X hits on this document

Word document

CITATION: Presented at the International Conference on Improving Use of - page 43 / 51

117 views

0 shares

0 downloads

0 comments

43 / 51

Improving Primary Care Pharmaceutical Use

Guiscafré

(1988)

Guttierez (1994)

Latin America

TS&C

(repeat meas.)

MDs

2 H facilities with 69 MDs (36 E; 33 C )

Diarrhea

10-hour interactive workshop to develop STG facilitated by expert, audit of prior practice, then weekly peer review committee

% according to STG

% antimicrobial use

% ORS use

ΔE = 31.3%74.0% = +42.7%

ΔC = 30.8%34.5% = +3.7%

ΔE = 81.8%42.3%% = -39.5%

ΔE = 31.4%60.3% = +28.9%

Hadiyono

(1996)

Asia

RCT

MDs & parameds

24 PHCs (12/gp)

Injections

2-hour facilitated group discussion between H staff and community members about attitudes towards injections and their use

% inj. use

# drugs Rxd

ΔE = 69.5%42.3% = -27.2%

ΔC = 75.6%67.1% = -8.5%

ΔE = 4.033.67 = -9.2%

ΔC = 3.973.88 = -2.3%

Hugh

(1996)

Latin

America

TS-C

MDs/ parameds

HCs in 5 municipalities

ARI

MDs trained to facilitate process of improving ARI Tx in their own municipality

% AB use

ΔE = 48.8%31.4% = -17.4%

Perez-Cuevas

(1996)

Latin America

PP&C

MDs

4 IMSS clinics (Group I: 32 E, 36 C MDs); 14 SSA clinics (Group S: 33 E, 18 C)

ARI

Intervention as in Guiscafre (1988), but STG workshops co-facilitated by facility staff leaders who received 1 wk training

% AB use (6 mo follow-up)

% following STG (18 mo follow-up)

ΔSE = 80.7%62.7% = -17.7%

ΔSC = 97.1%86.5% = -10.6%

ΔIE = 88.0%56.3% = -31.7%

ΔIC = 95.7%96.9% = +1.2%

ΔSE = 35.7%40.9% = +5.2%

ΔSC = 30.5%31.0% = +0.5%

ΔIE = 30.0%54.2% = +24.2%

ΔIC = 19.0%21.%% = +2.0%

Guiscafré

(1995)

Latin America

PP-C

MDs

District: AD & ARI: 172 MDs.

State: AD & ARI: 165 MDs

Diarrhea, ARI

Intervention as in Guiscafre (1988) but workshops co-facilitated by facility staff leaders(DP) or by heads of local health system (SP) who receive 1 wk training

% ORS use

% AB use in diarrhea

% AB use in ARI

ΔDP: 45.4%59.3% = +13.9%

ΔSP: 74.6%84.2% = +9.7%

ΔDP: 85.3%36.0% = -49.2%

ΔSP: 82.3%64.7% = -17.6%

ΔDP: 78.5%47.8% = -30.6%

ΔSP: 70.2%55.1% = -15.0%

-41-

Improving Primary Care Pharmaceutical UseApril, 1997

Document info
Document views117
Page views117
Page last viewedSun Dec 04 18:53:54 UTC 2016
Pages51
Paragraphs1380
Words16826

Comments