Test of Sustainability of Strategy in Implementation of STS for Improving Use of Drugs
(2002; 27 pages)


This study was conducted with the overall objective to assess the sustainability of peer-group discussion and prescribing practices of paramedics of Primary Health Care facilities where the original STS study was undertaken for common health problems.

The study was a three-way design and the three groups consisted of small group training, small group training followed by peer group discussion and control. The study was conducted in three regions of Nepal and sample included randomly selected one hill and two terai (plains) districts from each region. From each sampled district, all health posts were selected but prescriptions were collected from 37 health posts only. All prescriptions collected during baseline and follow-up assessment were used for four selected health problems (acute watery diarrhoea and ARI in children below five years, scabies and pyrexia of unknown origin (PUO) in all age groups. For this purpose, prescriptions with single diagnosis only were included in the study. The baseline data included carbon copy of prescriptions of one month which was collected in the previous study, served as pre-intervention data for comparison ( Kafle et.al; 2001 ).

The follow-up data was also collected prospectively by using the carbon copy of prescriptions. The follow-up assessment was carried out between six and 12 months.

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