Strategic Assessment of Rational Drugs use in Tertiary Care Hospital Peshawar, Pakistan

Background: Rational drugs are safe, effective and medico-socio-economical for the patients. The rational use of drugs required to achieve the optimal state of the patient by community affordable cost, the “WHO” indicator for rational drug use is consists of three indicators includes prescription indicator, patient care indicator and facility indicator. Methods: The study carried out in Tertiary care hospital in order to assess the WHO” indicators include Prescription indicator, patient care indicator and facility indicator. Results: The concurrent quantitative study of 202 patients carried out in Tertiary Care Hospital in which 111 (54.9%) were male and 91 (45.1%) were female. The (WHO) facility indicator utilized for patient drugs use, which is consists of 3 main indicators in which first indicator is about the prescriber indicator in which slight deviations found in which average number of drugs prescription was 5.1 (S.D 3.3), drugs with generic name in percent per encounter were 4 (0.38%) in which (S.D 99.62%), antibiotics and injectables were respectively (18.7%), (34.6%) and drugs from EDL were (81.8%), second indicator is patient care indicator which also deviates includes total time for consultation which was 5 minutes (S.D 25 min), second is about total dispensing time was 50 seconds (S.D 10 seconds), third is about percent of drugs proper dispensed was 71% (S.D 29%) and percent of patients discharged with proper knowledge regarding the drugs doses was 48% (S.D 52%) and the third one is facility indicator which is completely followed, while the rest of two slightly deviates, thus it should be followed completely to achieve the rational use of drugs in order to achieve optimal therapeutic outcomes. Conclusion: The current study concluded that the “WHO” indicators are the standard for rational use of drugs these should be utilized in every health care facility in order to achieve optimal patient therapeutic outcomes.