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Characteristics of a Nationwide Voluntary Antibiotic Resistance Awareness Campaign in India; Future Paths and Pointers for Resource Limited Settings/Low and Middle Income Countries

Author

Listed:
  • Ashok J. Tamhankar

    (Indian Initiative for Management of Antibiotic Resistance, 302, Aryans, Deonar, Mumbai 400088, India
    Department of Public Health Sciences, Karolinska Institutet, 171 77 Stockholm, Sweden)

  • Ramesh Nachimuthu

    (Indian Initiative for Management of Antibiotic Resistance, Antibiotic Resistance and Phage Laboratory, Vellore Institute of Technology, Vellore 632014, India)

  • Ravikant Singh

    (Chief Functionary’s Office, Doctors For You, Lallubhai Compound, Mankhurd, Mumbai 400 043, India)

  • Jyoti Harindran

    (Departmentof Pharmaceutical Sciences, Centre for Professional and Advanced Studies, Cheruvandoor Campus, Ettumanoor, Kottayam, Kerala 686631, India)

  • Gautam Kumar Meghwanshi

    (Department of Microbiology, Maharaja Ganga Singh University, NH-15, Jaisalmer Road, Bikaner, Rajasthan 334 001, India)

  • Rajesh Kannan

    (Department of Microbiology, Bharathidhasan University, Thiruchirapalli, Tamilnadu 620024, India)

  • Nachimuthu Senthil Kumar

    (Department of Biotechnology, Mizoram University, Aizwal, Mizoram 796004, India)

  • Vikrant Negi

    (Department of Microbiology, Dr. S.N. Medical College, Jodhpur, Rajasthan 342 001, India)

  • Lijy Jacob

    (Department of Biotechnology, St. Berchmans College, Changanassery, Kerala 686101, India)

  • Sayan Bhattacharyya

    (Department of Microbiology, All India Institute of Medical Sciences, Patna, Bihar 801507, India)

  • Krushna Chandra Sahoo

    (Department of Health Research, ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha 751023, India)

  • Vijay Kumar Mahadik

    (Department of Public Health and Environment, R.D Gardi Medical College, Ujjain, Madhya Preadesh 456006, India)

  • Vishal Diwan

    (Department of Public Health Sciences, Karolinska Institutet, 171 77 Stockholm, Sweden
    Medical Director’s office, Department of Public Health and Environment, R.D Gardi Medical College, Ujjain, Madhya Preadesh 456006, India
    Current Address: Division of Environmental Monitoring and Exposure assessment (water and soil), ICMR-National Institute for Research in Environmental Health, Bhopal, Madhya Pradesh 462030, India.)

  • Megha Sharma

    (Department of Public Health Sciences, Karolinska Institutet, 171 77 Stockholm, Sweden
    Department of Pharmacology, R.D Gardi Medical College, Ujjain, Madhya Preadesh 456006, India)

  • Ashish Pathak

    (Department of Public Health Sciences, Karolinska Institutet, 171 77 Stockholm, Sweden
    Department of Paediatrics, R.D Gardi Medical College, Ujjain, Madhya Preadesh 456006, India)

  • Smita U. Khedkar

    (Bactest Laboratory and Dental College, Nashik, Maharashtra 422 005, India)

  • Dnyaneshwar Avhad

    (School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai 400088, India
    Current Address: WHO Typhoid Conjugate Vaccine Project, D Y Patil Hospital and Research Centre, Navi Mumbai, Maharashtra 400076, India.)

  • Sonal Saxena

    (Department of Microbiology, Lady Hardinge Medical College, Delhi 110 001, India)

  • Sandeep Nerkar

    (Chetana Laboratories, Nashik, Maharashtra 422009, India)

  • Vaishali Venu

    (Director-Health services’ offce, Doctors For You, Lallubhai Compound, Mankhurd, Mumbai, Maharashtra 400043, India)

  • Sandeep Kumar

    (Doctors For You, Patna, Bihar 803 201, India)

  • G. Shandeepan

    (Doctors For You, Bandipore, Jammu and Kashmir 193502, India)

  • Khundrakpam Ranjit Singh

    (Doctors For You, Ningthoukhong Ward No.3, Bishnupur District, Manipur 795126, India)

  • Ridiamma Gashnga

    (Doctors For You, Laitumkhrah Nongrim Road, Shillong, Meghalaya 793003, India)

  • Arvind Kumar

    (Doctors For You, A-58, Plot no. 7, Block A extension, Budh Vihar, Delhi, Budh Vihar, Delhi 110086, India)

Abstract

Antibiotic resistance has reached alarming proportions globally, prompting the World Health Organization to advise nations to take up antibiotic awareness campaigns. Several campaigns have been taken up worldwide, mostly by governments. The government of India asked manufacturers to append a ‘redline’ to packages of antibiotics as identification marks and conducted a campaign to inform the general public about it and appropriate antibiotic use. We investigated whether an antibiotic resistance awareness campaign could be organized voluntarily in India and determined the characteristics of the voluntarily organized campaign by administering a questionnaire to the coordinators, who participated in organizing the voluntary campaign India. The campaign characteristics were: multiple electro–physical pedagogical and participatory techniques were used, 49 physical events were organized in various parts of India that included lectures, posters, booklet/pamphlet distribution, audio and video messages, competitions, and mass contact rallies along with broadcast of messages in 11 local languages using community radio stations (CRS) spread all over India. The median values for campaign events were: expenditure—3000 Indian Rupees/day (US$~47), time for planning—1 day, program spread—4 days, program time—4 h, direct and indirect reach of the message—respectively 250 and 500 persons/event. A 2 min play entitled ‘Take antibiotics as prescribed by the doctor’ was broadcast 10 times/day for 5 days on CRS with listener reach of ~5 million persons. More than 85%ofcoordinators thought that the campaign created adequate awareness about appropriate antibiotic use and antibiotic resistance. The voluntary campaign has implications for resource limited settings/low and middle income countries.

Suggested Citation

  • Ashok J. Tamhankar & Ramesh Nachimuthu & Ravikant Singh & Jyoti Harindran & Gautam Kumar Meghwanshi & Rajesh Kannan & Nachimuthu Senthil Kumar & Vikrant Negi & Lijy Jacob & Sayan Bhattacharyya & Krush, 2019. "Characteristics of a Nationwide Voluntary Antibiotic Resistance Awareness Campaign in India; Future Paths and Pointers for Resource Limited Settings/Low and Middle Income Countries," IJERPH, MDPI, vol. 16(24), pages 1-17, December.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:24:p:5141-:d:298588
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    References listed on IDEAS

    as
    1. Susan Rogers Van Katwyk & Jeremy M Grimshaw & Miriam Nkangu & Ranjana Nagi & Marc Mendelson & Monica Taljaard & Steven J Hoffman, 2019. "Government policy interventions to reduce human antimicrobial use: A systematic review and evidence map," PLOS Medicine, Public Library of Science, vol. 16(6), pages 1-17, June.
    2. Habib Hasan Farooqui & Sakthivel Selvaraj & Aashna Mehta & David L Heymann, 2018. "Community level antibiotic utilization in India and its comparison vis-à-vis European countries: Evidence from pharmaceutical sales data," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-11, October.
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