Protocol for a randomized controlled trial on community education and surveillance on antibiotics use among young children in Nepal

Nepal, Prajwol; Subedee, Anup; Shakya, Henish; Poudel, Sanjaya; Joshi, Supriya; Karki, K. B.; Bajracharya, Deepak; Prentiss, Tyler; Kaljee, Linda; Acharya, Yubraj

doi:10.1016/j.conctc.2023.101177

Cited by 2 publications

(4 citation statements)

References 27 publications

(25 reference statements)

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“…The results showed that 35.1% of parents administered antibiotics as treatment for children [20]. Some parents keep antibiotics at home because they are leftovers from previous uses [20]. This study obtained a similar result, as 17.7% of parents used the leftover antibiotics when the children experienced the same symptoms.…”

Section: Discussionsupporting

confidence: 63%

“…In rural China, the level of self-medication with antibiotics among children during a year reached 62% [19]. Nepal et al (2023) conducted a study about the effect of an educational intervention targeted at parents of young children on non-prescribed antibiotic consumption in Nepal. The results showed that 35.1% of parents administered antibiotics as treatment for children [20].…”

Section: Discussionmentioning

confidence: 99%

“…Nepal et al (2023) conducted a study about the effect of an educational intervention targeted at parents of young children on non-prescribed antibiotic consumption in Nepal. The results showed that 35.1% of parents administered antibiotics as treatment for children [20]. Some parents keep antibiotics at home because they are leftovers from previous uses [20].…”

Section: Discussionmentioning

confidence: 99%

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Parental knowledge, attitude, and practice on self-medication of antibiotics for children in Bandung, Indonesia: A questionnaire-based survey and module-based learning intervention

Pitaloka,

Insyirah,

Oktariani

et al. 2024

Preprint

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Background Parents' role as primary decision-makers in medication administration is essential to ensuring proper antibiotic use. Despite its significance, only a few studies have delved into parental perspectives. Therefore, this study used a questionnaire-based survey and a module-based learning intervention to assess Indonesian parental knowledge, attitude, and practice related to antibiotic use in pediatric care. Methods Parents of children aged 0–11 attending postnatal healthcare centers in Arcamanik District, Bandung, Indonesia, participated in this study using a validated questionnaire. Additionally, we developed and implemented an education module using an on-site learning approach to assist parents in managing their children's use of antibiotics. We also conducted pre- and post-tests to evaluate the improvement in knowledge. Results The results showed that based on the questionnaire-based survey, about half of parents believed antibiotics were necessary for children's illness (50%), and 64.5% considered their use essential when other treatments failed. Based on their previous symptoms, approximately 17.7% of parents misused antibiotics as stand-alone treatments. A significant 94.5% expressed the need for comprehensive information from healthcare providers regarding prudent use. The significant mean difference (45.7912.33; P = 0.00) between pre- and post-test analyses showed improvement in parental knowledge following the intervention. Conclusions This study underscored a concerning lack of understanding among parents, leading to self-medication practices in Indonesia. Using the developed module, the educational intervention effectively increased parental awareness. This suggested the potential for tailored interventions to rectify misconceptions and promote responsible antibiotic use in pediatric care.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Parental knowledge, attitude, and practice on self-medication of antibiotics for children in Bandung, Indonesia: A questionnaire-based survey and module-based learning intervention

Pitaloka,

Insyirah,

Oktariani

et al. 2024

Preprint

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“…Various studies have demonstrated the usefulness of different types of interventions including leaflet, video, textmessages and in-person counselling in improving public knowledge and attitude towards rational use of medication. [52][53][54] Studies comparing different methods of intervention revealed that videos are more successful than either verbal or written form of education. 53 55 In this research, video-based intervention was used and it showed significant improvement in individuals' knowledge and behaviour.…”

Section: Bmj Public Healthmentioning

confidence: 99%

Cross-sectional survey to explore knowledge, attitude, practices and impact of an intervention programme related to antibiotic misuse and self-medication among general population of Pakistan

Saif,

Khan,

Bukhsh

et al. 2024

bmjph

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ObjectiveThe objective of this study is to observe the knowledge, attitude and practices related to antibiotic use, the prevalence of self-medication and non-adherence to the prescribed course of antibiotics across Pakistan.MethodA cross-sectional quantitative study on knowledge, practices, attitude and adherence to antibiotic therapy was conducted from January 2021 to March 2022 among the adult population living in different areas across Pakistan. Individuals with poor knowledge were selected for video-based intervention programme. Video template produced by WHO to create antibiotic awareness was used for this purpose. A postintervention study was conducted to assess the improvement in their knowledge and practices regarding the use of antibiotics. Paired samples t-test was applied to assess the improvement in postintervention survey scores.Results68.9% (n=340/493) of the participants were female and the majority of the sample population was from urban areas. Our study revealed that 39.2% (n=196) of individuals have undergone self-medication with antibiotics in the last 6 months and 42% (n=207) of the total participants were non-adherent to antibiotic treatment plan. Lack of proper information from healthcare professionals was observed to be the most important barrier to antibiotic treatment adherence. The interventional video was shown to 31.64% (n=156/493) of participants who lack proper knowledge about antibiotic use and its associated problems. There appeared to be a significant improvement in the postintervention mean scores of knowledge, practices, attitude and adherence related to antibiotics.ConclusionThis study highlights the alarming situation of self-medication and non-adherence to antibiotic therapy. To cope with the situation, certain pertinent measures are direly needed before the precious lifesaving antibiotics become useless in eradicating various controllable microbial diseases.

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Protocol for a randomized controlled trial on community education and surveillance on antibiotics use among young children in Nepal

Cited by 2 publications

References 27 publications

Parental knowledge, attitude, and practice on self-medication of antibiotics for children in Bandung, Indonesia: A questionnaire-based survey and module-based learning intervention

Parental knowledge, attitude, and practice on self-medication of antibiotics for children in Bandung, Indonesia: A questionnaire-based survey and module-based learning intervention

Cross-sectional survey to explore knowledge, attitude, practices and impact of an intervention programme related to antibiotic misuse and self-medication among general population of Pakistan

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