Interview-based cross-sectional needs assessment to advance the implementation of an effective antibiotic stewardship program in Indonesian hospitals
Antibiotic resistance has become a global health issue, negatively affecting the quality and safety of patient care, and increasing medical expenses, notably in Indonesia. Antibiotic stewardship programs (ASPs) aim to reduce resistance rates and their implementation in hospitals, has a high priority...
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doaj-13661f0bfc01482fa3597c5503e33bb12021-04-23T06:20:44ZengElsevierHealth Policy Open2590-22962020-12-011100002Interview-based cross-sectional needs assessment to advance the implementation of an effective antibiotic stewardship program in Indonesian hospitalsFauna Herawati0Sheny Clarin Ananta1Ida Ayu Andri Parwitha2Sylvan Septian Ressandy3Nur Laili Rahmatin4Nur Afifah Rachmadini5Veronika Ayu Tangalobo6 Setiasih7Rika Yulia8Eelko Hak9Herman J. Woerdenbag10Christina Avanti11Department of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Jalan Raya Kalirungkut, Surabaya 60293, Indonesia; Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Indonesia, Depok 16424, Indonesia; Corresponding author at: Faculty of Pharmacy, Universitas Surabaya, Jalan Raya Kalirungkut, FF Building, 5th Floor, Surabaya 60293, Indonesia.Department of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Jalan Raya Kalirungkut, Surabaya 60293, IndonesiaDepartment of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Jalan Raya Kalirungkut, Surabaya 60293, IndonesiaDepartment of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Jalan Raya Kalirungkut, Surabaya 60293, IndonesiaDepartment of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Jalan Raya Kalirungkut, Surabaya 60293, IndonesiaDepartment of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Jalan Raya Kalirungkut, Surabaya 60293, IndonesiaDepartment of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Jalan Raya Kalirungkut, Surabaya 60293, IndonesiaDepartment of Developmental Psychology, Faculty of Psychology, Universitas Surabaya, Jalan Raya Kalirungkut, Surabaya 60293, IndonesiaDepartment of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Jalan Raya Kalirungkut, Surabaya 60293, IndonesiaDepartment of PharmacoTherapy, -Epidemiology & -Economy, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, the NetherlandsDepartment of Pharmaceutical Technology and Biopharmacy, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, the NetherlandsDepartment of Pharmaceutics, Faculty of Pharmacy, Universitas Surabaya, Jalan Raya Kalirungkut, Surabaya 60293, IndonesiaAntibiotic resistance has become a global health issue, negatively affecting the quality and safety of patient care, and increasing medical expenses, notably in Indonesia. Antibiotic stewardship programs (ASPs) aim to reduce resistance rates and their implementation in hospitals, has a high priority worldwide.We aimed to monitor the progress in the organizational implementation of ASPs in Indonesian hospitals by an Antimicrobial Resistance Control Program (ARCP) team and to identify possible hurdles. We conducted a cross-sectional study with structured interviews based on a checklist designed to assess the achievement of structural indicators at the organizational level in four private and three public hospitals in four regions (Surabaya, Sidoarjo, Mojokerto, Bangil) in East Java, Indonesia.The organizational structure of public hospitals scored better than that of private hospitals. Only three of the seven hospitals had an ARCP team. The most important deficiency of support appeared to be insufficient funding allocation for information technology development and lacking availability and/or adherence to antibiotic use guidelines. The studied hospitals are, in principle, prepared to adequately implement ASPs, but with various degrees of eagerness. The hospital managements have to construct a strategic plan and to set clear priorities to overcome the shortcomings.http://www.sciencedirect.com/science/article/pii/S2590229619300024Antibiotic stewardshipStructural indicatorsNeeds assessmentHospitalIndonesia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fauna Herawati Sheny Clarin Ananta Ida Ayu Andri Parwitha Sylvan Septian Ressandy Nur Laili Rahmatin Nur Afifah Rachmadini Veronika Ayu Tangalobo Setiasih Rika Yulia Eelko Hak Herman J. Woerdenbag Christina Avanti |
spellingShingle |
Fauna Herawati Sheny Clarin Ananta Ida Ayu Andri Parwitha Sylvan Septian Ressandy Nur Laili Rahmatin Nur Afifah Rachmadini Veronika Ayu Tangalobo Setiasih Rika Yulia Eelko Hak Herman J. Woerdenbag Christina Avanti Interview-based cross-sectional needs assessment to advance the implementation of an effective antibiotic stewardship program in Indonesian hospitals Health Policy Open Antibiotic stewardship Structural indicators Needs assessment Hospital Indonesia |
author_facet |
Fauna Herawati Sheny Clarin Ananta Ida Ayu Andri Parwitha Sylvan Septian Ressandy Nur Laili Rahmatin Nur Afifah Rachmadini Veronika Ayu Tangalobo Setiasih Rika Yulia Eelko Hak Herman J. Woerdenbag Christina Avanti |
author_sort |
Fauna Herawati |
title |
Interview-based cross-sectional needs assessment to advance the implementation of an effective antibiotic stewardship program in Indonesian hospitals |
title_short |
Interview-based cross-sectional needs assessment to advance the implementation of an effective antibiotic stewardship program in Indonesian hospitals |
title_full |
Interview-based cross-sectional needs assessment to advance the implementation of an effective antibiotic stewardship program in Indonesian hospitals |
title_fullStr |
Interview-based cross-sectional needs assessment to advance the implementation of an effective antibiotic stewardship program in Indonesian hospitals |
title_full_unstemmed |
Interview-based cross-sectional needs assessment to advance the implementation of an effective antibiotic stewardship program in Indonesian hospitals |
title_sort |
interview-based cross-sectional needs assessment to advance the implementation of an effective antibiotic stewardship program in indonesian hospitals |
publisher |
Elsevier |
series |
Health Policy Open |
issn |
2590-2296 |
publishDate |
2020-12-01 |
description |
Antibiotic resistance has become a global health issue, negatively affecting the quality and safety of patient care, and increasing medical expenses, notably in Indonesia. Antibiotic stewardship programs (ASPs) aim to reduce resistance rates and their implementation in hospitals, has a high priority worldwide.We aimed to monitor the progress in the organizational implementation of ASPs in Indonesian hospitals by an Antimicrobial Resistance Control Program (ARCP) team and to identify possible hurdles. We conducted a cross-sectional study with structured interviews based on a checklist designed to assess the achievement of structural indicators at the organizational level in four private and three public hospitals in four regions (Surabaya, Sidoarjo, Mojokerto, Bangil) in East Java, Indonesia.The organizational structure of public hospitals scored better than that of private hospitals. Only three of the seven hospitals had an ARCP team. The most important deficiency of support appeared to be insufficient funding allocation for information technology development and lacking availability and/or adherence to antibiotic use guidelines. The studied hospitals are, in principle, prepared to adequately implement ASPs, but with various degrees of eagerness. The hospital managements have to construct a strategic plan and to set clear priorities to overcome the shortcomings. |
topic |
Antibiotic stewardship Structural indicators Needs assessment Hospital Indonesia |
url |
http://www.sciencedirect.com/science/article/pii/S2590229619300024 |
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