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The Journal of Health, Population and Nutrition
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ISSN: 1606-0997 EISSN: 1606-0997
Vol. 31, No. 2, 2013, pp. 231-242
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Bioline Code: hn13027
Full paper language: English
Document type: Research Article
Document available free of charge
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The Journal of Health, Population and Nutrition, Vol. 31, No. 2, 2013, pp. 231-242
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Evaluation of Academic Detailing Programme on Childhood Diarrhoea Management by Primary Healthcare Providers in Banke District of Nepal
Khanal, Saval; Ibrahim, Mohamed Izham b. Mohamed; Shankar, Pathiyil Ravi; Palaian, Subish & Mishra, Pranaya
Abstract
Academic detailing is rarely practised in developing countries. A randomized control trial on healthcare
service was conducted to evaluate the impact of academic detailing programme on the adherence of
primary healthcare providers in Banke district, Nepal, to childhood diarrhoea treatment guidelines recommended
by World Health Organization/United Nations Children’s Fund (WHO/UNICEF). The participants
(N=209) were systematically divided into control and intervention groups. Four different academic detailing
sessions on childhood diarrhoea management were given to participants in the intervention group. At
baseline, 6% of the participants in the control and 8.3% in the intervention group were adhering to the
treatment guidelines which significantly (p<0.05) increased among participants in the intervention (65.1%)
than in the control group (16.0%) at the first follow-up. At the second follow-up, 69.7% of participants
in the intervention group were adhering to the guidelines, which was significantly (p<0.05) greater than
those in the control group (19.0%). Data also showed significant improvement in prescribing pattern of the
participants in the intervention group compared to the control group. Therefore, academic detailing can be
used for promoting adherence to treatment guidelines in developing countries, like Nepal.
Keywords
Academic detailing; Developing countries; Diarrhoea; Oral rehydration solution; Primary healthcare; Zinc; Nepal
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