Intervention Test of Training and Supervision on Prescribing Practices. Submitted to USAID/RPM/JSI, Nepal
(1995; 63 pages)


The study conducted in health posts of Kathmandu, Patan and Bhaktpur showed most of the prescribing inconsistent with Standard Drug Treatment Schedule (SDTS) for health post. The same study showed only 56% of patients had knowledge of dosing. The study in other district also had similar findings. However, the practice of prescribing and dispensing is affected by several factors. To improve prescribing habits a mixture of strategies has been found to be the most effective, which includes training in the use of Standard Treatment Protocols, a small list of necessary drugs, structured drug ordering forms, regular supervision and in-service education on specific diagnostic areas. HMG, Nepal, has decided to implement a Community Drug Programme (CDP) to improve supply, and prescribing and dispensing through training. The rational use of drugs can be measured by using WHO indicators. These indicators can be used to measure impact of intervention. The indicators can also serve as simple supervisory tools to detect problems in performance by individual prescriber, dispenser or health facility.

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