Reducing Use of Injections Through Interactional Group Discussions: A Randomized Controlled Trial.
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Date
2010-05
Journal Title
Journal ISSN
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Abstract
Objective: To determine whether “interactional group
discussions” could reduce prescriptions of injections by
physicians.
Study design: Randomized controlled trial.
Setting: Rural public health care facilities, North 24
Parganas district, West Bengal, India.
Subjects: 72 medical officers, 36 each in intervention and
control groups.
Intervention: Interactional group discussions.
Outcome measure: Proportion of prescriptions including
at least one injection.
Results: In the intervention group, 249 of 1,080
prescriptions (23%) included at least one injection
compared with 79 of 1,080 prescriptions (7%) before and
after the intervention, respectively. (RR: 0.32, 95% CI:
0.25-0.40). In the control group, 231 of 1,080 prescriptions
(21%) included at least one injection before the
intervention vs 178 of 1,080 prescriptions (16%) after the
intervention (RR 0.77, 95% CI: 0.65-0.92).
Conclusion: Interactional group discussions reduce
prescription of injections.
Description
Keywords
India, Injection use, Interactional group discussion, Public health care facilities
Citation
Bhunia R, Hutin Y, Ramkrishnan R, Ghosh P K, Dey S, Murhekar M. Reducing Use of Injections Through Interactional Group Discussions: A Randomized Controlled Trial. Indian Pediatrics. 2010 May; 47(5): 409-414.