COLLECTIVE RESPONSIBILITY

Purnamawati Sujud, Dr, SpAK, MMPed

Yayasan Orangtua Peduli

TANGKAL AMR - KOMUNITAS

Feb 13, 2019

PROMOTE RUM & SUA – COMMUNITY Sejak 2003;

Multi strategi; berbasis IT

Yayasan Orang Tua Peduli (YOP)Compassion, Courage, Commitment

sehat@yahoogroups.com

(mailing list)

milissehat.web.id

(web – RUM)

bijak-antibiotik.com

(web – SUA)@milissehat

PAHAM PENYAKIT HARIAN, TANDA EMERGENSI

DRUGS = substance + INFORMATION (5)

1. Zat aktif

2. Indikasi

3. Cara pakai, dosis

4. Risiko ESO

5. Indikasi kontra

Terapi

1. Advisprofesional

2. Terapi Non obat

3. Obat

4. Opini ke2

5. Kombinasi

RUM -antibiotics

PANDUAN BERBASIS

BUKTI

TUJUAN: Tingkatkan kesadaran & pengetahuan terkait

patient safety

Strategic Interventions

Advocacy

Community engagement for social changes

Development of materials

Capacity strengthening

Health “course” (4-6 months)

IT based:

Mailing List,

2 web

Radio Talk shows

Articles, books, child health corner (magazine)

Model Clinic, Penelitian

Media Sosial:

• Instagram: @milissehatyop

• Twitter: @milissehat

• Facebook: GESAMUN, GESOBAT

Per-luasan

SD; Perusahaan, Institusi, Asuransi, Tim formularium

Kemenkes, Kementan & Strategi One Health

WHO, FAO, Organisasi-Jejaring In’nas (ReAct, ARC)

Community Empowerment

Say NO to antibiotics for:

1. Tuk pilek demam

2. Diare akut tanpa darah

Program SUA (2012-2018)

TOT - relawan SUA: nakes (mikrobiologi klinis, farmakologis, spesialis) dan awam.

PESAT SUA : masyarakat awam, jurnalis, perusahaan

SUA Campaign

• National and international seminars/conferences

• Kampanye di SD

• HKN (Nov 2012 & 2013); CFD (Maret & Des 2014)

• Talk shows in TV/radio/print & online media

• Media briefing 1x/thn

• Roadshow komunitas, perusahaan, dinkes, FK, FKH

• History of antibiotic

• Bacteria, Virus

• Micro-organism and infection

• What is antibiotic, its groups

• Test : identification, resistance

• Prudent use of antibiotics

• Nosocomial infection

• Superbugs

ANTIBIOTIC RELATED MESSAGES

Jalan Sehat Bijak AB

Excess vs Access

School Roadshows

Samples of promotional materials

INTERVENSI – PERUBAHAN PERILAKU

Policy/Enabling Environment

(national, local laws)

Organizational(organizations and social

institutions)

Community(relationships between institutions & families)

Interpersonal(families, friends, social networks)

Individual(knowledge,

attitudes, self-efficacy,

practices)

Advocacy

Social Mobilization

Social Change Communication

Behavior Change Communication & Social Change Communication

Behavior Change Communication

WHAT DO WE LEARN?

Sudahkah terjadi perubahan perilaku

Nakes & Masyarakat?

0

10

20

30

40

50

60

70

80

90

100

% Antibiotics

URI

COUGHS

FEVER

Acute GE

Clinicians Know, but Bend, Rules for Antibiotic

Prescribing …. Marcia Frellick

Reasons for straying from the guidelines, clinicians:

patient demand and longtime habits, rather than lack of

knowledge concerning recommendations, are driving

inappropriate antibiotic prescriptions

Proportion of Households Storing Antibiotics Without PrescriptionRiskesdas 2013

Range: 73,7% to 93,4% (Means 86,1%)

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

Kunci: Sistem yang baik

Clinical

demand

Public Health

demand

Infection

demand

Patient POPULATIONInfection

control

Awareness

Advice

Advocacy

Action

KIAT tangkal AMR di KomunitasSing the same song

1. Pemberdayaan & engagement semua stakeholders

termasuk pasien & masyarakat luas

2. Sistem yang menjamin KEPATUHAN terhadap STG

3. Holistik:

1. Sektor swasta dan publik

2. Rawat inap & rawat jalan

4. Komunikasi masa yang berkesinambungan

1. Informasi keilmuan yang intensif

2. Informasi terkait QA

No more FORGOTTEN stakeholder

KIAT tangkal AMR di KomunitasSing the same song

1. Pemahaman terkait ANTIBIOTIK

2. Pemahaman terkait MIKROORGANISME

3. Pemahaman terkait AMR

4. Translasi EBM ke kehidupan sehari-hari

5. ABS(stewardship) - konsisten

6. Transparansi, Akuntabilitas

Cerdaskan

Mudahkan

https://consumermediallc.files.wordpress.com/2016/09/chainr

eaction2-report-2016-final.pdf

Laporan:

How Top

Restaurants Rate on

Reducing Use of

Antibiotics in Their

Meat Supply

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 medicine

Berdayakan & Libatkan masyarakat!

Antibiotic

saves live …

We have to save

antibiotics