PHP26 - Assessment of Prescribing Indicators in Public and Private Primary Health Care Facilities in Indonesia

Abstract

The assessment of prescribing indicators is beneficial to understand prescribing rationality and drug utilization. Drug utilization has to be monitored regularly and prescribing indicator is one easy core indicator to evaluate it as stated in WHO guideline. This study aimed to assess the prescribing pattern in public and private primary health care facilities which were included in the National Health Insurance Program in Indonesia. A retrospective, quantitative, and cross-sectional survey designed to describe the prescribing practices at primary health care facilities in 4 provinces in Java Island, Indonesia. The study was conducted in May-June 2014. This study collected 757 prescriptions from 26 PHCs and 900 prescriptions from 30 clinic or General Practitioners (GPs). All data in the prescribing form were analyzed manually using Microsoft Excel 2007. The average number of item in public and private facilities was 3.31 and 3.06 respectively. The percentage of generic prescribing was 93.3% and 62,0% while the percentage of drugs in accordance with the 2013 national formulary was 89.0% and 64.5% in public and private facilities. The percentage of antibiotic per total number of encounter was 42.8% and 39.4% while the percentage of injection per total encounter was only 0.7% and 2.2% in public and private facilities. Paracetamol and dexamethasone were the most frequent drugs prescribed while for antibiotic group were amoxicillin, ciprofloxacin, cotrimoxazole and cefadroxil. Based on the finding, it showed that the prescribing pattern for average number of items per encounter and antibiotic were not met the WHO standard. It inferred the necessity to develop suitable intervention to improve the prescribing practices in Indonesia.