From our preliminary data exploration, we can see some evidence of potentially irrational use of antibiotics, although this is only scratching the surface.
In Ghana and Nigeria, we see antibiotics commonly dispensed with antimalarials, and in Zambia we see antibiotics commonly dispensed with cold medicine/antihistamines.
Additionally, the large percentage of dispensations for a single molecule in Ghana and Nigeria suggests that antibiotic dispensations are not tailored to specific patient presentations or treatment guidelines.
3-month rolling average
Generally quite stable, smaller number of antibiotics prescribed
Cefuroxime increased in share from 13% to 20%
Ceftriaxone decreased from 11% to 6%
3-month rolling average
Amoxicillin replacing Amoxicillin/Clavulanic Acid
Increase in Cipro, decrease in Cefuroxime
3-month rolling average
Growth and then decline of Cefuroxime
Decline in Amoxiclav
Growth of Cephalexin
Diclofenac, Mebendazole, and Azithromycin were also commonly dispensed with Ceftriaxone
Amoxiclav and AL again a common combination
Co-amoxiclav & Carbamazepine, Azithromycin & Carbamazepine also common
Interesting combination to me is azithromycin & cetirizine/phenylephrine/paracetamol (cold medicine)
Diclofenac and Ciprofloxacin were also commonly dispensed with Ceftriaxone
Surprisingly high amount of Ceftriaxone Inj given especially for a retail pharmacy