Home page  |  Help  |  Clear
English  |  French
 Search  |  Categories  |  Titles A-Z  |  Countries  |  Compare countries  |  Index  
Full TOC
Expand Document
Expand Chapter
Preferences

close this bookAssessment of the Pharmaceutical Situation in Kenya - A Baseline Survey (HAI, WHO; 2003; 78 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the document1. EXECUTIVE SUMMARY
Open this folder and view contents2. INTRODUCTION
Open this folder and view contents3. SURVEY DESIGN AND METHODOLOGY
close this folder4. RESULTS AND ANALYSIS
Open this folder and view contents4.1 LEVEL I CORE INDICATORS
close this folder4.2 LEVEL II CORE INDICATORS
Open this folder and view contents4.2.1 ACCESS
Open this folder and view contents4.2.2 QUALITY AND SAFETY
Open this folder and view contents4.2.3 RATIONAL USE
View the document5. CONCLUSION
View the document6. POSITIVE ASPECTS AND AREAS FOR IMPROVEMENT IDENTIFIED
View the document7. SUMMARY OF RECOMMENDATIONS
Open this folder and view contentsAPPENDICES
 

4.2 LEVEL II CORE INDICATORS

Table 4.1 Summary of the national indicator values

Median and average values are presented below. However as averages can be skewed by outlying values, elsewhere in the presentation of results, medians are presented and discussed.

Public Sector Facilities

 

Median

Average

Availability of key medicines (%)

93.30

89.09

Expired medicines on shelves (%)

0.00

1.27

Adequate records (%)

93.30

76.21

Average stockout duration (days)

25.30

38.59

Conservation conditions, Storeroom (%)

68.75

65.92

Conservation conditions, Dispensing area (%)

75.00

67.50

Equivalent no. of day’s wages needed to pay for treatment

Pneumonia in adults

0.80

1.06

(cost of treatment divided by lowest government salary)

Pneumonia in children

0.47

0.47

 

Malaria in adults

0.59

0.55

 

Malaria in children

0.25

0.28

Ratio of cost of treatment

Pneumonia in adults

1.27

1.47

(treatment cost divided by minimum daily wage)

Pneumonia in children

0.67

0.64

 

Malaria in adults

0.70

0.77

 

Malaria in children

0.33

0.37

Average number of medicines per prescription

2.80

2.67

Prescribed medicines dispensed or administered (%)

80.15

73.70

Medicines adequately labelled (%)

13.45

17.03

Patients who know how to take medicines (%)

71.95

66.29

Average cost of visit (not including lab fees) (KShs)

49.70

85.55

Patients receiving antibiotics (%)

78.35

73.36

Patients receiving injections (%)

28.35

34.14

Prescribed medicines on EDL (%)

81.33

79.28

Medicines prescribed by INN (%)

48.00

48.57

STG guidelines in the facility (%)

13.0

   

EDL present in the facility (%)

17.0

   
 

Prescribed ORS (%)

25.00

37.81

Diarrhoea in children under age 5

Prescribed antibiotics (%)

50.00

44.43

 

Prescribed antidiarrhoeal and/or antispasmodic (%)

0.00

2.76

Mild/moderate (outpatient) pneumonia in children under age 5

Receiving any one first line antibiotic (%)

50.00

42.07

 

Receiving more than one antibiotic (%)

0.00

23.79

URTI

Prescribed antibiotics (%)

100.00

72.07

 

Receiving SP (%)

66.70

54.96

Malaria

Receiving other one antimalarial (%)

30.00

29.46

 

Receiving more than one antimalarial (%)

0.00

13.10

Regional Warehouses

 

Median

Average

Availability of key medicines (%)

86.70

82.64

Expired medicines on shelves (%)

0.00

6.86

Adequate records (%)

93.30

86.66

Average stockout duration (days)

25.90

43.70

Conservation conditions, Storeroom score (%)

62.50

60.00

Private Pharmacy Outlets

   

Median

Average

Availability of key medicines (%)

 

93.30

91.00

Expired medicines on shelves (%)

 

0.00

1.19

Equivalent no. of day’s wages needed to pay for treatment (cost of treatment divided by lowest government salary)

Pneumonia in adults

1.60

1.74

 

Pneumonia in children

0.87

0.93

 

Malaria in adults

0.43

0.48

 

Malaria in children

0.49

0.53

Ratio of cost of treatment(treatment cost divided by minimum daily wage)

Pneumonia in adults

2.37

2.55

 

Pneumonia in children

1.25

1.36

 

Malaria in adults

0.64

0.70

 

Malaria in children

0.70

0.80

Access and use of Medicines at Household Level

 

Median

Average

Households surveyed (%)

Within 5km

33

38

 

5-10 km

30

33

 

More than 10 km

30

27

Male (%)

44

46

Female (%)

57

54

Under 5 years (%)

29

31

5-15 years (%)

15

15

16-54 years (%)

47

46

55 and older (%)

05

06

Symptoms (%)

Cough/blocked or runny nose/sore throat/ear ache

38

39

 

Fever/headache

59

56

 

Diarrhoea/vomiting

13

16

 

Difficulty breathing

3

5

 

Thirst/sweating

3

6

 

Lethargic/cannot sleep/cannot eat

10

15

 

Don’t know

0

1

 

Others

19

22

Treatment sought (%)

Did nothing

0

2

 

Consulted traditional healer

0

2

 

Consulted public health facility

45

52

 

Consulted private health facility

16

17

 

Consulted mission/NGO health facility

0

2

 

Consulted private pharmacist/kiosk

12

14

 

Sought advice from friend/family

2

4

 

Used medicine left from another illness

0

2

 

Bought medicine without consultation

10

10

 

Other

0

1

Amount spent out-of-pocket during the illness (KShs)

Traditional healer

0

3.41

 

Public health facility

46.33

55.26

 

Private health facility

12.08

35.89

 

Mission/NGO health facility

0.00

3.64

 

Private pharmacy/kiosk

84.68

120.23

 

Friends/family

0.00

15.02

 

Other

0.00

0.75

Proportion of household expenses spent on medicines during this illness (%)

17.41

27.71

Proportion of household expenses spent on medicines during an average week (%)

16.7

14.1

Household expenses during a week (KShs)

1137.75

1270.72

Proportion of households taking medicines recommended (%)

All

78

69

 

Some

10

16

 

None

0

1

Reasons for not taking medicines recommended (%)

Price was too high

0

2

 

Did not have enough money

6

9

 

Too many medicines were prescribed

0

0

 

Did not think all medicines were needed

0

0

 

Started to feel better

0

1

 

No time to get all the medicines

0

0

 

Traditional healer did not have all the medicines

0

0

 

Public health facility did not have all the medicines

0

5

 

Private health facility did not have all the medicines

0

1

 

Mission/NGO health facility did not have all the medicines

0

0

 

Private pharmacy/kiosk did not have all the medicines

0

1

 

Other

0

0

Household head’s level of education (%)

None

5

7

 

Primary

37

36

 

Secondary

39

37

 

Vocational

6

8

 

College

10

10

 

University

0

5

 

Post graduate

0

1

 

Other

0

1

Source of income (%)

Head of family

88

85

 

Other

7

13

to previous sectionto next section

Please provide your feedback
Abbreviations
English  |  French