Abstract: To promote and evaluate Rational Use of Drugs (RUD) among doctors of Employees' State Insurance scheme, Bangalore, India was the aim. The study involved conducting baseline, and post evaluation study of prescribing indicators, patient care indicators, and facility indicators using WHO core drug indicators after imparting training on Rational Use of Drugs (RUD). About 53 dispensaries in Bangalore were taken for the study. Baseline studies were conducted in seven urban and two rural dispensaries. 80 doctors from 22 dispensaries were included for training program, which formed the intervention. Subjects such as STG, EDL, ABC\VED analysis, pharmacovigilance, and rational use of antibiotics were dealt. A post evaluation was conducted in randomly chosen dispensaries with trained doctors, which was compared with control dispensaries data, and with baseline dispensaries data to check the improvement in prescribing practices.
Post evaluation was conducted after 3 months after the training. The post evaluation data were compared with baseline study data. The prescribing indicators such as average number of drugs prescribed per encounter was reduced after the training, and percentage of drugs prescribed from KSEDL, and WHO EDL were increased after the training, but were not statistically significant. The percentage of drugs prescribed by generic name was not changed even after training. The indicators such as percentage of prescription encounters with antibiotics, percentage of prescription encounters with injections, percentage of prescription encounters with NSAIDs, percentage of prescription encounters with vitamins, were reduced significantly after the training (p<0.05). The training of doctors on RUD was a tool to implement rational drug use among practitioners. This successful training program for ESI doctors has paved the way for implementing for other ESI dispensaries in Karnataka, India. |
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