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


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.

antibiotic misuse model

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