Improving the Community’s Knowledge, Attitude, and Practice on the Rational Use of Antibiotics is the Role of Primary Health Care

DOI

10.2991/978-94-6463-112-8_36How to use a DOI?

Keywords

ABR; AMR; primary health care; multi-sectors; One Health

Abstract

Antibiotic resistance (ABR) is a global health problem. It is found not only in the health sector, but the ABR issue has to be tackled cross-sectors because the root cause of ABR is multi-sectors such as agriculture, livestock, environment sectors, and community. This study aims to assess the community as patients and farmers who use antibiotics with the knowledge, attitude, and practice (KAP) to ABR issue as scientifical information for improving health policy for the related sectors. The study was a cross-sectional survey of farmers and primary health care (PHC) patients in the Makassar sub-district of East Jakarta. Sample locations selected purposively, such as PHC and farms, have to be in the same sub-district, and PHC has a minimum of 100 patients visit per day. The Slovin formula calculated the sample size for patients with a standard error of 5% and a simple random sampling method. Sampling calculated for farmers was total sampling, including farmers’ assistants. There were 172 persons for patients and 16 persons for farmer respondents. Researchers asked respondents to fill in a questionnaire about the use of antibiotics properly, the efficacy of antibiotics, the potential harm of antibiotic & their practice of using antibiotics. The study started from August to December 2020. The data were analyzed descriptively. The results showed that the majority of respondents (>60%) were 26 to 45 years old, and most of them had senior high school education (>50%). In general, the KAP of most respondents was not good by means that only <50% of them gave proper answers to questions. Most respondents said antibiotics are most effective for relieving pain and healing influenza (±40%). The most answer to the potential harm of antibiotics is allergies and other adverse effects (30 to 45%). Only ±31% of respondents knew that irrational use of antibiotics leads to their resistance. Based on the study results, the PHC should educate the community that lives in the PHC cover area including farmers, not only its patients. The PHC should also actively involve cross-sectors such as the agriculture and livestock sector, the organization of family and community empowerment and welfare, and other related sectors to educate its community to understand better and be aware of the potential harm of ABR. Without multi-sector collaboration or a One Health approach, ABR control is complicated to do.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Selma Siahaan
AU  - Eka Purwaningsih
PY  - 2023
DA  - 2023/03/01
TI  - Improving the Community’s Knowledge, Attitude, and Practice on the Rational Use of Antibiotics is the Role of Primary Health Care
BT  - Proceedings of the 1st International Conference for Health Research – BRIN (ICHR 2022)
PB  - Atlantis Press
SP  - 387
EP  - 400
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-112-8_36
DO  - 10.2991/978-94-6463-112-8_36
ID  - Siahaan2023
ER  -