The Pattern of Medicines Use in Sudan: A Cross Sectional Study at National Health Insurance Fund Setting, in 2012
(2013; 125 pages)

A thesis submitted to the Swiss Tropical and Public Health Institute, University of Basel, in partial fulfilment of the tropEd Masters Programme in International Health. The irrational use of medicines by prescribers, dispensers and patients has become a common problem worldwide, where more than 50% of all medicines are prescribed, dispensed or sold inappropriately, and half of all patients fail to take medicines correctly. The extent of the problem at Health Insurance setting may be higher due to moral hazards. The objective of this study is to assess the magnitude and nature of irrational use of medicines in National Health Insurance Fund, Sudan and identify the difference in prescribing behaviour in direct and indirect centres by using the Medicines Use Indicators developed by WHO/INRUD. The study revealed high extent of irrational prescribing especially in excessive use of antibacterials, low use of generic name in prescribing, increased use of injectable antimalarials and polypharmacy in Cardiovascular diseases and DM. The development and implementation of STGs/ EML, especially for UTI, Respiratory Infections, Hypertension and DM, enforcement of generic prescribing guidelines, implementation of antibiotics policy, establishment of Drugs and Therapeutics Committees in hospitals and educational interventions could be effective in improving the rational use of medicines in Sudan.

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