Evaluation of academic detailing programme on childhood diarrhoea management by primary healthcare providers in Banke district of Nepal.
Academic detailing is rarely practised in developing countries. A randomized control trial on healthcare service was conducted to evaluate the impact of academic detailing programme on the adherence of primary healthcare providers in Banke district, Nepal, to childhood diarrhoea treatment guidelines recommended by World Health Organization/United Nations Children's Fund (WHO/UNICEF). The participants (N=209) were systematically divided into control and intervention groups. Four different academic detailing sessions on childhood diarrhoea management were given to participants in the intervention group. At baseline, 6% of the participants in the control and 8.3% in the intervention group were adhering to the treatment guidelines which significantly (p < 0.05) increased among participants in the intervention (65.1%) than in the control group (16.0%) at the first follow-up. At the second follow-up, 69.7% of participants in the intervention group were adhering to the guidelines, which was significantly (p < 0.05) greater than those in the control group (19.0%). Data also showed significant improvement in prescribing pattern of the participants in the intervention group compared to the control group. Therefore, academic detailing can be used for promoting adherence to treatment guidelines in developing countries, like Nepal.
Department of Pharmacy, Sunsari Technical College, Dharan, Nepal; 2College of Pharmacy, Qatar University, Doha, Qatar. khanalsaval@gmail.com
Saval
S
Khanal
Mohamed Izham B Mohamed
MI
Ibrahim
Pathiyil Ravi
PR
Shankar
Subish
S
Palaian
Pranaya
P
Mishra
D000328:Adult; D003695:Delivery of Health Care / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data; D003906:Developing Countries; D003967:Diarrhea / Q000188:drug therapy* / Q000191:economics; D004502:Education, Medical, Continuing / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence / Q000191:economics / Q000706:statistics & numerical data*; D006282:Health Personnel / Q000193:education; D006801:Humans; D008297:Male; D008875:Middle Aged; D009390:Nepal; D010818:Practice Patterns, Physicians' / Q000191:economics / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000191:economics / Q000379:methods* / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000379:methods* / Q000706:statistics & numerical data; D014480:United Nations; D014944:World Health Organization; D055815:Young Adult