Protocol for a randomized controlled trial on community education and surveillance on antibiotics use among young children in Nepal

• DOI: 10.1016/j.conctc.2023.101177
• Publication Date: 2023-06-21T23:20:14Z
• Authors: Prajwol Nepal; Anup Subedee; Henish Shakya; Sanjaya Poudel; Supriya Joshi; Kshitij Karki; Deepak Bajracharya; Tyler Prentiss; Linda Kaljee; Yubraj Acharya
• Keywords: Consumption

Antimicrobial resistance (AMR) is one of the top ten threats to global health. There exists limited empirical evidence on effective approaches address this threat. In low- and middle-income countries (LMICs), primary drivers AMR easy access antibiotics without prescriptions, in particular from community pharmacies. Interventions reduce non-prescribed use surveillance systems track such usage are critically needed. This protocol describes a study that aims test effect an educational intervention targeted parents young children consumption Nepal using phone-based application.The clustered randomized controlled trial, which we randomly assign 40 urban wards Kathmandu Valley either treatment group or control group, select 24 households each ward. Households will receive education consisting "AMR pitch" (an in-person interaction lasts up hour) by nurses, videos text messages every two weeks, brochure. We conduct survey at baseline with ages 6 months 10 years health care among these for period application.While primarily inform future policy programmatic efforts Nepal, study-both system-can serve as prototype tackling other similar settings.