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Sadegipoor Hr, Eftekharardabili H, Zeraati H, Mosleh A,
Volume 61, Issue 4 (15 2003)
Abstract

This research studies the quality of medical prescriptions for children under 5 years of age and their effective factors carried out by Behvarzes at Eslamshar town.
Materials and Methods: The study took place in 19 health houses considering the medical family files of patient children seeking for medical care by 33 Behvarz for quality of medical prescription. Two questionnaire were used for the study. The first questionnaire contained information about children medical prescription and variables evaluated in relation to medical prescription dose, duration of consumption and the cure duration period, which carried out for both girl and boy group separately. The second questionnaire contained information about the condition of working Behvarzes demographic in health houses considered variable for Behvarzes are: Age, Sex , experience, education, place of residence marital status.
Results: The important points of the study are as follow: - In cases that according to Behvarzy training patient follow up is necessary, 56.9%of the needed cases did not full fill the appropriate and necessary follow up program. - One of the important constraints of the research is the high percent of unrecorded cases by Behvarzes including:
1 - 1.2% unknown medical prescriptions.
2- 44.2% unknown dose of prescribed medicine
3- 52.4% unknown care duration period
4- 36.5% unknown period of time for taking the medicine. Conclusion: According to the information:

1- 64.9 dose of prescribed medicine
2- 73.2 period of time for taking the medicine
3- 84.1 care duration period There were appropriate.


Mosleh A, Darbooy Sh, Khoshnevis Ansari Sh, Mohammadi M,
Volume 65, Issue 14 (Vol 65, Supplement 2 2008)
Abstract

Background: Rationalize of drug use in societies is one of the main responsibilities of health policy makers. In our country irrational use of dugs has increased in the recent years, for example one study in 1998 has shown that average number of medicines per prescription was 3.6, percentage of prescriptions containing antibiotics was 43% and percentage of prescriptions containing Injections was 39%. One of the best tools for evaluation of drug use is the WHO guideline for calculating prescribing indicators. In this study, we had an assessment about prescribing patterns in South of Tehran, Islamshahr and Rey Health Centers.
Methods: In order to evaluating prescribing indicators in Tehran University of Medical Sciences region 35 facilities which had pharmacy were selected according to WHO gridline and 4190 prescription from these facilities were studied. Indicators were calculated according to formulas has explained in article. Results: The average number of drug per prescription was 2.58, percentage of drug prescribed by generic name: 99.8%, percentage of encounters prescribed Antibiotics: 62.39% percentage of encounters prescribed Injection: 28.96% & the percentage of drugs prescribed from PHC formulary 99.46%. These findings were almost similar in the three Health Centers.
Conclusions: Health facilities are one of the most important bases to improve rational use of Drugs and general practitioners are the major chain in RUD cycle. Results show that we need to design intervention especially educational interventions to improve two WHO prescribing indicators, percentage of encounters prescribed Antibiotics & Injections in this region. For reaching this goals we need to design educational programs for physicians, pharmacists and people too. These educations can be as workshops, seminars, conferences or printed materials such as books, leaflets and etc

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