Abstract:
BACKGROUND:Rational medicine use is essential to optimize quality of healthcare delivery and resource utilization. We aim to conduct a systematic review of changes in prescribing patterns in the WHO African region and comparison with WHO indicators in two time periods 1995-2005 and 2006-2015. METHODS:Systematic searches were conducted in PubMed, Scopus, Web of science, Africa-Wide Nipad, Africa Journals Online (AJOL), Google scholar and International Network for Rational Use of Drugs (INRUD) Bibliography databases to identify primary studies reporting prescribing indicators at primary healthcare centres (PHCs) in Africa. This was supplemented by a manual search of retrieved references. We assessed the quality of studies using a 14-point scoring system modified from the Downs and Black checklist with inclusions of recommendations in the WHO guidelines. RESULTS:Forty-three studies conducted in 11 African countries were included in the overall analysis. These studies presented prescribing indicators based on a total 141,323 patient encounters across 572 primary care facilities. The results of prescribing indicators were determined as follows; average number of medicines prescribed per patient encounter = 3.1 (IQR 2.3-4.8), percentage of medicines prescribed by generic name =68.0 % (IQR 55.4-80.3), Percentage of encounters with antibiotic prescribed =46.8 % (IQR 33.7-62.8), percentage of encounters with injection prescribed =25.0 % (IQR 18.7-39.5) and the percentage of medicines prescribed from essential medicines list =88.0 % (IQR 76.3-94.1). Prescribing indicators were generally worse in private compared with public facilities. Analysis of prescribing across two time points 1995-2005 and 2006-2015 showed no consistent trends. CONCLUSIONS:Prescribing indicators for the African region deviate significantly from the WHO reference targets. Increased collaborative efforts are urgently needed to improve medicine prescribing practices in Africa with the aim of enhancing the optimal utilization of scarce resources and averting negative health consequences.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Ofori-Asenso R,Brhlikova P,Pollock AMdoi
10.1186/s12889-016-3428-8subject
Has Abstractpub_date
2016-08-22 00:00:00pages
724issn
1471-2458pii
10.1186/s12889-016-3428-8journal_volume
16pub_type
杂志文章,meta分析abstract:BACKGROUND:On 6 February 2015, Kampala city authorities alerted the Ugandan Ministry of Health of a "strange disease" that killed one person and sickened dozens. We conducted an epidemiologic investigation to identify the nature of the disease, mode of transmission, and risk factors to inform timely and effective contr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-4002-0
更新日期:2017-01-05 00:00:00
abstract:BACKGROUND:Data are lacking on type of e-liquid vaped among e-cigarette users. Further, few studies assess all sources of nicotine used by e-cigarette users to assess whether poly-nicotine use relates to nicotine dependence (ND). The objectives were to describe young adult e-cigarette users by: (i) type of e-liquid vap...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09056-y
更新日期:2020-06-12 00:00:00
abstract:BACKGROUND:Respiratory illness (RI) remains a public health problem in Laos, but little is known about the overall burden and people's healthcare-seeking behavior for RI. Understanding the burden of RI and community patterns of healthcare-seeking behavior would provide better guidance for Lao public health program and ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-444
更新日期:2013-05-04 00:00:00
abstract:BACKGROUND:Introduction of human papillomavirus (HPV) vaccine in national programs has proceeded apace since 2006, mostly in high-income countries. Recently concluded pilots of HPV vaccination in low-income countries have provided important lessons learned for these settings; however, rigorous evaluations of the feasib...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-556
更新日期:2014-06-05 00:00:00
abstract:BACKGROUND:Weight gain that commonly accompanies smoking cessation can undermine a person's attempt to quit and increase the risk for metabolic disorders. Research indicates that obese smokers have more weight concerns and gain more weight after quitting than non-obese smokers, yet little is known about possible reason...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-1229
更新日期:2014-11-27 00:00:00
abstract:BACKGROUND:Aboriginal and Torres Strait Islander children experience some of the highest rates of otitis media in the world. Key risk factors for otitis media in Aboriginal children in Australia are largely social and environmental factors such as overcrowded housing, poverty and limited access to services. Despite thi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08570-3
更新日期:2020-04-15 00:00:00
abstract:BACKGROUND:Injection overuse and unsafe injection practices facilitate transmission of bloodborne pathogens such as hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). Anecdotal reports of unsafe and unnecessary therapeutic injections and the high prevalence of HBV (8.0%), HCV (6.5...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-5-56
更新日期:2005-06-02 00:00:00
abstract:BACKGROUND:Many factors have been associated with circulation of the dengue fever virus and vector, although the dynamics of transmission are not yet fully understood. The aim of this work is to estimate the spatial distribution of the risk of dengue fever in an area of continuous dengue occurrence. METHODS:This is a ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-355
更新日期:2011-05-20 00:00:00
abstract:BACKGROUND:Despite the known health and healthcare costs of untreated chlamydia infection and the efforts of the National Chlamydia Screening Programme (NCSP) to control chlamydia through early detection and treatment of asymptomatic infection, the rates of screening are well below the 2010-2011 target rate of 35%. Gen...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-616
更新日期:2010-10-18 00:00:00
abstract:BACKGROUND:This study aimed to investigate the validity of the Active Australia Survey across different subgroups and its responsiveness to change, as few previous studies have examined this. METHODS:The Active Australia Survey was validated against the ActiGraph as an objective measure of physical activity. Participa...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6717-1
更新日期:2019-04-15 00:00:00
abstract:BACKGROUND:Regular HIV testing is vital for timely linkage to the HIV care continuum and ensuring the success of behavioral and biomedical interventions to prevent HIV acquisition. Men who have sex with men (MSM) are a key population for HIV prevention, treatment, and care efforts globally. This study measures the fact...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-1220
更新日期:2014-11-25 00:00:00
abstract:BACKGROUND:Obesity and caries are common conditions in childhood and can have significant implications on children's wellbeing. Evidence into their association remains conflicting. Furthermore, studies examining the ssociation between obesity and caries commonly focus on individual-level determinants. The present study...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5156-8
更新日期:2018-02-17 00:00:00
abstract:BACKGROUND:Common disease risk clusters in families due to shared genetics, exposure to environmental risk factors, and because many health behaviours are established and maintained in family environments. This randomised controlled trial will test whether the provision of a family health history (FHH) risk assessment ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-016-3623-7
更新日期:2016-09-13 00:00:00
abstract:BACKGROUND:Salmonella is an infectious agents causing numerous cases of illness each year, and thereby having significant economic impact. Using returning Swedish travellers we estimated the burden of salmonellosis in different European countries. METHODS:From the Swedish database on notifiable communicable diseases 1...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-4
更新日期:2006-01-10 00:00:00
abstract:BACKGROUND:Lack of physical activity (PA) is a growing public health concern. There is a growing body of literature that suggests a positive relationship may exist between the amount of local green space near one's home and PA levels. For instance, park proximity has been shown to predict PA levels amongst certain popu...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3050-9
更新日期:2016-05-20 00:00:00
abstract:BACKGROUND:Childhood mental health problems are highly prevalent, experienced by one in five children living in socioeconomically disadvantaged families. Although childcare settings, including family day care are ideal to promote children's social and emotional wellbeing at a population level in a sustainable way, fami...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-11-842
更新日期:2011-11-03 00:00:00
abstract:BACKGROUND:HIV and Non communicable diseases (NCDs) are major problem of public health importance in developing countries. This study was conducted to explore and establish information on the magnitude, distribution of NCDs risk factors among people living with HIV (PLWHIV) which is scarce in Tanzania. METHOD:A cross ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-904
更新日期:2014-09-02 00:00:00
abstract:BACKGROUND:Evidence on the differential impacts of the global food crisis as it translates into chronic food insecurity locally is essential to design food security interventions targeting the most vulnerable population groups. There are no studies on the extent of chronic food insecurity or its predictors among adoles...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-604
更新日期:2012-08-03 00:00:00
abstract:BACKGROUND:In 2016, India reported 709 acute diarrheal disease (ADD) outbreaks (> 25% of all outbreaks). Tribal populations are at higher risk with 27% not having accessibility to safe drinking water and 75% households not having toilets. On June 26, 2017 Pedda-Gujjul-Thanda, a tribal village reported an acute diarrhea...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-8263-2
更新日期:2020-02-14 00:00:00
abstract:BACKGROUND:There is limited evidence for the effectiveness of social media to promote healthy behaviour among Indigenous Australians, including to reduce smoking. Social media has significant potential to stimulate interpersonal influence to quit, however an important knowledge gap is how and what content people choose...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6918-7
更新日期:2019-05-21 00:00:00
abstract:BACKGROUND:Electronic cigarettes (e-cigarettes) are popular alternatives to conventional cigarettes among adult smokers wishing to reduce their exposure to harmful smoke constituents. However, little information exists on the relative internal exposures resulting from the exclusive or dual use of e-cigarettes. METHODS...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-016-3236-1
更新日期:2016-07-11 00:00:00
abstract:BACKGROUND:Consistent findings about the effectiveness of parent programs to prevent or reduce child maltreatment are lacking. METHODS:In the present meta-analysis we synthesized findings from 27 independent samples from randomized controlled trials (RCTs) on the effectiveness of 20 different intervention programs aim...
journal_title:BMC public health
pub_type: 杂志文章,meta分析
doi:10.1186/s12889-015-2387-9
更新日期:2015-10-18 00:00:00
abstract:BACKGROUND:Compared with whites, sleep disturbance and sleep deprivation appear more prevalent in African Americans (AA). Long-term sleep deprivation may increase the risk of obesity through multiple metabolic and endocrine alterations. Previous studies have reported contradictory results on the association between hab...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-581
更新日期:2010-09-28 00:00:00
abstract:BACKGROUND:The purpose of this study was to investigate the association between mean body mass index (BMI) and prevalence of obesity in adult populations living in Brazilian State capitals. METHODS:An ecological study was conducted, using data from the National Household Budget Survey conducted in July 2002 through Ju...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1637-1
更新日期:2015-04-02 00:00:00
abstract:BACKGROUND:The decreasing suicide rate in China has been regarded as a major contributor to the decline of global suicide rate in the past decade. However, previous estimations on China's suicide rates might not be accurate, since often they were based on the data from the Ministry of Health's Vital Registration ("MOH-...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5161-y
更新日期:2018-02-13 00:00:00
abstract:BACKGROUND:Most estimates of HIV prevalence have been based on sentinel surveillance of pregnant women which may either under-estimate or over-estimate the actual prevalence in adult female population. One situation which can lead to either an underestimate or an overestimate of the actual HIV prevalence is where there...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-309
更新日期:2008-09-11 00:00:00
abstract:BACKGROUND:In developed countries, adolescent and young adult diets have been found to be nutritionally poor. The aim of this study was to examine whether a choice architecture intervention, re-arrangement of produce within a grocery store to increase the accessibility of fruit and vegetables, affected purchasing behav...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6063-8
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:The management of health care, particularly for people with chronic conditions, combines the activities of health professionals, patients, informal carers and social networks that support them. Understanding the non-professional roles in health management requires information about the health related activit...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-12-1044
更新日期:2012-12-03 00:00:00
abstract:BACKGROUND:Acceptability is a critical requisite in establishing feasibility when planning a larger effectiveness trial. This study assessed the acceptability of conducting a feasibility randomized clinical trial of a 20-week microenterprise intervention for economically-vulnerable African-American young adults, aged 1...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09904-x
更新日期:2020-12-02 00:00:00
abstract:BACKGROUND:The association between risky sexual behaviours and substance uses among Ghanaian youth were investigated. METHODS:An in-school cross-sectional representative survey was conducted among 12-18-year- old youth in Ghana in 2008 (N = 1195, response rate =90%). Logistic regression analyses were employed to inves...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-571
更新日期:2012-07-29 00:00:00