Community-Based Approach to Promote Rational Use of Antibiotics in Indonesia: The Development and Assessment of an Education Program for Cadres

Abstract

Background Cadres play an important part in providing community-based education. This study developed and assessed an education program for cadres in Malang, Indonesia, as ‘change agents’ to promote rational antibiotic use. Methods In-depth-interviews with stakeholders ( N = 55) and a subsequent group discussion with key personnel ( N = 5) were conducted to develop a relevant education tool for cadres. This was followed with a pilot study with cadres ( N = 40) to assess the effectiveness and acceptability of the new tool. Results Consensus was reached on the education tool media: an audio-recording (containing full information) with a pocketbook (containing key information) as a supplement. A pilot study on the new tool reported its effectiveness in improving knowledge ( p < 0.001) and demonstrated a high acceptability (all respondents stated ‘Strongly Agree’ or ‘Agree’ on all statements). Conclusion This study has created a model for an education tool which can potentially be implemented for cadres to educate their communities about antibiotics in the Indonesian context.