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FP5

ANTRES Sintesi della relazione

Project ID: ICA4-CT-2001-10014
Finanziato nell'ambito di: FP5-INCO 2
Paese: Sweden

Exportable Intervention package strategy to improve rational use of antimicrobials in low-income countries

Decreased antimicrobial selective pressure is assumed to decrease the prevalence of resistant strains. With the aim to reduce antimicrobial consumption, a multi-faceted intervention campaign was carried out including the education of providers (widely accepted recommendations for good clinical diagnosis and treatment) and measures to improve the public�s knowledge about the risks and benefits of antimicrobial therapy.

The Information-Education-Communication (IEC) package was designed and finalised according to problems of rational use and resistance detected by means of household surveys, antimicrobial resistance screening, genotypic analysis and influencing factors during the pre-intervention phase.

The multi-faceted activities were realized, by considering a three step program with Academic detailing, to present and discuss the identified problems among providers (medical doctors, pharmacists) with the aim of improving antimicrobial dispensing; Peer network, established by research team members and interested providers, to develop strategies for improving the rational use of antimicrobials in the community and Community intervention, to bring up changes in attitudes and habits on antimicrobial use and self-medication.

The activities were performed in sequence for a minimum of 18 months in the intervention cities from both Bolivia and Peru. A multifaceted intervention campaign was realized addressing journalists, teachers, students, mothers and families using marionettes, theatre pieces, puppets, rotafolio, radio spots and mass media. Posters and panels were distributed in the cities; messages focused on self-medication and compliance to treatment.

In Peru, all preparatory and executory activities undetaken to realise the Information-Education-Communication Intervention were summarised in a brochure entitled "Proyecto ANTRES - Intervención en la población de Yurimaguas", that is underway to be presented to the Ministry of Health.

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Charlotte KRISTIANSSON, (BSc)
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