Validity of World Health Organisation prescribing indicators in Namibia's primary healthcare: findings and implications

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Q NiazD Kibuule

Abstract

World Health Organization/International Network of Rational use of Drugs (WHO/INRUD) indicators are widely used to assess medicine use. However, there is limited evidence on their validity in Namibia's primary health care (PHC) to assess the quality of prescribing. Consequently, our aim was to address this. An analytical cross-sectional survey design was used to examine and validate WHO/INRUD indicators in out-patient units of two PHC facilities and one hospital in Namibia from 1 February 2015 to 31 July 2015. The validity of the indicators was determined using two-by-two tables against compliance to the Namibian standard treatment guidelines (NSTG). The receiver operator characteristics for the WHO/INRUD indicators were plotted to determine their accuracy as predictors of compliance to agreed standards. A multivariate logistic model was constructed to independently determine the prediction of each indicator. Out of 1243 prescriptions; compliance to NSTG prescribing in ambulatory care was sub-optimal (target was >80%). Three of the four WHO/INRUD indicators did not meet Namibian or WHO targets: antibiotic prescribing, average number of medicines per prescription and generic prescribing. The majority of the indicators had low se...Continue Reading

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Citations

Nov 20, 2018·Expert Review of Clinical Pharmacology·Joseph O FadareLars L Gustafsson
Feb 14, 2019·Expert Review of Anti-infective Therapy·Zikria SaleemFahad Saleem
May 6, 2019·Daru : Journal of Faculty of Pharmacy, Tehran University of Medical Sciences·Monireh AfzaliShekoufeh Nikfar
Apr 30, 2019·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Hsuan-Chia YangYu-Chuan Jack Li
May 13, 2020·Expert Review of Anti-infective Therapy·Zikria SaleemTahir Mehmood Khan
May 28, 2020·International Journal of Clinical Pharmacy·Qamar NiazDan Kibuule
Jul 2, 2019·Expert Review of Anti-infective Therapy·Bene D Anand ParamadhasAmos Massele
Dec 1, 2020·Expert Review of Anti-infective Therapy·Jie ChenTherese Hesketh
May 27, 2021·Expert Review of Anti-infective Therapy·Zikria SaleemMuhammad Azmi Hassali
Feb 18, 2020·JAC-antimicrobial Resistance·Daniel Kwame AfriyieR Andrew Seaton
Jul 10, 2021·Journal of Comparative Effectiveness Research·Brian GodmanJohanna C Meyer
Dec 4, 2021·British Journal of Clinical Pharmacology·Dinesh Kumar MeenaKesavan Ramasamy

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