Ridha, Z., Al-Saadi, S., Abdulraheem, Y. (2025). Rational Use and Prescribing Pattern of Drugs in Primary Health Care Centers. , 24(2), 238-246. doi: 10.52573/ipmj.2025.147797
Zaid Fareed Ridha; Shatha R. Al-Saadi; Yousif Abdulraheem. "Rational Use and Prescribing Pattern of Drugs in Primary Health Care Centers". , 24, 2, 2025, 238-246. doi: 10.52573/ipmj.2025.147797
Ridha, Z., Al-Saadi, S., Abdulraheem, Y. (2025). 'Rational Use and Prescribing Pattern of Drugs in Primary Health Care Centers', , 24(2), pp. 238-246. doi: 10.52573/ipmj.2025.147797
Ridha, Z., Al-Saadi, S., Abdulraheem, Y. Rational Use and Prescribing Pattern of Drugs in Primary Health Care Centers. , 2025; 24(2): 238-246. doi: 10.52573/ipmj.2025.147797

Rational Use and Prescribing Pattern of Drugs in Primary Health Care Centers

Iraqi Postgraduate Medical Journal
Article 13, Volume 24, Issue 2, April 2025, Pages 238-246    PDF (427.27 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2025.147797
Authors
Zaid Fareed Ridha* 1; Shatha R. Al-Saadi2; Yousif Abdulraheem3
1Community medicine specialist at public Health Directorate/moh
2FIBMS/Dermatology and Venereology; Dermatologist at AlRusafa allergy specialized center/ Baghdad-Iraq
3chairman of Iraqi committee for family and community medicine
Abstract
Background: The World health organization approximates that >50% of all medications are incorrectly prescribed, distributed, or sold. In Iraq, several serious issues and challenges arise in this matter, including minimal professional categorization of drug prescription, inept patient counseling, and finally high proportion of remedies being misused.

Objective: This study aims to measure the performance of the primary health care centers regarding the use of medications and if they match what is proposed by the WHO drug use indicators and their prescribing patterns.

Methodology: A cross sectional study was conducted on prescriptions from 1st of January to last of December 2019 in 20 PHCCs in Baghdad, Iraq. A sample of 1200 prescriptions that met the inclusion criteria were included in this study. Data collection was done by prescriptions review and prescribing indicators were measured in a special form.

Results: Drug rate per prescription was 2.33 items, ABs were prescribed in 76.3% of the 1200 reviewed prescriptions, while the percentage of injections was 8.9%, prescribing was in generic names in 24.3% and 100% from EML. The main antibiotic prescribed was amoxicillin. and injectable diclofenac for adult age group.

Conclusions: Prescribing indicators were below optimal (polypharmacy, Abs percentage and generic name) except for encounters with injections prescribed and prescribing from EML.

Keywords: Prescription, Pattern of Drugs, Primary Health Care, Baghdad
Keywords
Prescription; Pattern of Drugs; Primary Health Care; Baghdad
References
  1. https://iris.who.int/bitstream/handle/10665/78334/WHO_EMP_MIE_2011.2.4_eng.pdf . [Google Scholar]
  2. World Health Organization . World Medicines Situation Report 2011. World Health Organization; Geneva, Switzerland: 2011. [Google Scholar]
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616907/.
  4. Seiter A. A practical approach to pharmaceutical policy. World Bank Publications; 2010 Jun 17.
  5. https://extranet.who.int/agefriendlyworld/wp-content/uploads/2014/06/WHo-Global-report-on-falls-prevention-in-older-age.pdf .
  6. Shivhare SC, Kunjwani HK, Manikrao AM, Bondre AV. Drugs hazards and rational use of drugs: a review. J Chem Pharm Res. 2010;2(1):106-2.
  7. WHO | How to Investigate Drug Use in Health Facilities: Selected Drug Use Indicators. 2015 [cited 2019 ]; Available from: http://www.who.int/medicines/publications/how-to-investigate_drug-use/en/
  8. Dong L, Yan H, Wang D. Drugs prescribing indicators in village health clinics across 10 province of western China. Fam Pract 2011; 28(1): 63–67.
  9. Mahalli AA. WHO/INRUD drug prescribing indicators at primary healthcare centers in Eastern Province, Saudi Arabia. Eastern Mediterr Health J 2012; 18(11): 1091–96.
  10. Akl OA, El Mahalli AA, Elkahky AA, Salem AM. WHO/INRUD drug use indicators at primary healthcare centers in Alexandria, Egypt. Journal of Taibah University Medical Sciences. 2014;9(1):54-64.
  11. Assessment of drug use pattern using WHO prescribingindicators at Hawassa University teaching and referral hospital, south Ethiopia: across-sectional study. BMC Health Serv Res 2013;13:170.
  12. The evolving threat of antimicrobial resistance Options for action [Internet]. 2012. Available from: www.who.int/patientsafety/en/
  13. Anong DN, Akoachere JF. Prescribing patterns and associated factors of antibiotic prescription in primary health care facilities of Kumbo East and Kumbo West Health Districts, North West Cameroon. PloS one. 2018 Mar 5;13(3):e0193353.
  14. Azam S, Khan N, Rehman N, Khan I, Ali A, Asghar M, Hayat A, Mujib G, Farid A. Molecular characterization and mutational analysis of fluoroquinolones and tetracycline resistant genes of Escherichia coli isolated from UTI patients. Brazilian Archives of Biology and Technology. 2022 Jul 25;65:e22210199.
  15. Smith DR, Dolk FC, Smieszek T, Robotham JV, Pouwels KB. Understanding the gender gap in antibiotic prescribing: a cross-sectional analysis of English primary care. BMJ open. 2018 ;8(2):e020203.
  16. Havenga DM, Govender J, Lewis C. ‘This won’t hurt a bit!’–A descriptive review of health care professionals’ pharmacological management of pain in minor trauma. South African Family Practice. 2021;63(2).
 

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