Community-Based Approach to Promote Rational Use of Antibiotics in Indonesia: The Development and Assessment of an Education Program for Cadres.

Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-07-02 DOI:10.1177/2752535X231184029
J V Christanti, A P Setiadi, E Setiawan, B Presley, S V Halim, S A Wardhani, B Sunderland, Y I Wibowo
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Abstract

Background: Cadres play an important part in providing community-based education. This study developed and assessed an education program for cadres in Malang, Indonesia, as 'change agents' to promote rational antibiotic use.

Methods: In-depth-interviews with stakeholders (N = 55) and a subsequent group discussion with key personnel (N = 5) were conducted to develop a relevant education tool for cadres. This was followed with a pilot study with cadres (N = 40) to assess the effectiveness and acceptability of the new tool.

Results: Consensus was reached on the education tool media: an audio-recording (containing full information) with a pocketbook (containing key information) as a supplement. A pilot study on the new tool reported its effectiveness in improving knowledge (p < 0.001) and demonstrated a high acceptability (all respondents stated 'Strongly Agree' or 'Agree' on all statements).

Conclusion: This study has created a model for an education tool which can potentially be implemented for cadres to educate their communities about antibiotics in the Indonesian context.

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印度尼西亚促进合理使用抗生素的社区方法:干部教育计划的制定与评估。
背景:干部在提供社区教育方面发挥着重要作用。本研究为印度尼西亚玛琅市的干部制定并评估了一项教育计划,他们是促进合理使用抗生素的 "变革推动者":方法:对利益相关者(55 人)进行了深入访谈,随后与主要人员(5 人)进行了小组讨论,以开发针对干部的相关教育工具。随后对干部(40 人)进行了试点研究,以评估新工具的有效性和可接受性:结果:就教育工具的媒体达成了共识:录音(包含完整信息)和口袋书(包含关键信息)作为补充。对新工具的试点研究表明,它在提高知识水平方面很有效(p < 0.001),并显示出很高的可接受性(所有受访者对所有陈述均表示 "非常同意 "或 "同意"):本研究为教育工具创建了一个模型,在印尼的情况下,该工具可用于干部对社区进行抗生素教育。
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