Abstract:
Rational use of drugs has multi- dimensional aspects which include medical, social and
economical values. Medicines are one of the important basic needs for human being. The
main objective of this study is to promote the "Rational use of medication" in Bangladesh
in order to optimize the usefulness of medicines and help bring equity in their access to
promote rational prescription, identify magnitude and nature of inappropriate drug
utilization and factors which influence the behavior of prescribes and patients, understand
the adverse impacts of inappropriate use of drugs; describe factors which influence the
decision-making process and specific medication use problems, find out the way of
improving rational use of drug by following WHO patterns. This study was conducted at
Kalkini Upazila in Madaripur District under Dhaka division. One hospital was chosen to
do this work. Patient based prescription Survey was conducted and Fifty five
prescriptions of patients were collected prospectively between September and December
2010. The survey was conducted among the in-patients and out-patients. Patient consent
was taken and their respective prescription was copied, the data was collected and
evaluated by using WHO guidelines & INRUD indicators. In this study, it was found that
the average number of drugs was 4.25±1.54 prescribed per encounter, the average
number of drugs prescribed by Generic name was 0.127± 0.33 per encounter, the average
number of drugs prescribed in Brand name was 4.12± 1.65, the average number of
Prescriptions drugs was 1.36±.75 prescribed per encounter, the average number of OTe
drugs was 2.56±1.1l prescribed per encounter, the average number of Essential drugs
was .61±.78 prescribed per encounter, the average number of Antibiotics was 1±0.66
prescribed per encounter, the average number of Injections was 0.48±.48 prescribed per
encounter, the average of Vitamins was 0.127 ±0.38 prescribed per encounter, average
consulting time 2.9 (min) & average dispensing time was 3.3 (min). The adequately
labeled drug was average 3.38 and this survey also shows that only 36% patients know
about the drug dosing schedule and 64% patients don't know about dosage schedule. It
was obvious that the prescribing pattern was not rational regarding some particular
parameters. Ensuring that the correct drug is given to the appropriate patient should be a
high priority for all health professionals.
Description:
This thesis submitted in partial fulfillment of the requirements for the degree of Bachelor of Pharmacy (B.Pharm) in East West University, Dhaka, Bangladesh.