One-day out-patient prescribing patterns at a national referral hospital in Kenya

Margaret O. Ambetsa, Margaret N. Oluka, Faith A. Okalebo, Nicholas C. Mulwa, Joseph Fadare, Brian Godman

Research output: Contribution to journalArticle

Abstract

Background: Poor prescribing habits lead to ineffective and unsafe treatment for patients, exacerbating or prolonging of illness as well as causing distress and harm to them. Drug utilization studies can help identifying gaps in prescribing and feed the results back to prescribers to enhance future rational use of medicines. Objective: Evaluate outpatient prescribing practices and patterns in a leading national Hospital in Kenya. Methods: A sample of 60 prescriptions was selected by quasi-random sampling. Data was abstracted using a pre-designed data collection form, entered into and analyzed using Excel software. Results: The average number of drugs prescribed per prescription was three with a polypharmacy rate (>4 drugs) of 20%. Only two-thirds (65%) of the prescribed drugs were actually dispensed at the hospital pharmacy due to shortages, principally shortages of originators. Slightly more than half (52%) of the drugs were prescribed by generic name. Prescribing by brand names was highest among medical interns (61%). Almost all drugs prescribed (95%) were consistent with the hospital tender list. Conclusions: There is a need to increase the rate of prescribing of generics to save costs as well as reduce stock-out levels. This can be helped by instigating a comprehensive generics policy. There is also a need to strengthen and empower drugs and therapeutic committees (DTCs) to improve selection and availability of quality generics to win the confidence of prescribers.
LanguageEnglish
Pages96-101
Number of pages6
JournalAfrican Journal of Pharmacology and Therapeutics
Volume6
Issue number2
Publication statusPublished - 30 Jun 2017

Fingerprint

Kenya
Outpatients
Referral and Consultation
Pharmacy and Therapeutics Committee
Pharmaceutical Preparations
Names
Prescriptions
Drug Utilization
Polypharmacy
Habits
Software
Costs and Cost Analysis

Keywords

  • drug utilisation study
  • generics
  • prescribing patterns
  • prescribing indicators
  • Kenya

Cite this

Ambetsa, M. O., Oluka, M. N., Okalebo, F. A., Mulwa, N. C., Fadare, J., & Godman, B. (2017). One-day out-patient prescribing patterns at a national referral hospital in Kenya. African Journal of Pharmacology and Therapeutics, 6(2), 96-101.
Ambetsa, Margaret O. ; Oluka, Margaret N. ; Okalebo, Faith A. ; Mulwa, Nicholas C. ; Fadare, Joseph ; Godman, Brian. / One-day out-patient prescribing patterns at a national referral hospital in Kenya. In: African Journal of Pharmacology and Therapeutics. 2017 ; Vol. 6, No. 2. pp. 96-101.
@article{6547ce2121ff4773b3607a6a27ed773c,
title = "One-day out-patient prescribing patterns at a national referral hospital in Kenya",
abstract = "Background: Poor prescribing habits lead to ineffective and unsafe treatment for patients, exacerbating or prolonging of illness as well as causing distress and harm to them. Drug utilization studies can help identifying gaps in prescribing and feed the results back to prescribers to enhance future rational use of medicines. Objective: Evaluate outpatient prescribing practices and patterns in a leading national Hospital in Kenya. Methods: A sample of 60 prescriptions was selected by quasi-random sampling. Data was abstracted using a pre-designed data collection form, entered into and analyzed using Excel software. Results: The average number of drugs prescribed per prescription was three with a polypharmacy rate (>4 drugs) of 20{\%}. Only two-thirds (65{\%}) of the prescribed drugs were actually dispensed at the hospital pharmacy due to shortages, principally shortages of originators. Slightly more than half (52{\%}) of the drugs were prescribed by generic name. Prescribing by brand names was highest among medical interns (61{\%}). Almost all drugs prescribed (95{\%}) were consistent with the hospital tender list. Conclusions: There is a need to increase the rate of prescribing of generics to save costs as well as reduce stock-out levels. This can be helped by instigating a comprehensive generics policy. There is also a need to strengthen and empower drugs and therapeutic committees (DTCs) to improve selection and availability of quality generics to win the confidence of prescribers.",
keywords = "drug utilisation study, generics, prescribing patterns, prescribing indicators, Kenya",
author = "Ambetsa, {Margaret O.} and Oluka, {Margaret N.} and Okalebo, {Faith A.} and Mulwa, {Nicholas C.} and Joseph Fadare and Brian Godman",
year = "2017",
month = "6",
day = "30",
language = "English",
volume = "6",
pages = "96--101",
journal = "African Journal of Pharmacology and Therapeutics",
issn = "2303-9841",
number = "2",

}

Ambetsa, MO, Oluka, MN, Okalebo, FA, Mulwa, NC, Fadare, J & Godman, B 2017, 'One-day out-patient prescribing patterns at a national referral hospital in Kenya' African Journal of Pharmacology and Therapeutics, vol. 6, no. 2, pp. 96-101.

One-day out-patient prescribing patterns at a national referral hospital in Kenya. / Ambetsa, Margaret O.; Oluka, Margaret N.; Okalebo, Faith A.; Mulwa, Nicholas C.; Fadare, Joseph; Godman, Brian.

In: African Journal of Pharmacology and Therapeutics, Vol. 6, No. 2, 30.06.2017, p. 96-101.

Research output: Contribution to journalArticle

TY - JOUR

T1 - One-day out-patient prescribing patterns at a national referral hospital in Kenya

AU - Ambetsa, Margaret O.

AU - Oluka, Margaret N.

AU - Okalebo, Faith A.

AU - Mulwa, Nicholas C.

AU - Fadare, Joseph

AU - Godman, Brian

PY - 2017/6/30

Y1 - 2017/6/30

N2 - Background: Poor prescribing habits lead to ineffective and unsafe treatment for patients, exacerbating or prolonging of illness as well as causing distress and harm to them. Drug utilization studies can help identifying gaps in prescribing and feed the results back to prescribers to enhance future rational use of medicines. Objective: Evaluate outpatient prescribing practices and patterns in a leading national Hospital in Kenya. Methods: A sample of 60 prescriptions was selected by quasi-random sampling. Data was abstracted using a pre-designed data collection form, entered into and analyzed using Excel software. Results: The average number of drugs prescribed per prescription was three with a polypharmacy rate (>4 drugs) of 20%. Only two-thirds (65%) of the prescribed drugs were actually dispensed at the hospital pharmacy due to shortages, principally shortages of originators. Slightly more than half (52%) of the drugs were prescribed by generic name. Prescribing by brand names was highest among medical interns (61%). Almost all drugs prescribed (95%) were consistent with the hospital tender list. Conclusions: There is a need to increase the rate of prescribing of generics to save costs as well as reduce stock-out levels. This can be helped by instigating a comprehensive generics policy. There is also a need to strengthen and empower drugs and therapeutic committees (DTCs) to improve selection and availability of quality generics to win the confidence of prescribers.

AB - Background: Poor prescribing habits lead to ineffective and unsafe treatment for patients, exacerbating or prolonging of illness as well as causing distress and harm to them. Drug utilization studies can help identifying gaps in prescribing and feed the results back to prescribers to enhance future rational use of medicines. Objective: Evaluate outpatient prescribing practices and patterns in a leading national Hospital in Kenya. Methods: A sample of 60 prescriptions was selected by quasi-random sampling. Data was abstracted using a pre-designed data collection form, entered into and analyzed using Excel software. Results: The average number of drugs prescribed per prescription was three with a polypharmacy rate (>4 drugs) of 20%. Only two-thirds (65%) of the prescribed drugs were actually dispensed at the hospital pharmacy due to shortages, principally shortages of originators. Slightly more than half (52%) of the drugs were prescribed by generic name. Prescribing by brand names was highest among medical interns (61%). Almost all drugs prescribed (95%) were consistent with the hospital tender list. Conclusions: There is a need to increase the rate of prescribing of generics to save costs as well as reduce stock-out levels. This can be helped by instigating a comprehensive generics policy. There is also a need to strengthen and empower drugs and therapeutic committees (DTCs) to improve selection and availability of quality generics to win the confidence of prescribers.

KW - drug utilisation study

KW - generics

KW - prescribing patterns

KW - prescribing indicators

KW - Kenya

UR - http://journals.uonbi.ac.ke/ajpt/article/view/1593

M3 - Article

VL - 6

SP - 96

EP - 101

JO - African Journal of Pharmacology and Therapeutics

T2 - African Journal of Pharmacology and Therapeutics

JF - African Journal of Pharmacology and Therapeutics

SN - 2303-9841

IS - 2

ER -