We assessed whether a 1-year teaching programme in northern Zanzibar would
improve prescribing practice. Data on polypharmacy and appropriateness of t
he treatment of upper-respiratory infection, anaemia, and scabies from the
17 primary health-care units in northern Zanzibar were analysed before and
after the teaching programme. There was a significant and sustained reducti
on in polypharmacy and an: improvement in the treatment of upper-respirator
y infection, scabies, and anaemia, This teaching programme has been success
ful in improving prescribing practices in a less-developed country.