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J. Phys. Pharm. Adv.. 2012; 2(9): 295-300


The Impact of Patient-Prescriber Interaction Group Discussions on Injection Prescribing in Public and Private Primary Health Care Facilities in Kinondoni District, Dar es Salaam, Tanzania

Amos Yared Massele, Yohana James Mashalla, Natu El-Maaamry Mwamba.

Abstract
The use of medicine in treating diseases is an integral component of health care, and currently practicing physicians are being challenged by coping with rapidly changing pharmacologic treatments. There is evidence that prescribing practices especially with regards to injections is inconsistent with the norms for safety and effectiveness. The aim of the study was to determine the impact of Interactional Group Discussion (IGD) as an alternative intervention to improving injection prescribing practices. The study was conducted in selected public and private health facilities in Kinondoni district, Dar es Salaam, Tanzania. The average percentage of prescriptions with an injection three months before IGD and three months after IGDs were not statistically different between the control and intervention groups in both public and private health facilities. The average percentage of prescriptions conforming to national Standard Treatment Guidelines (STGs) were not significantly different between the control and intervention groups three months before and three months after IGDs. Further studies involving more participants and carried out for much longer time are needed to conclusively determine the impact of IGDs as an alternative intervention for improving injection prescribing practices.

Key words: Key words: Interactional Group Discussion, injection over use, prescribing practices



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