DEVELOPMENT OF A COLLABORATIVE MODEL TO PROMOTE RATIONAL USE OF MEDICATION IN COMMUNITY BY PUBLIC PARTICIPATION IN MAHASARAKHAM URBAN COMMUNITY
DOI:
https://doi.org/10.69598/tbps.16.1.123-139Keywords:
drug safety in community, develop model participation, public participation, surveillance of dangerous drug distributionAbstract
Several dangerous drugs (antibiotics, steroids, NSAIDs) have been distributed in urban community health systems of Mahasarakham Province which causes people to use medication inappropriately. This study aimed to develop a collaborative model to promote rational use of medication in communities by public participation. This study used a participatory action research approach; composed of four steps including: planning the collaborative model; implementation of the model; observation and monitor impacts of the model; and feedback and summarized effectiveness of the model. The target sample was 816 grocery stores located in urban communities, 211 relevant stakeholders and 140 households of chronic disease patients. This study was conducted during October 2017 – December 2018. Two measures were commonly agreed to control dangerous drug distribution. The measures were focused in two risky sectors: grocery stores and drug delivery by vehicles. After implementing the collaborative model, dangerous drug distribution was observed less frequently, from 98.04% to 19.39% (p=0.0001). Risky health products containing steroids found in households of chronic disease patients decreased from 15.00% to 5.71% (p=0.0001). The potential development of the target groups on rational drug use resulted in a statistically significantly (p=0.0001) higher knowledge score. This collaborative model to promote drug safety was named “MEDGEM2MHKA Model” which led to the success of building a drug safety system in the community. This study showed not only successful results but also reflected earnestness from all participated stakeholders involved in community health care.
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