Abstract:
Background: The number of inappropriate prescriptions for
sexually transmitted infections (STIs) in Sudan is suspected to
be high. Simple multifaceted interventions directed at
prescribers may improve prescribing patterns in the Sudan.
Objective: To evaluate the effect of multifaceted interventions
on prescribing for STIs in the White Nile State, Sudan.
Methods: The study involved 20 health centres randomly
assigned to four different multifaceted interventions to
improve prescribing.
Results: Prescriber targeted interventions involving audit and
feedback together with academic detailing and practice
guidelines reduced the number of inappropriate prescriptions
by 50% (p,0.001). Audit and feedback together with
seminars and practice guidelines reduced inappropriate
prescriptions by 43% (p,0.001). Audit and feedback alone
reduced inappropriate prescriptions by 16% (p = 0.127).
Conclusion: Prescribing for STIs in the White Nile State of
Sudan needs improving. Multifaceted interventions appear
effective in improving prescribing.
