Published: 2016-12-23

Evaluation of prescribing indicators in prescriptions of private practitioners in Kolkata, India

Pragnadyuti Mandal, Shirsendu Mondal, Anjan Das, Musfikur Rahaman, Manab Nandy, Swapan Jana


Background: To assess the prescribing indicators in prescriptions of private practitioners in Kolkata.

Methods: In the observational, retrospective, cross-sectional survey, 1830 prescriptions of private practitioners were collected over a 5 years period and assessed using core prescribing indicators as per the World Health Organization “How to investigate drug use in health facilities” tool.

Results: Overall the average number of drug per prescription was 3.05±0.91. No drug was prescribed by generic name. Prescriptions with an antibiotics and injections were 30% (549/1830) and 8.12% (149/1830), respectively. Drugs prescribed from essential drug list (EDL) were 29.38% (1640/5582).

Conclusion: Poly-pharmacy, lack of generic prescribing, low rate of prescriptions from EDL is the present prescribing scenario of private set-up based practitioners of Kolkata. Regulation and intervention is required to improve the irrational prescribing practices.


Prescribing indicators, Prescription, Private practitioners

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World Health Organization Expert Committee. The Selection of Essential Drugs. WHO Technical Report Series. 1977: 7-35.

World Health Organization. Promoting rational use of medicines: core components. Policy Perspectives on Medicines. Geneva: World Health Organization; 2002. Available at Accessed on 12 June 2015.

Jana SK, Mandal P, Bhattacharya SK. A historical perspective on the rational use of drugs (RUD) in India. Indian J Pharmacol. 2006;38:374-5.

Organization for Economic Co-operation and Development (OECD). Fact Book, 2013. Available at Accessed on 12 June 2015.

Misra RL, Chatterjee R, Rao S. India Health Report (IHR). Oxford: Oxford University Press; 2003.

Gopalakrishnan S, Ganeshkumar P, Katta A. Assessment of prescribing practices among urban and rural general practitioners in Tamil Nadu. Indian J Pharmacol. 2013;45(3):252-7.

Saurabh MK, Yadav AK, Gupta P, Singhai A, Saurabh A. Comparative study of prescribing behaviors of government doctors of teaching hospital and private practitioners in Jhalwar city, (Rajasthan). J Pharm Sci Res. 2010;2:208-15.

Rahman Z, Nanzeen R, Begum M. Evaluation of prescribing pattern of the private practitioners by the undergraduate medical students. Bangladesh J Pharmacol. 2009;4:73-5.

World Health Organization. How to Investigate Drug Use in Health Facilities. Selected Drug use Indicators. WHO/DAP/93.1. Geneva: World Health Organization; 1993a. Available at Accessed on 26 May 2015.

Hogerzeil HV, Bimo, Ross-Degnan D, Laing RO, Ofori-Adjei D, Santoso B, et al. Field tests for rational drug use in twelve developing countries. Lancet. 1993;342(8884):1408-10.

Bhartiy SS, Shinde M, Nandeshwar S, Tiwari SC. Pattern of prescribing practices in the Madhya Pradesh, India. Kathmandu Univ Med J (KUMJ). 2008;6(1):55-9.

Kumari R, Idris MZ, Bhushan V, Khanna A, Agrawal M, Singh SK. Assessment of prescription pattern at the public health facilities of Lucknow District. Indian J Pharmacol. 2008;40(6):243-7.

Jun Z, Linyun L, Che Z, Yuanrong Y, Fengxai G, Heng Z. Analysis of outpatient prescription indicators and trends in Chinese Jingzhou area between September 1 and 10, 2006-2009. Afr J Pharm Pharmacol. 2011;5(2):270-5.

Guyon AB, Barman A, Ahmed JU, Ahmed AU, Alam MS. A baseline survey on use of drugs at the primary health care level in Bangladesh. Bull World Health Organ. 1994;72(2):265-71.

Bapna JS, Tekur U, Gitanjali B, Shashindran CH, Pradhan SC, Thulasimani M, et al. Drug utilization at primary health care level in southern India. Eur J Clin Pharmacol. 1992;43(4):413-5.

Patil KK. Prescribing pattern among intern at the rural health centre of the medical college, Manipal. IJCM. 2004;XXIX(3):129-9.

Tamuno I, Fadare JO. Drug prescription pattern in Nigerian tertiary hospital. Trop J Pharm Res. 2012;11(1):146-52.

Memon K. Use of drugs in Sind province, Pakistan primary health care facilities, 2001. Available at Accessed 26 May 2015; Cited 01 March 2005.

Indira KS, Chandy SJ, Jeyaseelan L, Kumar R, Suresh S. Antimicrobial prescription patterns for common acute infections in some rural & urban health facilities of India. Indian J Med Res. 2008;128(2):165-71.