Treatment in Kenyan rural health facilities: projected drug costs using the WHO-UNICEF integrated management of childhood illness (IMCI) guidelines.

摘要: Guidelines for the integrated management of childhood illness (IMCI) in peripheral health facilities have been developed by WHO and UNICEF to improve recognition treatment common causes death. To evaluate impact guidelines on costs, we compared cost drugs actually prescribed a sample 747 sick children aged 2-59 months rural western Kenya with had managed using IMCI guidelines. The average per child was US$ 0.44 (1996 US$). Antibiotics were most costly component, phenoxymethylpenicillin syrup accounting 59% all prescribed. Of 295 prescriptions syrup, 223 (76%) colds or cough. that would same ranged from 0.16 patient (based formulary larger-dose tablets home remedy cough) 0.39 syrups paediatric-dose commercial cough preparation). Treatment coughs antibiotics is not recommended Kenyan Compliance existing acute respiratory infections halved estimated needed treat less than prescribed, but varied considerably depending dosage forms whether preparation used.