Diagnostic and prescribing practices in peripheral health facilities in rural western Kenya

Am J Trop Med Hyg. 2003 Apr;68(4 Suppl):44-9.

Abstract

Health facility ledgers of 11 rural health facilities in western Kenya were reviewed to evaluate diagnostic and prescribing practices. Clinics lacked laboratory facilities. Of 14,267 sick child visits (SCVs), 76% were diagnosed with malaria and/or upper respiratory infections. Other diagnoses were recorded in less than 5% of SCVs. Although two-thirds of malaria cases were diagnosed with co-infections, less than 3% were concomitantly diagnosed with anemia. Chloroquine and penicillin constituted 94% of prescriptions. Half of children given a sole diagnosis of measles or pneumonia were prescribed chloroquine, and 22% of children with a sole diagnosis of malaria were given penicillin. Antimalarials other than chloroquine were rarely prescribed. Only 12% of children diagnosed with anemia were prescribed iron supplementation, while 53% received folic acid. This study highlights limited diagnostic and prescribing practices and a lack of adherence to national treatment guidelines in rural western Kenya.

Publication types

  • Multicenter Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Age Factors
  • Black People
  • Child Health Services / statistics & numerical data*
  • Child, Preschool
  • Drug Prescriptions* / statistics & numerical data
  • Ethnicity
  • Humans
  • Infant
  • Infant, Newborn
  • Kenya
  • Malaria / diagnosis
  • Malaria / drug therapy
  • Malaria / epidemiology
  • Respiratory Tract Infections / diagnosis
  • Respiratory Tract Infections / drug therapy
  • Respiratory Tract Infections / epidemiology
  • Rural Health Services / statistics & numerical data*