Transcript Poster presentation

DRUG USE PROFILES IN AN
NGO-MANAGED HEALTH
CENTRE VERSUS PRIVATE
HEALTH PRACTITIONERS
Mandal SC: Indian Pharmaceutical
Association, Bengal Branch, Kolkata;
Mandal M: Dept. of Pharmacy,
J.C.Ghosh Polytechnic, Kolkata
Abstract
Study of Rational Drug Use Profiles in an NGO-Managed Health Center versus
Private Health Practitioners
Mandal SC: Indian Pharmaceutical Association, Bengal Branch, Kolkata;
Mandal M: Dept. of Pharmacy, J.C.Ghosh Polytechnic, Kolkata.
•
•
It is a fact in India that a section of the populace is receiving drugs, often even
unnecessary and avoidable ones, which leads to national wastage of funds and
drugs as well as drug resistance. On the other hand, another section is deprived of
even basic health care, resulting in access to modern medicines by only 30% of the
population. Moreover the cost of health care is spiralling day by day. Health
administrators and policy makers need to urgently redesign the existing health
infrastructure to extend health care to a greater section of people at an affordable
cost. For this purpose it is essential to collect data to assess the drug utilization
patterns in the country and to make necessary interventions and policy changes to
eliminate the shortcomings
To compare drug utilization patterns (DUPs) in different health-care setups for
assessing rational use of medicines, a model study was conducted at community
pharmacies and an Non-Governmental Organization (NGO)-managed health-care
setup in West Bengal, India. The survey took three months and involved 10
community pharmacies serving mainly private practitioners and one NGO-run
health center. Data were collected over a two-hour period per day from the
prescription-serving pharmacies. We analyzed 720 prescriptions from community
pharmacies and 480 from the health center.
•
•
Results show that the number of medicines prescribed per encounter is 3.60 and
2.36 respectively in community pharmacies and the NGO. Out of these, only
1.35% and 24.33% prescriptions are for generics. Percentage of prescriptions for
antibiotics, vitamin tonics, fixed dose combinations and injections are quite high in
community pharmacies (52.3%, 45.1%, 85.75% and 9.1% respectively) in
comparison to the NGO health center (40.93%, 6.00%, 41.70% and 0.4%
respectively).
Frequent use of fixed-dose combinations, antibiotics, and vitamin tonics and
polypharmacy were the trends identified by this survey. The average number of
drugs prescribed per encounter (3.6) was quite high compared with that of the
NGO-managed health center (2.36), posing increased chances of adverse drug
reaction incidents and increased cost of treatment. Use of antibiotics and injections
was also higher in community pharmacies. Use of generics was more common at
the health center.
Introduction
• It is a fact in India that a section
of the populace is receiving
drugs, often even unnecessary
and avoidable ones, which leads
to national wastage of funds and
drugs as well as drug resistance.
• On the other hand, another
section is deprived of even basic
health care, resulting in access
to modern medicines by only
30% of the population.
Introduction cont.
• Moreover the cost of health care is
spiraling day by day.
• Health administrators and policy
makers need to urgently redesign
the existing health infrastructure to
extend health care to a greater
section of people at an affordable
cost.
• For this purpose it is essential to
collect data to assess the drug
utilization patterns in the country
and to make necessary
interventions and policy changes to
eliminate the shortcomings.
Objective
• General: To compare drug
utilization patterns (DUPs) in
different health-care setups for
assessing rational use of
medicines.
• Particular:
– To measure the degree of
polypharmacy.
– To measure the tendency to
prescribe by generic name.
– To measure the overall level of
use of antibiotics & injections, but
commonly overused and costly
forms of drug therapy.
– To measure the use of FDCs.
Methods
• To determine the DUPs, a model
study was conducted at
community pharmacies and an
Non-Governmental Organization
(NGO)-managed health-care
setup in West Bengal, India.
Setting and Population
• The survey took three months and
involved 10 community pharmacies
serving mainly private practitioners
and one NGO-run health center.
• Data were collected over a twohour period per day from the
prescription-serving pharmacies.
• We analyzed 720 prescriptions
from community pharmacies and
480 from the health center.
Outcome Measures
• No. of medicines prescribed per
encounter;
• % of prescriptions for generics;
• % of prescriptions for
antibiotics;
• % of prescriptions for vitamin
tonics;
• % of prescriptions for FixedDose Combinations;
• % of prescriptions for injections
Results
• Results show that the number of
medicines prescribed per
encounter is 3.60 and 2.36
respectively in community
pharmacies and the NGO.
• Out of these, only 1.35% and
24.33% prescriptions are for
generics.
Results cont.
• Percentage of prescriptions for
antibiotics, vitamin tonics, fixed
dose combinations and
injections are quite high in
community pharmacies (52.3%,
45.1%, 85.75% and 9.1%
respectively) in comparison to
the NGO health center (40.93%,
6.00%, 41.70% and 0.4%
respectively).
Trend of Drug Use
25
20
15
Commmunity
Pharmacy
NGO-Health Set Up
10
Generics
0
No. of
Medicines
5
Trend of Drug Use
Antibiotics
Vitamin Tonics
FDC
Injection
Community
Pharmacy
NGOHealth
Care Set
up
90
80
70
60
50
40
30
20
10
0
Conclusion
• Frequent use of fixed-dose
combinations, antibiotics, and
vitamin tonics and polypharmacy
were the trends identified by this
survey. The average number of
drugs prescribed per encounter (3.6)
was quite high compared with that
of the NGO-managed health center
(2.36), posing increased chances of
adverse drug reaction incidents and
increased cost of treatment. Use of
antibiotics and injections was also
higher in community pharmacies;
use of generics was more common
at the health center.