Evaluation of Academic Detailing Programme on Childhood Diarrhoea Management by Primary Healthcare Providers in Banke District of Nepal

Authors

  • Saval Khanal Department of Pharmacy, Sunsari Technical College, Dharan,
  • Mohamed Izham B Mohamed Ibrahim College of Pharmacy, Qatar University, Doha,
  • Pathiyil Ravi Shankar Department of Clinical Pharmacology and Therapeutics, KIST Medical College, Lalitpur,
  • Subish Palaian Department of Pharmacology, College of Medical Sciences, Bharatpur,
  • Pranaya Mishra Department of Pharmacology, Manipal College of Medical Sciences, Pokhara,

DOI:

https://doi.org/10.3329/jhpn.v31i2.16388

Keywords:

Academic detailing, Developing countries, Diarrhoea, Oral rehydration solution, Primary healthcare, Zinc, Nepal

Abstract

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 Childrens 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.

J HEALTH POPUL NUTR 2013 Jun; 31(2): 231-242

DOI: http://dx.doi.org/10.3329/jhpn.v31i2.16388

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Published

2013-09-09

How to Cite

Khanal, S., Ibrahim, M. I. B. M., Shankar, P. R., Palaian, S., & Mishra, P. (2013). Evaluation of Academic Detailing Programme on Childhood Diarrhoea Management by Primary Healthcare Providers in Banke District of Nepal. Journal of Health, Population and Nutrition, 31(2), 231–242. https://doi.org/10.3329/jhpn.v31i2.16388

Issue

Vol. 31 No. 2 (2013)

Section

Original Papers