title: Evaluation of a successful intervention for sustainability and effects in post research phase.
abstract: BACKGROUND
  Promoting appropriate use of drugs is an essential element in achieving quality of health and medical cares for patients and the community, and also to minimize financial burden.
  
  
  OBJECTIVE
  The objective of this paper is to assess the successful intervention for sustainability and effects in post research phase. To address these problems, a variety of educational, managerial and regulatory strategies to improve prescribing have been tried in Nepal. When training is combined with a managerial intervention i.e. peer-group discussion, it results into improved changes in prescribing practices of paramedics in several practices.
  
  
  METHODS
  A prospective, three-way design study consisting of small group training, small group training followed by peer-group discussion and control was conducted in three regions of Nepal including one hill and two terai (plains) districts from each region. The study included all health post from the sampled districts, making 80 health posts the study population.
  
  
  RESULTS
  The study revealed the effectiveness of the peer-group discussion approach in improving the prescribing practices. An assessment to identify the sustainability of the strategy and its effect within the district healthcare system after the completion of the research phase was undertaken. The study found that peer-group discussion was discontinued in all targeted districts and the improved practices were not sustained after the completion of the research. Various reasons have been found for not continuing the effective intervention.
authors.affiliation: Department of Clinical Pharmacology, Institute of Medicine and International Network for Rational Use of Drugs, New Baneshwor, Kathmandu, Nepal. inrud@healthnet.org.np
authors.forename: K K
authors.initials: KK
authors.lastname: Kafle
authors.forename: S B
authors.initials: SB
authors.lastname: Karkee
authors.forename: R R
authors.initials: RR
authors.lastname: Prasad
authors.forename: G B
authors.initials: GB
authors.lastname: Bhuju
authors.forename: N
authors.initials: N
authors.lastname: Shrestha
authors.forename: P L
authors.initials: PL
authors.lastname: Das
authors.forename: A D
authors.initials: AD
authors.lastname: Shrestha
mesh_terms: D003142:Communication; D011307:Drug Prescriptions / Q000592:standards; D004363:Drug Utilization; D006801:Humans; D009390:Nepal; D010379:Peer Group; D015397:Program Evaluation; D011446:Prospective Studies; D012106:Research