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Multidisciplinary perspective intervention with community involvement to decrease antibiotic sales in village

Somsak Arparsrithongsagul1, Vithaya Kulsomboon2, Ilene H Zuckerman3

  • 1Mahasarakham University, Mahasarakham, Thailand Chulalongkorn University, Bangkok, Thailand.

Asia-Pacific Journal of Public Health
|March 29, 2013
PubMed
Summary
This summary is machine-generated.

A community intervention significantly reduced illegal antibiotic sales in Thai village groceries by 87%. This multidisciplinary approach involved training community leaders to curb antibiotic availability and improve public health.

Keywords:
antibioticscommunity drug useconsumer drug usedrug regulation controlself-medication

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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses

Published on: August 30, 2018

Area of Science:

  • Public Health
  • Pharmaceutical Policy
  • Community Health Interventions

Background:

  • Antibiotics are widely and illegally sold in Thai village grocery stores, posing a significant public health risk.
  • Existing regulations prohibiting sales without a pharmacy license are not effectively enforced.
  • The accessibility of antibiotics in non-pharmacy settings contributes to antimicrobial resistance and inappropriate use.

Purpose of the Study:

  • To evaluate the effectiveness of a multidisciplinary perspectives intervention with community involvement (MPI&CI) in reducing antibiotic availability in village groceries.
  • To compare the impact of the intervention on antibiotic availability in intervention villages versus control villages.
  • To provide evidence for scalable community-based strategies to control antibiotic access.

Main Methods:

  • A quasi-experimental pretest-posttest design was employed across 40 villages in Mahasarakham Province, Thailand.
  • An intervention group (20 villages) received MPI&CI, with community leaders trained to implement the program.
  • A comparison group (20 villages) received no intervention.
  • Data on antibiotic availability in groceries were collected at preintervention and postintervention time points.
  • A generalized linear mixed model Poisson regression with repeated measures was used for data analysis.

Main Results:

  • Groceries in the intervention group showed an 87% reduction in antibiotic availability postintervention (relative rate = 0.13; 95% CI = 0.07-0.23).
  • The comparison group experienced only an 8% reduction in antibiotic availability during the same period (relative rate = 0.92; 95% CI = 0.88-0.97).
  • The MPI&CI demonstrated a significant decrease in the illegal sale of antibiotics in community settings.

Conclusions:

  • The MPI&CI is an effective strategy for reducing the availability of illegally sold antibiotics in village groceries.
  • Community involvement and trained local leaders can successfully implement public health interventions.
  • Further research is needed to assess the long-term sustainability and effectiveness of this intervention model.