Page 89 - 78_04

MIND
LINES
AGAINST
GUIDELINES
IN
TREATMENT
OF
MALARIA
…

Table
5.-­-
Comparison
of
adherence
of
prescriptions
with
standard
treatment
guidelines
for
malaria

prescribed
in
public
and
private
tertiary
healthcare
facilities
in
the
two
cities.

Variables Adherence of prescriptions with standard treatment guidelines
for malaria

n Median U P value

Cities Islamabad = 300 Islamabad = 10

Rawalpindi = 300 Rawalpindi = 4.440 0.300
10

Sector Public = 300 Public = 10

Private = 300 Private = 10 4.468 0.389

Table
6.-­-
Comparison
of
adherence
of
prescribers
with
standard
treatment
guidelines
for
malaria

having
different
level
of
experience
and
designations
working
in
tertiary
healthcare
facilities.

Variables Adherence of prescribers with standard treatment guidelines for
malaria

n Median H P value

Less than 1 year = Less than 1 year =
121 10

Experience 1-5 years = 244 1-5 years = 10 6.482 0.090
1.213 0.560
6-10 years = 142 6-10 years = 10

More than 10 years More than 10 years
= 93 = 10

House officer = 206 House officer = 10

Medical officer = Medical officer =

Designation 346 10

Specialist = 48 Specialist = 10

4.
DISCUSSION

Irrational
use
of
drugs
is
a
major
challenge
faced
by
the
healthcare
systems

of
developing
countries.
Prescribing
of
anti-­-malarial
drugs
to
patients
without

evidence
of
malaria
parasitaemia
and
the
recurrent
absence
of
treatment
for

alternative
causes
of
disease
is
a
common
practice
at
healthcare
facilities
in
these

countries
(10).

507