Smart Use of Antibiotics (SUA) in Indonesia

sehat@yahoogroups.com(mailing list)

@milissehat(Twitter)

milissehat.web.id(web RUM)

bijak-antibiotik.com(web SUA)

Smart(er) Use of Antibiotics (SUA) in Indonesia

Purnamawati Sujud Sp.A(K), MMPed

August 5, 2015

Common illnesses, emergency signs

Drugs = substance + INFORMATION (5)

Active ingredientIndicationsAdministration, doseRisk of side effectsContraindications

Therapy

AdviceNon drugDrug2nd opinionCombination

RUM - antibiotics

Evidence-based guidelinesTherapy Drugs, GenericsMedical consultation

YOP Since 2003Safe Use of Medicine & Antibiotics

Aims to raise awareness & knowledge on patient safety among Indonesians, especially parents

Financier Advisor Chairman

Clinic Manager

Doctors

Administration

Program Manager

PESAT

SUA

IT-based channels

Administration

Treasurer

Sponsorship

Merchandise

Public Relations

External Relations

Publications

MONEV

Organizational Structure

Acute Diarrhea

URI

Clinical demand

PH demand Infection demand

Patient PopulationInfection control

Awareness

Advice

Advocacy

Action

To Be Addressed…

Economic: Offer incentives

– Institutions– Providers and patients

Managerial: Guide clinical practice

– Information systems/STGs– Drug supply / lab capacity

Regulatory: Restrict choices

– Market or practice controls– Enforcement

Educational: Inform or persuade

– Health providers– CONSUMERS

Use of Medicines

Strategies to Improve Use of Drugs

Everyone has a role to play in achieving medication safety and through collaboration and partnership, patients can play a role in ensuring access to safe medicinePatient engagement can be embedded at the national, hospital and individual levels and patient input is vital to ensure any health-care improvements are patient-canteredPatient stories are a powerful resource to contribute to raising awareness and motivating change

WHA session on patient engagement in medication safety

Health “course” (4-6 months)

Mailing List: sehat@yahoogroups.com Radio Talk shows

Articles, books, child health corner (magazine), CBN

cyber

Websites:• milissehat.web.id• bijak- antibiotik.com

Model Clinic, Studies, Drug info

Social Media:• Twitter: @milissehat• Facebook: GESAMUN, GESOBAT

EXPANDS to Schools ; Companies/institutions, Insurance society, formulary team

MOH

UN Bodies, International Organization (ReAct)

Patient Empowerment

GOAL: CSO integrates AB & ABR themes – health promotion

OUTCOME: Enhanced capacity on promoting SUA

Say NO to antibiotics for:

1. Common colds (coughs, coryza)2. Acute diarrhea (non bloody diarrhea)

Utilize our existing health education programs (PESAT) to reach the wider audiences in various locations throughout Indonesia

Disseminate information through existing Internet-based channels: website, social media, mailing list

Activate parent-to-parent campaign to provide counsel on SUA (CC and acute GE)

Collaborate with other organizations to disseminate information on AB and ABR through various events and channels

Our Approach for SUA

Activities for SUA Program (2012-2015)

TOT of SUA volunteers: Clinical microbiologist, pharmacologist, doctors, parents• Jakarta, Jogjakarta, Bali, Bandung

PESAT SUA

SUA Campaign• Website (bijak-antibiotik.com) & Twitter @milissehat • School campaign• National Health Day (Nov 2012 & 2013)• Fun Walk (March & December 2014) • Talk shows in TV/radio/print & online media• Media briefing

Topics: • History of antibiotic • Bacteria, Virus• Micro-organism and infection • What is antibiotic, its groups• Test: identification, resistance• Prudent use of antibiotics• Nosocomial infection• Superbugs

GOAL: CSO integrates AB & ABR themes – health promotion

OUTCOME: Enhanced capacity on promoting SUA

Equipping YOP with skills & knowledge• Baseline survey• Materials for IC &

training• TOT

Creating a supportive environment• Events • Community

workshops• Collaboration

with other CSOs

Documenting interventions on AB & ABR• Process

documentation • End line survey• National level

workshop

Implementation & Achievement

Fun walk/rally SUA – 2x

Workshops for community & Journalists

TV and radio talk shows (Metro TV, Green Radio), magazine livechat sessionsGKIA (Indonesian movement for Child & Maternal Health – 18 organizations), etc.Companies (manufacturers, service, oil & gas, banking, telecommunication, etc.)School roadshows

YOP – reference source for AB-ABR promotion

> 125 Articles published by media

Jakarta: 15 Bali: 3

Bekasi: 4

Medan: 2

Palembang: 2

Aceh: 3

Tangerang: 6

Bogor: 4

Bandung: 4

Makassar: 2

Batam: 3

Jogjakarta: 5

PESAT: Coverage

What Did We Do?

Fun Walk 2014: March & December

Samples of promotional materials

Samples of promotional materials

URI Acute GE0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

Antibiotic use

Public sector Private sector

Why?