Assessment of Compliance of Outpatient Prescribing with the Namibia Standard Treatment Guidelines in Public Sector Health Facilities. March 2014
(2014; 77 pages)

Akpabio, E., Sagwa, E., Mazibuko, G., Kagoya, H.R., Niaz, Q, and Mabirizi, D. 2014. Assessment of Compliance of Outpatient Prescribing with the Namibia Standard Treatment Guidelines in Public Sector Health Facilities. Submitted to the US Agency for International Development by the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program. Arlington, VA: Management Sciences for Health.

Abstract

The first comprehensive Namibia STGs were launched and distributed to all health facilities in the country in 2011. The main objectives of the assessment were to determine the extent of compliance of prescribers with the STGs, and to compare prescribing practices before and after the roll out of the STGs. The assessment also aimed to explore factors associated with compliance and to find out what activities were implemented in health facilities and regions to promote compliance with the STGs. The assessment covered thirteen health facilities, including six hospitals, four health centres, and three clinics, in 6 of the 14 regions of Namibia. To obtain information on recent prescribing practices in health facilities, the methodology included a retrospective review of prescriptions contained in treatment records and interviews with health workers.

Compliance of prescriptions with the STGs was assessed using strict and loose criteria. The strict criteria required prescriptions to fully comply with the stipulations of the STGs, while the loose criteria allowed for some deviations in the dose and duration of treatment, non-use of generic names, and use of additional medicines, such as analgesics and multivitamins.

The findings show that overall compliance with the STGs using the strict criteria was 26.2%, while compliance using the loose criteria was 55.1%. Compliance varied across the regions.

 
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