Centre for Medicines Information and Pharmaceutical Care - Faculty of Pharmacy, Universitas Surabaya, Surabaya 60293, Indonesia.
East Java Provincial Health Office, Ministry of Health Republic of Indonesia, Surabaya 60231, Indonesia.
Int Health. 2022 Jul 1;14(4):398-404. doi: 10.1093/inthealth/ihz115.
A community-based approach has been identified as one key strategy to improve the health of Indonesians. In 2015, the government initiated the 'Smart Use of Medications Movement' (GeMa CerMat) to promote responsible self-medication. This study aims to explore pharmacist/pharmacy staff trainers' views on strategies to implement GeMa CerMat community training.
Four focus group discussions were conducted with 38 pharmacist/pharmacy staff trainers in Ngawi, Indonesia and a thematic analysis was used to obtain the key strategies.
The identified key strategies were building community readiness via well-designed training (considering participant characteristics, training methods, and materials and resources); policy, regulation and organizational support; access to training in a cultural context; communication media to promote training and the inclusion of active-learning tools.
These identified multilevel strategies require collaboration among national bodies and the involvement of trusted community members ('change agents'). A new strategy using 'active learning tools' was necessary to build critical thinking and understanding of the use of medications in everyday life. Future research should focus on process, impact and outcome evaluation involving GeMa CerMat training implementation and sustainability in Indonesia.
基于社区的方法已被确定为改善印度尼西亚人健康的关键策略之一。2015 年，政府发起了“明智用药运动”（GeMa CerMat），以促进负责任的自我用药。本研究旨在探讨药剂师/药房工作人员培训师对实施 GeMa CerMat 社区培训的策略的看法。
在印度尼西亚的 Ngawi 进行了 4 次焦点小组讨论，共有 38 名药剂师/药房工作人员培训师参加，并使用主题分析来获取关键策略。
确定的关键策略包括通过精心设计的培训建立社区准备（考虑参与者的特点、培训方法以及材料和资源）；政策、法规和组织支持；在文化背景下获得培训；促进培训的沟通媒体以及纳入主动学习工具。
这些确定的多层次策略需要国家机构之间的合作，并需要得到值得信赖的社区成员（“变革推动者”）的参与。需要使用“主动学习工具”这一新策略来培养批判性思维和理解日常生活中用药的能力。未来的研究应侧重于涉及印度尼西亚的 GeMa CerMat 培训实施和可持续性的过程、影响和结果评估。
