Smart Use of Antibiotics (SUA) in Indonesia Diberikan dan disampaikan pada Seminar "Cegah Resistensi Antibiotik: Demi Selamatkan Manusia", kerjasama Kemenkes, WHO, dan Yayasan Orang Tua Peduli, didukung oleh React, 5 Agustus 2015

1. sehat@yahoogroups.com
(mailing list)
@milissehat
(Twitter)
milissehat.web.id
(web RUM)
bijak-antibiotik.com
(web SUA)
Smart(er) Use of Antibiotics (SUA) in Indonesia
Purnamawati Sujud Sp.A(K), MMPed
August 5, 2015

2. Common illnesses, emergency signs
Drugs = substance + INFORMATION (5)
Active ingredient
Indications
Administration, dose
Risk of side effects
Contraindications
Therapy
Advice
Non drug
Drug
2nd opinion
Combination
RUM - antibiotics
Evidence-based
guidelines
Therapy
Drugs, Generics
Medical consultation
Aims to raise
awareness &
knowledge on
patient safety
among
Indonesians,
especially
parents

3. Financier Advisor Chairman
Clinic Manager
Doctors
Administration
Program
Manager
PESAT
SUA
IT-based
channels
Administration
Treasurer
Sponsorship
Merchandise
Public Relations
External
Relations
Publications
MONEV

6. Clinical
demand
PH demand Infection
demand
Patient Population
Infection
control
Awareness
Advice
Advocacy
Action

7. Economic:
 Offer incentives
– Institutions
– Providers and patients
Managerial:
 Guide clinical practice
– Information systems/STGs
– Drug supply / lab capacity
Regulatory:
 Restrict choices
– Market or practice controls
– Enforcement
Educational:
 Inform or persuade
– Health providers
– CONSUMERS
Use of
Medicines

8. Everyone has a role to play in achieving medication safety and
through collaboration and partnership, patients can play a role in
ensuring access to safe medicine
Patient engagement can be embedded at the national, hospital
and individual levels and patient input is vital to ensure any
health-care improvements are patient-cantered
Patient stories are a powerful resource to contribute to raising
awareness and motivating change

9. Health “course” (4-6
months)
Mailing List:
sehat@yahoogroups.com
Radio Talk shows
Articles, books, child health
corner (magazine), CBN
cyber
Websites:
• milissehat.web.id
• bijak- antibiotik.com
Model Clinic, Studies, Drug
info
Social Media:
• Twitter: @milissehat
• Facebook: GESAMUN, GESOBAT
EXPANDS to Schools ; Companies/institutions, Insurance society, formulary team
MOH
UN Bodies, International Organization (ReAct)

10. GOAL: CSO integrates AB & ABR themes – health promotion
OUTCOME: Enhanced capacity on promoting SUA
Say NO to antibiotics for:
1. Common colds (coughs, coryza)
2. Acute diarrhea (non bloody diarrhea)

11. Utilize our existing health education programs (PESAT) to reach the wider
audiences in various locations throughout Indonesia
Disseminate information through existing Internet-based channels: website,
social media, mailing list
Activate parent-to-parent campaign to provide counsel on SUA (CC and
acute GE)
Collaborate with other organizations to disseminate information on AB and
ABR through various events and channels

12. TOT of SUA volunteers: Clinical microbiologist, pharmacologist, doctors, parents
• Jakarta, Jogjakarta, Bali, Bandung
PESAT SUA
SUA Campaign
• Website (bijak-antibiotik.com) & Twitter @milissehat
• School campaign
• National Health Day (Nov 2012 & 2013)
• Fun Walk (March & December 2014)
• Talk shows in TV/radio/print & online media
• Media briefing
Topics:
• History of antibiotic
• Bacteria, Virus
• Micro-organism and infection
• What is antibiotic, its groups
• Test: identification, resistance
• Prudent use of antibiotics
• Nosocomial infection
• Superbugs

13. GOAL: CSO integrates AB & ABR themes – health promotion
OUTCOME: Enhanced capacity on promoting SUA
Equipping YOP with
skills & knowledge
• Baseline survey
• Materials for IC &
training
• TOT
Creating a
supportive
environment
• Events
• Community
workshops
• Collaboration
with other CSOs
Documenting
interventions
on AB & ABR
• Process
documentation
• End line survey
• National level
workshop

14. Fun walk/rally SUA – 2x
Workshops for community & Journalists
TV and radio talk shows (Metro TV, Green
Radio), magazine livechat sessions
GKIA (Indonesian movement for Child &
Maternal Health – 18 organizations), etc.
Companies (manufacturers, service, oil & gas,
banking, telecommunication, etc.)
School roadshows
YOP – reference source
for AB-ABR promotion
> 125 Articles published
by media

15. Jakarta: 15 Bali: 3
Bekasi: 4
Medan: 2
Palembang: 2
Aceh: 3
Tangerang: 6
Bogor: 4
Bandung: 4
Makassar: 2
Batam: 3
Jogjakarta: 5

19. Samples of promotional materials

20. Samples of promotional materials

21. 0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
URI Acute GE
Antibiotic use
Public sector Private sector