Evaluation of availability, accessibility and prescribing pattern of medicines in the Islamic Republic of Iran

East Mediterr Health J. 2004 May;10(3):406-15.

Abstract

Prescribing, dispensing, availability and affordability of drugs were evaluated in 100 primary health care centres in 5 provinces of the Islamic Republic of Iran using WHO indicators. On average, 92% of the 12 essential drugs monitored were available in the health centre pharmacies and 95% of the drugs prescribed by the physician were dispensed by the health centre pharmacy. The stock-out duration was less than 1 month on average. A complete treatment for pneumonia cost only 2% of the lowest weekly government salary. The national average number of drugs per prescription was 3.4. Prescription of antibiotics and injectable drugs was very high (58% and 41% respectively). Although availability and affordability of essential drugs is good in this country, rational use of drugs needs to be emphasized.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / economics
  • Anti-Bacterial Agents / therapeutic use
  • Drug Costs / statistics & numerical data
  • Drug Prescriptions / statistics & numerical data*
  • Drug Storage / statistics & numerical data
  • Drug Utilization / economics
  • Drugs, Essential* / economics
  • Drugs, Essential* / supply & distribution
  • Drugs, Essential* / therapeutic use
  • Efficiency, Organizational
  • Guideline Adherence / statistics & numerical data
  • Health Care Surveys
  • Health Policy
  • Health Services Accessibility / statistics & numerical data*
  • Health Services Needs and Demand
  • Humans
  • Iran
  • National Health Programs / organization & administration
  • Pharmacies / organization & administration
  • Pharmacopoeias as Topic
  • Pneumonia / drug therapy
  • Pneumonia / economics
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Quality Indicators, Health Care
  • Salaries and Fringe Benefits / statistics & numerical data

Substances

  • Anti-Bacterial Agents
  • Drugs, Essential