| Summary: | Background. Acute respiratory infection (ARI) disease is the most
enormous number at Singkawang City. In 2005, the prevalence of non
pnemonia ARI was 50.5%. The antibiotics utilization for ARI in 2006
reached 89.8%. Some efforts have been conducted to improve rational
drug utilization at the public health centers but it is still far from intended
goal. Hence, through this study, it is conducted a self-monitoring
intervention as an effort to decrease antibiotics utilization toward ARI
treatment at the public health centers.
Objective. This study was conducted to evident whether self-monitoring
intervention can decrease antibiotics utilization and polypharmaceutical for
ARI treatment, by using parameters of patient those treated with antibiotics
and a mean of drugs per presciption (polypharmaceutical).
Method. This is an quasy-experimental study by non-randomized pretestpostes
control group design. The analysis unit is some public health
centers. The study divided into two groups, of equal treatment and control
groups as 8 public health centers. The subjects were physicians and
professionals at the public health centers. The prescription data was
collected for 3 months before and after interventions. The collected data
was then analyzed by calculating percentage of antibiotics utilization and
polypharmaceutical monthly. It was then tabulated and analyzed by
statistical Kruskal-Willis Test and Mann-Whitney Test.
Results. After self-monitoring intervention conducted, the treatment group
yielded a decreased numbers of antibiotics utilization from 69.2% (before)
to 31.7% (after) intervention (reduced 54.2%), and the polypharmaceutical
was decreased from 4.8 (before) to 4.3 (after) intervention (reduced
10.4%). For the control group, there was no decreased number occured, in
contrary, it found an increased number of antibiotics utilization from 64.7%
(before) to 67.7% (after) intervention given (increased to 4.4%), and also
similarly, the polypharmaceutical was also increased from 4.8 (before) to 5
(after) interventian given (increased to 4%)
Conclusion. It was concluded that self-monitoring intervention conducted
by public health and followed up by a feedback given by the District Health
Team may decrease antibiotics utilization and polypharmaceutical toward
ARI treatment.
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