2. LONG-TERM IMPACT OF AN MTP APPROACH
TO REDUCE INAPPROPRIATE USE OF ANTIBIOTICS
IN ACUTE RESPIRATORY-TRACT INFECTION
authors:
Yudatiningsih I.1, Sunartono H.1
1Sleman District Health Office, Yogyakarta, Indonesia

3. BACKGROUND
Acute respiratory-tract infection (ARI) is still a leading cause of childhood morbidity in developing countries
In Indonesia, >60 % of cases in the under-five years old.
The problem that related to ARI treatment is inappropriate antibiotics medications
In Sleman District, percentage of antibiotics used for ARI treatment in children ever achieves 68%, while pneumonia cases are only 2%
In Sleman Health Office has conducted a managerial intervention using MTP approach and feedback to improve the use of antibiotics in ARI

4. % patient receiving antibiotics
ANTIBIOTIC USE OVERTIME
% patient receiving antibiotics
MTP
at 24 HCs
Feedback
in month 14
Feedback
in month 30
50%
Feedback
in month 45
35%
Average 34%
33%
26%
25%
22%
20%
17%
13%
Notes: In parallel of the activity to reduced the use of antibiotic in ARI, all HCs also used the MTP approach to address the other problems in medicine use.

5. CONCLUSIONS & RECOMMENDATION
MTP approach in combination by feedback, significantly reduced the inappropriate use of antibiotics in ARI
Less frequent feedback is needed for MTP

6. Sleman District
THANK YOU