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Table 4 Summary of prescribing indicators at PHCs within the WHO African region

From: Prescribing indicators at primary health care centers within the WHO African region: a systematic analysis (1995–2015)

 

Prescribing indicators

Average number of medicines prescribed per encountera

Percentage of medicines prescribed by generic name

Percentage of encountersb with an antibiotic prescribed

Percentage of encountersb with an injection prescribed

Percentage of medicines prescribed from an essential medicines list

WHO reference values [12, 13]

<2

100 %

<30 %

<20 %

100 %

Facility type

 All

3.1 (IQR 2.3–4.8)

68.0 % (IQR 55.4–80.3)

46.8 % (IQR 33.7–62.8)

25.0 % (IQR 18.7–39.5)

88.0 % (IQR 76.3–94.1)

n = 138,671

n = 121,797

n = 120,422

n = 40,096

n = 33,140

 Publica

2.6 (IQR 2.2–4.7)

68.9 % (IQR 57.6–84.5)

45.0 % (IQR 30.1–60.2)

25.6 % (IQR 14.1–4.8)

89.9 % (82.9–95.6)

n = 44,596

n = 28,046

n = 26,071

n = 28,400

n = 23,044

 Privatea

2.5 (IQR 2.3–3.2)

61.3 % (IQR 47.7–75.7)

51.3 % (IQR 37.5–66.6)

29.0 % (IQR 19.0–39.5)

84.0 % (IQR 69.8–91.9)

n = 92,475

n = 92,151

n = 92,751

n = 10,096

n = 8496

Studies publication period

 1995–2005

2.4 (IQR 2.3–4.0)

64.2 % (IQR 51.9–77.9)

43.1 % (IQR 33.7–61.7)

25.0 % (IQR 17.1–41.4)

87.1 % (IQR 84.9–92.0)

n = 25,289

n = 13,949

n = 15,971

n = 14,549

n = 10,324

 2006–2015

3.5 (IQR 2.2–5.6)

70.4 % (IQR 60.7-81.1)

49.0 % (IQR 37.8–63.1)

24.8 % (IQR 18.7–37.4)

88.9 % (IQR 70.8–94.0)

n = 113,382

n = 107,848

n = 104,451

n = 25,547

n = 22,816

  1. IQR interquartile range, n total number of patient encounters used in analysis, aexcludes Ahiabu et al. [32] which did not provide individual results for public and private facilities