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Improving Primary Care Pharmaceutical Use

Table 2: Primary Care Providers and Health Problems Targeted by Interventions

Health Provider Target Group

ARI

Diarrhea

Malaria

Other Specific Conditions *

No Specific Health Problem Focus **

Total No. Studies with Health Provider Target Group &&

Study Design &

Study Design

Study Design

Study Design

Study Design

Accep.

Unacc.

Accep.

Unacc.

Accep.

Unacc.

Accep.

Unacc.

Accep.

Unacc.

Physicians

11

4

10

4

3

0

2

0

4

5

34

Nurses/

Paramedics

8

5

8

3

4

1

2

0

7

6

36

Community Health Workers

8

6

5

4

1

0

1

1

0

0

21

Total No. Studies with Problem Focus &&

17

9

14

7

5

1

3

1

8

8

*One study each focusing on treatment of: worms, lack of appetite, hypertension, STDs

**Focus on general pattern of prescribing for all health problems.

&Unacc.= pre-post without comparison group; non-randomized post-only with or without comparison group

Accep.= randomized controlled trial (RCT); pre-post with appropriate non-randomized comparison group; time series; repeated measures with at least four measurement points

&Studies with multiple targets counted only once in totals. Two studies with exclusively non-health problem focus -- paramedic dispensing (Kafle 1995a), paramedic task performance (Loevinsohn, 1995) -- not included in table.

-44-

Improving Primary Care Pharmaceutical UseApril, 1997

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