1. Case scenarios, as used in this study, are an effective way to assess prescriber knowledge, compliance with standard treatment guidelines, and the appropriateness of such guidelines given local circumstances and common practices. Many prescribers supported the idea of a periodic re-examination of their knowledge using this format.

2. Outcome measures should be determined and criteria developed to monitor the appropriateness of prescribing and dispensing practices. In addition, personnel interviewed stated that workers tend to perform more effectively and efficiently if they are aware of how they are being evaluated.

3. For prescribers, specific methods of supervision that correlated to improved prescribing performance included doctor's visits and on-site supervision. This corroborates literature which indicates that face-to-face education is one of the most effective means of improving prescription patterns (Soumerai, McLaughlin & Avorn 1989, Anderson & Lexchin 1996).

4. For dispensers, off-site supervision is encouraged, as new methods of dispensing may be suggested or learned. Rotating dispensary personnel between dispensaries also provides this opportunity.

5. Frequency of supervision is also important. Monthly or bimonthly visits by doctors significantly improve prescriber performance. They are also an opportune time to discuss prescribing practices, disseminate new drug information, and maintain or improve the doctor-screening nurse relationship.

6. Evaluation should emphasize clinical job performance, not just moral and attitudinal performance. In fact, in lieu of a formal evaluation by off-site supervisors, peer review was felt by CBC personnel to be more relevant to daily practice.