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THE PHARMA REVIEW (JANUARY - FEBRUARY 2013)

Improving use of Medicines in the Community Through Interventions for Cost Effective Treatment.

Subhash C. Mandal1 & Moitreyee Mandal2

Introduction: Interventions have been made through conducting workshops and seminars involving all stake holders in the health care system promoting the concept of Rational Use of Medicines (RUM). Workshop module consisted of proper selection of medicines, disadvantage of fixed dose combination, avoid Injections where alternative dosage form is available, lack of scientific rational of Tonics, avoid polypharmacy and use of cost effective medicines without compromising quality. The study spanned over semi urban areas covering three districts of West Bengal, India. Community pharmacies mainly serving the prescriptions of private practitioners were selected randomly in this study. Prescriptions were collected from community pharmacies, serving prescriptions of private practitioners in a semi urban area within a month. 30 prescriptions each from 10 pharmacies were collected from those who participated in the workshop/seminars during the last two years. This result was compared with the data obtained from the same 10 pharmacies before intervention. Result: Medicine use indicators were analyzed and compared with the data obtained from the same 10 pharmacies before intervention. Results show that the average number of medicines prescribed per encounter reduced from 2.84 to 2.18. Percentage of prescriptions for generics improved significantly from nil to 22.78. Percentage of prescriptions for antibiotics and vitamin tonics reduced significantly, i.e. from 54.33 to 34.66 and from 16 to 12 respectively, percentage of prescriptions for injections reduced from 3.66 to 0.33 .Average number of FDCs reduced from 1.13 to 0.55. Average cost per encounter was calculated, which amounts to INR 322.7 (Max. 1145 Min.3.82). This is less than the average cost per encounter INR 512.4 (Max. 1862.6, Min.102.42) estimated before intervention. Conclusion: It appears that medicine use indicators have improved significantly by intervention i.e. Disseminating information on rational use of medicines amongst the stake holders of a health care system for cost effective treatment.

 

 

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