Community Research and Development Information Service - CORDIS


ANTRES Report Summary

Project ID: ICA4-CT-2001-10014
Funded under: FP5-INCO 2
Country: Sweden

Household Antimicrobial Use Survey (HAUS)

Human antimicrobial use was investigated in two urban communities in Bolivia (Camiri and Villa Montes) and Peru (Yurimaguas and Moyobamba) in a total of 3174 households. The study population was represented by healthy children aged 6-72 months and their carers.

Data on antimicrobial use at child, family and community levels were collected by questionnaire, while carers and providers conceptions regarding antimicrobial treatment of children were investigated by focus group discussions. Results indicated that the parents health seeking strategies include treatments with traditional medicines as well as an extensive utilisation of the public health care system. Often traditional medicine was used as first-choice treatment, regardless of the educational level of the parents. The majority of antimicrobials used to treat the children was obtained from the health care system, and was not given as self-medication.

Drugs were provided to a high extent for pneumonia-like symptoms, but less frequently for cough/cold. Medical doctors showed little discrimination in antimicrobial prescription for illnesses recommended or not for antimicrobial treatment according to principles of the integrated management of childhood illnesses (IMCI) algorithm. As foreseen in the project, results contributed to the conceptual framework and design of the Information-Education-Communication (IEC)-Intervention campaign performed to control antimicrobial use and resistance in the given environment. The finalised HAUS methodology, applied in the post-intervention phase to a total of 3193 households of the same study area, is representing an usefull tool to evaluate the impact and expected improvement in health seeking behaviour attribuible to IEC intervention campaign. Analysis of data is still underway.

Related information

Reported by

IHCAR, Division of International Health, Karolinska Institute
Nobels väg 9
17177 Stockholm
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