CSO Malaysia presentation

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TOWARDS NATIONAL/REGIONAL POLICY PLATFORMS TO MANAGE ANTIBIOTIC RESISTANCE - ENGAGING CIVIL SOCIETY

ORGANIZATIONS FOR SOCIAL MOBILIZATION, HEALTH EDUCATION AND COMMUNICATION

Mr. Muhammad Sharrieffuddin Mohd. Jaki, BScCoordinator for ReAct Malaysia Community Project,

School of Pharmaceutical Sciences,Universiti Sains Malaysia

Assoc. Prof Dr. Mohamed Azmi Hassali, PhD Principal Investigator ReAcT Malaysia Community Project

Deputy Dean (Student Affairs and Networking)School of Pharmaceutical Sciences,

Universiti Sains Malaysia

Dr. Fahad Saleem, PhDReAct Malaysia Community Project Liaison Officer

School of Pharmaceutical Sciences,Universiti Sains Malaysia

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Presentation Outline

– Community Empowerment– Working Structure– Objectives– Phase 1

– Baseline Survey– Educational Materials Development

– Phase 2– Project Launching– Training-of-the-Trainers Workshops– Collaborations– Focus Group Discussions

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Community Empowerment

• Public health education and awareness programs on the issue of rational use of antibiotics & ABR

– Towards national/ regional policy platforms to manage antibiotic resistance-engaging civil society organizations for social mobilization, health education and communication (ReAct-USM-Yayasan Bina Ilmu)

– Project Partners:• Action on Antibiotic Resistance (ReAct), Uppsala University, Sweden• Discipline of Social & Administrative Pharmacy, School of Pharmaceutical

Sciences, Universiti Sains Malaysia• Yayasan Bina Ilmu (P. Pinang) Ltd.• 1Malaysia Community

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Working Structure

ReAct

Discipline of Social & Administrative Pharmacy, USM

Yayasan Bina Ilmu P. Pinang Ltd.

Jalan Makloom 1Malaysia

Community Dr. Fahad Saleem

• Assoc. Prof. Dr. Mohamed Azmi

• Muhammad Sharrieffuddin

• Chua Gin Nie

Dato’ Abdul Rashid Ismail

Haji Farook Sk. Mohamad

Established by the Ministry of Communication and Multimedia

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Objectives

• To catalyse uptake of antibiotic resistance on the agenda of civil society organizations working in the areas of child health, education, consumers rights, environment and women’s rights;

• To offer support and materials to these organizations to undertake relevant work on antibiotic resistance in line with their focus areas;

• To engage civil society organizations as stakeholders in national and regional policy platforms for antibiotic resistance;

• To link results to global civil society organizations working with children’s and women’s health to address antibiotic resistance.

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Phase 1

• Project Activities– Phase 1

1. Conduct Baseline Survey in each project site regarding knowledge, attitudes, skills and practices within the organization/ target groups

2. Adapt, translate and develop reading/ training materials based on 1.

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Baseline Survey

• A pilot survey (n= 64) to assess the baseline knowledge among community dwellers at Jelutong, Penang was carried out from 18 to 20 of June 2012.

• Phase 1 Main findings:– Recent use of antibiotic (in the past 3 months): Yes =

42.2%– Sources of antibiotic:

• Prescribed: Yes = 92%• Clinic without prescription: Yes = 2%• Retail pharmacy: Yes = 17%• Use someone else’s antibiotic: Yes = 2%

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Baseline Survey

• Main findings (cont’):– Knowledge of antibiotic

• Role of antibiotic: – For bacterial infection: Yes = 84%– For viral infection: Yes = 21%

• Able to Identify antibiotic: Yes = 45%• Dangers of antibiotic overuse:

– Can cause ABR: Yes = 64%– Can cause allergic reaction: Yes = 61%– Does not cause side effects: Yes = 55%

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Baseline Survey

• Main Findings (Cont’)– Attitudes towards antibiotic usage:

• Throw away antibiotic leftovers: Agree: 53%• Follow doctor/pharmacist/label instructions: Agree: 98%• Give antibiotic to other family members: Agree = 14% • Believe antibiotic will help in recovery: Agree = 58% • Stop taking when fully recovered: Agree = 55%• Expect antibiotic to be prescribed whenever they go to

doctor: Agree = 77%– Misconception about the use of antibiotics

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Educational Materials Development

• Development of educational materials based on local understanding and needs

• Developed in English and validated for its accuracy. The material was than translated as per protocols. Re-assessment in BM was again conducted. – Validation was done through independent

assessors with no involvement in the project.

The objective was to provide up-to-date,

accurate and rational information to the

trainers as well as community members.

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Phase 2

Project Activities• Phase 2 (ongoing):

– One-day launch workshop to plan and strategize outcomes, outputs and activities

– Training-of-the-trainers to develop a team of community-based trainers

– Initiate activities to foster collaboration among civil society, local health service providers and local government agencies to address health issues.

– Focus group discussion with community members

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Project Launching

The project was elaborated and explained to all stakeholders. The blue prints of the project was presented and approved thereby. All players were identified and activities were planned accordingly.

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Training-of-the-Trainers Workshops

Training started with a pre-assessment of current knowledge towards AB and ABR. The training continued up to 6 hours. All issues regarding AB use and ABR were thoroughly discussed. At the end of the training, a post-assessment of the training was carried out. The session ended with post training evaluation.

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Collaborations

Initiate activities to foster collaboration among civil society, local health service providers and local government agencies to address health issues. – Objectives of the project and layout plan was described by the

moderator. Development of the training material and TOT sessions were also discussed. The process of dissemination the information to the community members was also planned out. Audience were comprehensively informed about the progress of the project and the future directions.

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Collaborations

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Focus Group Discussion

Focus Group Discussion with members of the community to discuss project progress, strategies for future direction, supervision of trainers, feedback from the community, re-strategize as per feedback received.

For more info, visit: http://cso.reactgroup.org/

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Contact:Mohamed Azmi Hassali, PhD

Universiti Sains Malaysiaazmihassali@usm.my

Thank You