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Antimalarial drug prescribing practice in private and public health facilities in South-east Nigeria: a descriptive study

Meremikwu, Martin; Okomo, Uduak; Nwachukwu, Chukwuemeka; Oyo-Ita, Angela; Eke-Njoku, John; Okebe, Joseph; Oyo-Ita, Esu and Garner, Paul (2007) Antimalarial drug prescribing practice in private and public health facilities in South-east Nigeria: a descriptive study. Malaria Journal, 6 . Article Number: 55. ISSN 1475-2875

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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.

Item Type:Article
Additional Information:Published: 4 May 2007. 4 pages (page numbers not for citation purposes).
Uncontrolled Keywords:MALARIA; NIGERIA; AUDIT; TREATMENT; PRESCRIBING PRACTICE
Subjects:R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Departments, Research Centres and Related Units:Academic Faculties, Institutes and Research Centres > Liverpool School of Tropical Medicine
DOI:10.1186/1475-2875-6-55
Publisher's Statement:© 2007 Meremikwu et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. For further information please click on link at related URL Field.
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Refereed:Yes
Status:Published
ID Code:306
Deposited On:31 Oct 2007 12:06
Last Modified:20 May 2011 17:26

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