Pattern of Medicine Prescribing in PHC Facilities before and after earthquake in Nepal

Authors

  • Gajendra Bahadur Bhuju Pharmaceutical Horizon of Nepal and Centre Institute of Science and Technology, Nepal
  • Kumud Kumar Kafle Pharmaceutical Horizon of Nepal and College of Medicine, Nepalese Army Institute of Health Sciences, Syanobharyang,Kathmandu, Nepal
  • Radha Raman Prasad Pharmaceutical Horizon of Nepal and Association of Pharmaceutical Producers of Nepal, Teku
  • Vabha Rajbhandari Pharmaceutical Horizon of Nepal and Sun Pharmaceuticals Limited
  • Gorkha Bahadur DC Pharmaceutical Horizon of Nepal and Nepal Ausadhi Ltd., Babarmahal, Kathmandu, Nepal
  • Shiba Bahadur Karkee Pharmaceutical Horizon of Nepal and Centre Institute of Science and Technology (CiST College), New Baneshwor, Kathmandu, Nepal
  • Bimal Man Shrestha Pharmaceutical Horizon of Nepal and Canadian Diabetes Association
  • Praful Pradhananga Pharmaceutical Horizon of Nepal and Agrata Health Education and Development (AHEAD)-Nepal, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/mjsbh.v20i1.28552

Keywords:

Health post; Health problem; National treatment guidelines; WHO drug use indicators

Abstract

Introduction: On April and May 2015, Nepal experienced two earthquakes. Many studies have focused on acute care delivery, disease outbreaks, mental health issues, and disaster relief post-earthquakes. Few others have looked at psychiatric medication prescription and health aid distribution pattern, only one study has addressed the effects of an earthquake on medication prescribing patterns and compared them to the post earthquake setting. This paper aims to examine common health problems and prescribing practices before and after the earthquake.

Methods: This descriptive retrospective study was conducted within seven randomly selected health posts (HPs) located in the three most earthquake-affected districts of Bhaktapur, Kathmandu and Dhading. The patient records per month from each HP were selected from the out patient department (OPD) register by systematic random sampling for three months prior and three months after the earthquake. There were 584 and 654 encounters in the pre and post earthquake period respectively. Each patient record was analysed using WHO drug use indicators and national treatment guidelines.

Results: A significant decrease in encounters receiving antibiotics and cases receiving albendazole alone in worm infestation was found in the post-earthquake period. A significant increase in prescribing antibiotics in cases of common cold was found. 

Conclusions: The common health problems were similar in both periods. However, prescribing practices were changed. As prescriptions related to mental health problems were lacking, there is a need for improving mental health education to the health workers.

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Published

2021-02-02

How to Cite

Bhuju, G. B., Kafle, K. K., Prasad, R. R., Rajbhandari, V., DC, G. B., Karkee, S. B., Shrestha, B. M., & Pradhananga, P. (2021). Pattern of Medicine Prescribing in PHC Facilities before and after earthquake in Nepal. Medical Journal of Shree Birendra Hospital, 20(1), 41–45. https://doi.org/10.3126/mjsbh.v20i1.28552

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Section

Original Articles