Khanal, Saval
(2010)
A Study Assessing The Impact Of Academic Detailing Program On Childhood Diarrhoeamanagement Among The Primary Healthcare Providers In Banke Region, Nepal.
Masters thesis, Universiti Sains Malaysia.
Abstract
Childhood diarrhoea is common in Nepal. Studies had reported poor knowledge and
irrational prescribing practice among healthcare professionals for childhood diarrhoea
management. Academic detailing had been used to promote rational prescribing in
many developed countries, but uncommon in developing countries like Nepal. With this
background, a prospective interventional study was conducted in Banke district of
Nepal to evaluate the impact of academic detailing on childhood diarrhoea and its
management to the randomly divided 235 primary healthcare providers. Data on
knowledge, attitude and practice were collected with the help of validated semistructured
questionnaire; and data on prescribing pattern was collected with the help of
simulated clients. At baseline, Knowledge (K) score, Attitude (A) score, Practice (P)
score and Total KAP score for the participants in control group were 7, 38, 26 and 71,
respectively which was not significantly different than the participants of intervention
group. K-score, A-score, P-score and KAP-score for the participants in intervention
group were 7, 37, 25 and 70, respectively. However, it improved significantly in
participants of intervention group during first and second follow up phases of the study.
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