Multifaceted and educational interventions to improve prescribing indicators in the Middle East and North Africa Region: a systematic review and meta-analysis

Multifaceted interventions in the MENA region demonstrate potential for modest improvements in prescribing indicators, though evidence certainty remains low to very low. With non-significant pooled effects for antibiotics and injections, these exploratory findings suggest that context-specific stewardship and prescribing quality programs can achieve targeted improvements, but also highlight the need for more locally led, rigorous research with longer follow-up to inform policy decisions.