(1)Poor prescribing practices were demonstrated by providers in all settings, partly due to gaps in knowledge
Knowledge gaps included correct choice of drugs duration frequency dose .
(2) Prescribers widely recommended artesunate and quinine monotherapy for short durations (< 7 days)
Ineffective for ensuring treatment and may, theoretically, encourage drug resistance.
Polypharmacy with unnecessary or potentially dangerous drugs was common, especially in villages
Inappropriate use of injections and infusions increases risks and costs
(3)Government facilities had gaps
between government guidelines and
staff recommendations,particularly for severe malaria.
Explanation for the inconsistency between reported and actual behaviors may require additional study
Persons with fever seek treatment within 3 days of symptoms
The majority of persons with fever seek private medical treatment
Village providers are an important source of treatment recommendations
When treatment is unsuccessful, patients seek care in the public sector
National Malaria Centre of Cambodia
Rational Pharmaceutical Management Plus Program
World Health Organization
European Commission Cambodian Malaria Control Programme
Wellcome Trust Mahidol Oxford Trop. Med. Research Programme
PSF-CI Cambodia,
Project financed by ECHO
In collaboration with the Drug and Food Department
(Essential Drugs)
of the Ministry of Health of Cambodia,
2003
Published: (unknown)
ESSENTIAL DRUGS
Basic Information
for Health Center Staff and Drug sellers
Health Messenger Magazine is published by AMI in English and Khmer. Issue 6 was published in July 2000 and offers 67 pages of information on malaria. For a copy of this issue, contact hmess@bigpond.com.kh.
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