Antimalarial drug prescribing practice in private and public health facilities in South-east Nigeria: a descriptive study
Abstract Background Nigeria's national standard has recently moved to artemisinin combination treatments for malaria. As clinicians in the private sector are responsible for attending a large proportion of the population ill with malaria, this study compared prescribing in the private and publi...
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ftdoajarticles:oai:doaj.org/article:44cbaaa2baf44926ae3047704ee0d737 2023-05-15T15:07:11+02:00 Antimalarial drug prescribing practice in private and public health facilities in South-east Nigeria: a descriptive study Okebe Joseph Eke-Njoku John Oyo-Ita Angela Nwachukwu Chukwuemeka Okomo Uduak Meremikwu Martin Oyo-Ita Esu Garner Paul 2007-05-01T00:00:00Z https://doi.org/10.1186/1475-2875-6-55 https://doaj.org/article/44cbaaa2baf44926ae3047704ee0d737 EN eng BMC http://www.malariajournal.com/content/6/1/55 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-6-55 1475-2875 https://doaj.org/article/44cbaaa2baf44926ae3047704ee0d737 Malaria Journal, Vol 6, Iss 1, p 55 (2007) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2007 ftdoajarticles https://doi.org/10.1186/1475-2875-6-55 2022-12-31T01:23:50Z Abstract Background Nigeria's national standard has recently moved to artemisinin combination treatments for malaria. As clinicians in the private sector are responsible for attending a large proportion of the population ill with malaria, this study compared prescribing in the private and public sector in one State in Nigeria prior to promoting ACTs. Objective To assess prescribing for uncomplicated malaria in government and private health facilities in Cross River State. Method Audit of 665 patient records at six private and seven government health facilities in 2003. Results Clinicians in the private sector were less likely to record history or physical examination than those in public facilities, but otherwise practice and prescribing were similar. Overall, 45% of patients had a diagnostic blood slides; 77% were prescribed monotherapy, either chloroquine (30.2%), sulphadoxine-pyrimethamine (22.7%) or artemisinin derivatives alone (15.8%). Some 20.8% were prescribed combination therapy; the commonest was chloroquine with sulphadoxine-pyrimethamine. A few patients (3.5%) were prescribed sulphadoxine-pyrimethamine-mefloquine in the private sector, and only 3.0% patients were prescribed artemisinin combination treatments. Conclusion Malaria treatments were varied, but there were not large differences between the public and private sector. Very few are following current WHO guidelines. Monotherapy with artemisinin derivatives is relatively common. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 6 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Okebe Joseph Eke-Njoku John Oyo-Ita Angela Nwachukwu Chukwuemeka Okomo Uduak Meremikwu Martin Oyo-Ita Esu Garner Paul Antimalarial drug prescribing practice in private and public health facilities in South-east Nigeria: a descriptive study |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Nigeria's national standard has recently moved to artemisinin combination treatments for malaria. As clinicians in the private sector are responsible for attending a large proportion of the population ill with malaria, this study compared prescribing in the private and public sector in one State in Nigeria prior to promoting ACTs. Objective To assess prescribing for uncomplicated malaria in government and private health facilities in Cross River State. Method Audit of 665 patient records at six private and seven government health facilities in 2003. Results Clinicians in the private sector were less likely to record history or physical examination than those in public facilities, but otherwise practice and prescribing were similar. Overall, 45% of patients had a diagnostic blood slides; 77% were prescribed monotherapy, either chloroquine (30.2%), sulphadoxine-pyrimethamine (22.7%) or artemisinin derivatives alone (15.8%). Some 20.8% were prescribed combination therapy; the commonest was chloroquine with sulphadoxine-pyrimethamine. A few patients (3.5%) were prescribed sulphadoxine-pyrimethamine-mefloquine in the private sector, and only 3.0% patients were prescribed artemisinin combination treatments. Conclusion Malaria treatments were varied, but there were not large differences between the public and private sector. Very few are following current WHO guidelines. Monotherapy with artemisinin derivatives is relatively common. |
format |
Article in Journal/Newspaper |
author |
Okebe Joseph Eke-Njoku John Oyo-Ita Angela Nwachukwu Chukwuemeka Okomo Uduak Meremikwu Martin Oyo-Ita Esu Garner Paul |
author_facet |
Okebe Joseph Eke-Njoku John Oyo-Ita Angela Nwachukwu Chukwuemeka Okomo Uduak Meremikwu Martin Oyo-Ita Esu Garner Paul |
author_sort |
Okebe Joseph |
title |
Antimalarial drug prescribing practice in private and public health facilities in South-east Nigeria: a descriptive study |
title_short |
Antimalarial drug prescribing practice in private and public health facilities in South-east Nigeria: a descriptive study |
title_full |
Antimalarial drug prescribing practice in private and public health facilities in South-east Nigeria: a descriptive study |
title_fullStr |
Antimalarial drug prescribing practice in private and public health facilities in South-east Nigeria: a descriptive study |
title_full_unstemmed |
Antimalarial drug prescribing practice in private and public health facilities in South-east Nigeria: a descriptive study |
title_sort |
antimalarial drug prescribing practice in private and public health facilities in south-east nigeria: a descriptive study |
publisher |
BMC |
publishDate |
2007 |
url |
https://doi.org/10.1186/1475-2875-6-55 https://doaj.org/article/44cbaaa2baf44926ae3047704ee0d737 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 6, Iss 1, p 55 (2007) |
op_relation |
http://www.malariajournal.com/content/6/1/55 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-6-55 1475-2875 https://doaj.org/article/44cbaaa2baf44926ae3047704ee0d737 |
op_doi |
https://doi.org/10.1186/1475-2875-6-55 |
container_title |
Malaria Journal |
container_volume |
6 |
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1 |
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1766338741274673152 |