The Factors Contributing to the Outcomes of the National Strategic Plan on AMR Strategy 5 on Public Knowledge and Public Awareness on AMR, and Appropriate Use of Antimicrobials
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Abstract
In Thailand, antimicrobial resistance caused 38,481 hospital deaths in 2010, with 19,000 extra deaths attributable to multidrug-resistant bacterial infections, which have been increasing annually. In August 2016, the Council of Ministers of Thailand approved the National Strategic Plan on AMR 2017-2021 Strategy 5 to strengthen knowledge on antimicrobial resistance (AMR) and awareness of the rationale of antimicrobial use (AMU) among the public. This study aims to investigate the factors contributing to the outcomes of the National Strategic Plan on AMR Strategy 5. This qualitative study used in-depth interviews to find the factors contributing to the outcomes of the national antimicrobial strategy among key informants. Purposive sampling was used to select key informants. The criteria for purposive were key informants responsible for public knowledge and public awareness on antimicrobial resistance for more than three years. The sample size was twenty-three key informants, including eight hospital pharmacists, eight pharmacists in the provincial health office, and seven village health volunteers. The data were analyzed using a thematic approach. The software ATLAS.ti version 22.2.0 (L-33E-E32) was used to analyze the data. The study's results revealed the following 9 factors contributing to the outcomes of the National Strategic Plan on AMR Strategy 5 on public knowledge and awareness of AMR and the appropriate use of antimicrobials: the policy, the network, target groups, officers, executives, public relations, coordination, resources, and environmental factors. It can be concluded that all 9 factors directly affect the implementation of Strategy 5 in the area.
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