by Mary-Anne Ahiabu, Britt P Tersbøl, Richard Biritwum et al.
Health Policy Plan. (2015) – First published online: June 4, 2015
The study retrospectively assessed antibiotic prescription practices in four public and private primary health-care facilities in Eastern Region, Ghana using the WHO/International Network for the Rational Use of Drugs rational drug use indicators. The level of antibiotic use in primary health-care facilities was high and inappropriate use is probable considering the disease profile of Ghana. The limited use of diagnostic tools and non-adherence to standard treatment guidelines is contributing to the high level of antibiotic use. The main purchaser of health services in Ghana, the National Health Insurance Scheme, is strategically positioned to introduce systems that can modernize health-care delivery in Ghana, and this potential must be exploited in support of rational drug use.