|
|
| |
| Articles
by
Aminu Chika |
Total Records (
2 ) for
Aminu Chika |
|
 |
| |
|
| |
Muhammad Tukur Umar
,
Aminu Chika
and
Abdulgafar O. Jimoh
|
| |
This study assess the level of compliance to prescription of ACT in treatment of uncomplicated malaria among primary health care providers as recommended by WHO in the study area so as to identify likely encountered problems and offer dependable solutions to enhance better management of uncomplicated malaria cases at this level of health care. Fifteen primary health care facilities were selected by multi-stage randomly sampling, five in each of the three senatorial zones. Only health personnel that prescribe drugs in a health facility were recruited in the study. Data on demographic profiles, diagnosis of malaria, first line drugs for uncomplicated malaria, awareness on ACT, availability and cost were collected using self-administered questionnaires. The data in this study revealed that 40% of all anti-malaria prescribed was ACT as first line for uncomplicated malaria. Chloroquine ranked second, use of inefficient combination and artemesinin based monotherapy were also common. Only 12% of pregnant women at first trimester had appropriate prescription and awareness of the respondents on ACT was generally poor. The pattern of anti-malaria prescription in these centres was more on the basis of availability of ACT made through donation than on the recommendation by WHO and National Policy on Malaria treatment. There was need to improve the awareness of ACT in this cadre of health care providers through seminars and workshops. |
|
|
| |
|
| |
AbdulGafar O. Jimoh
,
Anas A. Sabir
,
Aminu Chika
and
Zuwaira Sani
|
| |
To study the pattern of drug prescription among diabetic patients attending the endocrinology clinic of a tertiary health centre in Nigeria with the aim of evaluating the degree of physicians’ compliance to current evidence and clinical guidelines. This is a descriptive cross sectional study using case notes for 469 patients with mean age of 46.5±12.5 years and male: female ratio of 1:1.5. Information of interest including demographic details, indication for drug use, concurrent illness and medications prescribed including dosages were extracted using a pre piloted data collection form. Majority of the patients (90.3%) had type 2 diabetes. The percentages of patients on antidiabetic monotherapy and combination therapy were 24.8 and 75.2, respectively. Of the 348 patients on antidiabetic combination therapy, 293 (84.2%) and 55 (15.8%) were on 2 and 3 drugs, respectively. Overall, metformin was the most frequently prescribed antidiabetic agent (81.9%). However, as monotherapy, metformin was overtaken by insulin as the most frequently utilized (32.2% for insulin versus 29.6% for metformin). Hypertension was the most frequent comorbid condition (43.9%) observed in the study and antihypertensive agents, particularly angiotensin converting enzyme inhibitors (the most commonly prescribed antihypertensive agent) was found to be the most frequently utilized non-antidiabetic drugs. About 38% of the patients having both diabetes and hypertension were on Angiotensin Converting Enzyme Inhibitor (ACEI) /Angiotensin Receptor Blocker (ARB) monotherapy. This study revealed that the pattern of antidiabetic prescription was rational and largely compliant with clinical guidelines. However, antihypertensive agents were found to be underutilized for managing patients with both diabetes and hypertension. |
|
|
|
|
| |
|
