Reducing therapeutic injection overuse through patients-prescribers interaction group discussions in Kinondoni District, Dar es Salaam, Tanzania.
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Date
2011-04-22
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Publisher
Tanzania journal of health research
Abstract
Inappropriately prescription of injections has been reported in developing and developed
countries. Previous studies in Tanzania showed that over 70% of patients attending out- patient
clinics at private dispensaries received at least one injection per consultation, a value higher than
WHO recommended target of 10%. This is of concern considering the likelihood of adverse effects of
possible use of unsafe syringes to transmit HIV, hepatitis B and C, poliomyelitis and added
economic impact on the patient and the healthcare system. This study aimed to investigate the
impact of Interaction Group Discussion on behavioural change on injection prescribing practices in
ten selected public dispensaries in Kinondoni District, Dar es Salaam, Tanzania. Patient records of
injection prescriptions were obtained covering the period three months prior to the study from 5
randomly selected control and 5 randomly selected intervention facilities. At each health facility
IGDs were conducted for one month on mothers and prescribers followed by a survey 3 months
after IGD to determine the impact of IGDs. Chi-square statistical calculations were made to compare
data on the percent of prescriptions with an injection prescribed and in those conforming to national
standard treatment guidelines (STG) between baseline and 3 months follow up. Results showed no
significant difference between the percentage of prescriptions with an injection prescribed at
baseline and 3 months follow-up in public dispensaries (P>0.05, Χ2 test). Prescribed injections that
complied with STG was low at baseline and did not significantly improve 3 months after (P>0.05, Χ2
test). Comprehensive studies and sensitization of compliance to STG by prescribers are
recommended
Description
Keywords
Therapeutic injections, Interaction Group Discussion, Prescribers
Citation
Maselle, A.Y., Mashalla, Y.J., Kayombo, E.J., Mwaiselage, J.D., Mwamba, N.E. and Kaniki, I., 2011. Reducing therapeutic injection overuse through patients-prescribers interaction group discussions in Kinondoni District, Dar es Salaam, Tanzania. Tanzania journal of health research, 13(1), pp.69-73.