American Journal of Public Health Research
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American Journal of Public Health Research. 2019, 7(2), 58-72
DOI: 10.12691/ajphr-7-2-4
Open AccessArticle

The Application of a Conceptual Framework and Model for Information, Education and Communication (IEC) to Reduce Antibiotic Misuse in Vu Ban District, Nam Dinh Province

Ngo Huy Hoang1, , Joy Notter2 and Joy Hall2

1Nam Dinh University of Nursing

2Birmingham City University UK

Pub. Date: May 18, 2019

Cite this paper:
Ngo Huy Hoang, Joy Notter and Joy Hall. The Application of a Conceptual Framework and Model for Information, Education and Communication (IEC) to Reduce Antibiotic Misuse in Vu Ban District, Nam Dinh Province. American Journal of Public Health Research. 2019; 7(2):58-72. doi: 10.12691/ajphr-7-2-4

Abstract

This study aimed to improve the community health workers’ awareness and practical ability of rational use of antibiotics to reduce antibiotic misuse among the Vietnamese population in Nam Dinh Province. The ‘Modified Kolb’s Model for Vietnam (MKMVN)’ developed and piloted successfully in a rural district of Nam Dinh Province with significant improvements regarding antibiotic use and administration was repeatedly applied for another rural district within Nam Dinh Province as the training program taken place in each of 18 community health centers within the district. Assessment of the effectiveness of program was done through questionnaire and focus group discussion. The study showed positive changes in the health workers’ knowledge and practical ability regarding the use and administration of antibiotics. The health workers’ confidence for working and learning was evident in the focus groups held as part of the final evaluation. The overall mean score for correct responses to the questionnaire elevated significantly from 55.52 ± 9.32 points before the program to 97.19 ± 2.38 points after the completion of the program and remained comparatively high at 83.10 ± 8.28 points after three months. Considerable improvements were seen in solving patients’ problems, providing appropriate treatment and administration of medicines and antibiotics in particular. By using the MKMVN as the educational intervention, this study showed evidently improvements in the participants’ knowledge and practical ability regarding antibiotic use and administration. It also revealed that the model was accessible, acceptable and appropriate for the community health workers. It is recommended that the model can be applied on a larger scale and for other key health issues.

Keywords:
antibiotic misuse model

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References:

[1]  General Statistics Office (GSO). (2009) Statistical Yearbook of Vietnam. Hanoi: Statistical Publishing House. (in Vietnamese).
 
[2]  Ministry of Health (MOH). (2010) Study the irrationality in the indication of drugs and the recommendation on solutions to enhance rationality of the use of drugs among some hospitals in the North Vietnam. The result report of MOH’s project 2010, document No.8158/2010 Hanoi: National Agency for Science and Technology Information (in Vietnamese).
 
[3]  Bryman, A. (2008) Social research methods, (third edition). Oxford: Oxford University Press.
 
[4]  Burns, N., and Grove, S.K. (2005) Selecting a Research Design. The practice of Nursing Research: conduct, critique, & utilization, (5rded), pp. 231-272. Philadelphia: Saunders.
 
[5]  Huong, N.L. (2006) The impact of health sector reforms on human resource for health at local level, A report of Case study of Vietnam. Hanoi: Ministry of Health of Vietnam.
 
[6]  Corbin, J., and Strauss, A. (2008) Basics of qualitative research, (3ed). London: Sage Publications.
 
[7]  Hoang, H.N. (2012) The development of a conceptual framework and model for Information, Education and Communication (IEC) to reduce antibiotic misuse among the Vietnamese population in Nam Dinh Province. PhD Graduation Thesis April, 2012. Birmingham City University, UK.
 
[8]  Sapsford, R. (2007) Survey Research, second edition. London: Sage Publications.
 
[9]  Bradburn, N.M., Sudman, S., and Wansink, B. (2004) Asking Questions: The Definitive Guide to Questionnaire Design - For Market Research, Political Polls, and Social and Health Questionnaires (revised.ed.). San Francisco, CA: Jossey-Bass.
 
[10]  Hoerl, C., and McCormack, T. (2001) Time and Memory: Issues in Philosophy and Psychology. New York: Oxford University Press.
 
[11]  Macionis, J.J., and Plummer, K. (2005) Sociology: a global introduction, (third edition). London: Pearson Prentice Hall.
 
[12]  Cals, J.W.L., Boumans, D., Lardinois, R.J.M., Gonzales, R., Hopstaken, R.M., Butler, C.C., and Ddinant, G.J. (2007) Public beliefs on antibiotics and respiratory tract infections: an internet-based questionnaire study. British General Practice, 57(545); 942-947.
 
[13]  Ministry of Health (MOH). (2007) Training of health staff in Vietnam. Hanoi: Department of Science and Training (in Vietnamese).
 
[14]  Little, P., Rumsby. K., Kelly, J., Watson, L., Moore, M., Warner, G., Fahey, T., and Williamson, I. (2005) Information leaflet and antibiotic prescribing strategies for acute lower respiratory tract infection: a randomized controlled trial. JAMA, June 22/29 2005; 293(24):3029-3035.
 
[15]  Young. J., De Sutter, A., Merenstein, D., van Essen, G.A., Kaiser, L., Varonen, H., et al. (2008) Antibiotics for adults with clinically diagnosed acute rhinosinussitis: a meta-analysis of individual patient data. Lancet; 371 (9616): 908-914.
 
[16]  World Health Organization (WHO). (2005) Containing antimicrobial resistance. WHO Policy Perspectives on Medicines. Geneva April 2005.
 
[17]  Barbut, F., Luc Meynard, J. (2002) Managing antibiotic associated diarrhea: probiotics may help in prevention. British Medical Journal; 324(7350), Abstract.
 
[18]  Gorbach, S.L., Bartlett, J.G., Blacklow, N.R. (2004) Infectious diseases, (third edition). Philadelphia: Lippincott Williams & Wilkins.
 
[19]  Arnold, S.R., Straus, S.E. (2005) Interventions to improve antibiotic prescribing practices in ambulatory care. Cochrane Database Systematic Review. Oct 19 2005(4): CD003539, Abstract.
 
[20]  Ministry of Health (MOH). (2006) Guide to Treatment Common Infection Diseases. Hanoi: Medical Publishing House (in Vietnamese).
 
[21]  Ministry of Health (MOH). (2004) Vietnamese National Drug Formulary. Hanoi: MOH (in Vietnamese).
 
[22]  Wickens, H., and Wade, P. (2004) The right drug for the right bug-continuing professional development pages. The pharmaceutical Journal, 26 March 2004 Vol 274:365-368.
 
[23]  Marini, J.J., and Wheeler, A.P. (2009) Critical Care Medicine: the essentials, (fourth edition). Philadelphia: Lippincott William & Wilkins.
 
[24]  Vinh, N.T., et al. (2006) The report of Antibiotic Susceptibility Test Surveillance (ASTS). Clinical Pharmaceutical Information. Vietnam: Swedish International Development Agency (in Vietnamese).
 
[25]  Leibovici, L., Shraga, I., Andreassen, S. (1999) How do you choose antibiotic treatment? BMJ Vol 318, 12 June 1999 www.bmj.com.
 
[26]  Holloway, H., and Green, T. (2003) A Practical Guide. Drug and Therapeutics Committees. WHO/EDM/PAR/2004.1 WHO & Management Sciences for Health.
 
[27]  Patel, V., Vaidya, R., Naik, D., and Borker, P. (2005) Irrational drug use in India: A prescription survey from Goa. Journal of Postgraduate Medicine. Vol 51, Issue 1, pp.9-12.
 
[28]  Hudec, R., et al. (2009) Modified problem-based learning in pharmacology. BratislLekListy; 110(11):732-735.
 
[29]  Henslin, J.M. (2005) Sociology: A down-to-earth approach, (7th international edition). San Francisco: Pearson Allyn& Bacon.
 
[30]  Quinn, M.F., and Hughes, S.J. (2007) Quinn’s principles and practice of nurse education, (5th edition). Chentenham UK: Nelson Thornes.
 
[31]  Rubin, M.A., et al. (2005) A multifaceted intervention to improve antimicrobial prescribing for upper respiratory tract infections in a small rural community. Clinical Infectious Diseases, 15 Jan 2005; 40: 546-553.
 
[32]  Rautakorpi, U.M., et al. (2006) The antimicrobial treatment strategies (MIKSTRA) program: a 5-year follow-up of infection-specific antibiotic use in primary health care and the effect of implementation of treatment guidelines. Clinical Infectious Diseases, 2006; 42:1221-1230.
 
[33]  Kuehlein, T., et al. (2010) Antibiotics in urinary-tract infections, sustained change in prescribing habits by practice test and self-reflection: a mixed methods before-after study. BJM QualSaf; published online First 24 Jan 2011.
 
[34]  Sharma, R., and Khajuria, B. (2009) Prescribing practices of doctors in rural and urban India. Journal of Clinical and Diagnostic Research, 2009 April;(3)1480-1482.
 
[35]  Willemsen, I., et al. (2007) Appropriateness of antimicrobial therapy measured by repeated prevalence surveys. Antimicrobial Agents and Chemotherapy. Vol 51, No. 3, pp.864-867.
 
[36]  Moon, J.A. (2004) A handbook of reflective and experiential learning: theory and practice. New York: RoutledFalmer.
 
[37]  Ministry of Health (MOH). (2007) Vietnamese National Drug Formulary for grass roots levels. Hanoi: Medical Publishing House (in Vietnamese).
 
[38]  World Health Organization (WHO). (2005) Containing antimicrobial resistance. WHO Policy Perspectives on Medicines. Geneva April 2005.