibiotic Drug Utilization and Evaluation in Pediatric Patients. Research Journal of Pharmacy and Technology. 2017; 10(8): 2704-2706. doi: 10.5958/0974-360X.2017.00480.2
20. Fadare J. Olatunya O. Oluwayemi O. Ogundare O. Drug Prescribing Pattern for Under five in a paediatric Clinic in South-Western Nigeria. Ethiope Journal of Health Science. 2015; 25(1):73-78. doi:10.4314/ejhs.v25i1.10
21. World Health Organization (WHO). Geneva. Essential Drugs. WHO Technical Report Series. Geneva, 1985.
22. Kanakambal S. Murugesh N. Shanthi M. Drug Prescribing Pattern in a Tertiary Care Teaching Hospital in Madurai (Tamilnadu). Indian Journal of Pharmacology. 2001; 2:223.
23. Karande S. Sankhe P. Kuikharni M. Patterns of prescription and drug. Indian Journal of Pediatrics. 2005; 2(7):117-121.
24. Igboeli NU. Ukwe CV. Ekwunife OI. Increasing Use of Artemisinin-based combination Therapy for the treatment of malaria infection in Nigeria Hospitals. Pharmacy Practice. 2010; 4:243-249.
25. Ohaju-Obodo JO. Isah AO. Mabadeje AFB. Perenteral use of drugs in Outpatient units of private health institutions in Nigeria. Nigerian Journal of General Practice. 2004; 7(5):20-23.
26. Niharika R. Choudhary PS. An Analytical Study on Practices Regarding injection Administration among Staff Nurses. Asian Journal of Nursing Education and Research. 2017; 7(3): 384-390. doi: 10.5958/2349-2996.2017.00077.5
27. Sumithra M. Avantika P. A Prospective Study of Drug Utilization and Evaluation of Gastro Intestinal Agents. Research Journal of Pharmacy and Technology. 2017; 10(1): 166-170. doi: 10.5958/0974-360X.2017.00036.1555. 5
28. Jagadeesan M. Harini RR. Chinnasani B. Rational Prescribing Challenges in Paediatrics: A Evidence Based Review. Research Journal of Pharmacy and Technology. 2020; 13(11): 5551-56. DOI: 10.5958/0974-360X.2020.00969.5
29. Geetha P. Kousalya M. Geetha SL. Gopi R. Prescribing Pattern of Drugs Used For Respiratory Disease in Pediatric Patients at Private Hospital. Research Journal of Pharmacy and Technology. 2016; 9(3): 251-256. doi: 10.5958/0974-360X.2016.00046.