Christanti Jene Vida, Setiadi Adji Prayitno, Wibowo Yosi Irawati, Presley Bobby, Halim Steven Victoria, Setiawan Eko, Sunderland Bruce
Faculty of Pharmacy, Universitas Surabaya, Surabaya, Indonesia.
Clinical and Community Pharmacy Department, Faculty of Pharmacy, Universitas Surabaya, Surabaya, Indonesia.
J Infect Dev Ctries. 2021 Oct 31;15(10):1453-1461. doi: 10.3855/jidc.14325.
Health cadres have a key role in building awareness related to irrational antibiotic use and antibiotic resistance in Indonesia. Cadres help to bridge the gap between the shortage of health professionals and the need to reach the broader population. This study aimed to identify cadres' background, antibiotic knowledge and attitudes in an Indonesian setting.
A paper-based questionnaire survey was validated and conducted among purposefully selected cadres attending a seminar in Malang Indonesia. A 5-point Likert scale was used to identify attitudes, while true/false statements determined their knowledge. A total of 112 cadres responded, giving a 100% response rate.
The majority had been cadres for >2 years with previous counseling experience. Their attitudes on antibiotic use, were shown by the lower levels of disagreement to the statements "when I get a sore throat, I prefer to use antibiotics" (37.5%); "I would take antibiotics if I have had a cough for more than one week" (41.1%); and, "when I get influenza, I would take antibiotics to help me recover sooner" (47.3%), within the "indications" domain. For knowledge, lower scores were reported for domains related to "indications" (mean 1.49 ± 0.82/3), "resistance" (mean 1.06 ± 0.94/3), and "storage and disposal" (mean 1.23 ± 0.78/3).
These findings indicated a need to improve cadres' attitudes and knowledge prior their involvement as change agents for improving the rational use of antibiotics to minimise antibiotic resistance in Indonesia.
在印度尼西亚，卫生干部在提高人们对不合理使用抗生素及抗生素耐药性的认识方面发挥着关键作用。干部有助于弥合卫生专业人员短缺与覆盖更广泛人群需求之间的差距。本研究旨在确定印度尼西亚背景下干部的背景、抗生素知识和态度。
一份纸质问卷调查表经过验证后，在印度尼西亚玛琅参加研讨会的经过特意挑选的干部中进行。采用5分李克特量表来确定态度，而通过是非题来判定他们的知识水平。共有112名干部做出回应，回应率为100%。
大多数干部担任干部职务超过2年且有过咨询经验。在“适应证”领域，他们对“当我喉咙痛时，我更倾向于使用抗生素”（37.5%）、“如果咳嗽超过一周，我会服用抗生素”（41.1%）以及“当我患流感时，我会服用抗生素以帮助我更快康复”（47.3%）这些表述的不同意见较少，这体现了他们对抗生素使用的态度。在知识方面，与“适应证”（平均1.49±0.82/3）、“耐药性”（平均1.06±0.94/3）和“储存与处置”（平均1.23±0.78/3）相关领域的得分较低。
这些研究结果表明，在印度尼西亚，有必要在干部作为改善抗生素合理使用以尽量减少抗生素耐药性的变革推动者参与工作之前，先改善他们的态度和知识水平。
