Upaya pencegahan resistensi antibiotik melalui edukasi kesehatan di Puskesmas Siliwangi, Kabupaten Garut

Galih Hamdani Riansyah, Lilis Tusliah

Abstract

Antibiotic resistance poses a serious threat to the effectiveness of infection treatment, exacerbated by the high rate of non-prescription antibiotic use in Indonesia, which reaches 69%, along with low public awareness and weak regulatory control over drug distribution. This study aimed to evaluate the effectiveness of an interactive educational campaign in improving public knowledge about rational antibiotic use and the dangers of antibiotic resistance. The activity was conducted on April 26, 2025, at Puskesmas Siliwangi, Garut Regency, involving 40 participants who were accessing health services. The method used included an interactive presentation supported by leaflet media, and an evaluation was conducted using pre-test and post-test questionnaires containing five multiple-choice questions. Results showed an increase in the participants’ average score from 4.0 to 6.7, and 62.5% of participants achieved a score ≥7 out of a maximum of 10 after the session, indicating a significant improvement in understanding. A paired t-test revealed a statistically significant difference between pre- and post-intervention scores (t = 13.67; p < 0.05), demonstrating the effectiveness of the educational method applied. The discussion is grounded in the frameworks of Social Cognitive Theory, the Health Belief Model, and Constructivism, which explain how interactive and contextual learning approaches can enhance comprehension and shift participant perceptions regarding antibiotic use. In conclusion, the intervention was proven effective in increasing public awareness about antibiotic resistance and the importance of prudent antibiotic use. Similar activities should be conducted routinely in primary healthcare settings to support community-level antimicrobial resistance prevention efforts.

References

Ahmad, A., Khan, M. U., & Patel, I. (2019). Perbandingan pengetahuan dan sikap tentang antibiotik dan resistensi, sebelum dan sesudah intervensi pendidikan di masyarakat umum Malaysia. Journal of Infection and Drug Resistance, 12, 1325–1332.
Bandura, A. (2018). Toward a psychology of human agency. Perspectives on Psychological Science, 13(2), 130–136. https://doi.org/10.1177/1745691617699280
Fosnot, & Perry. (2019). CONSTRUCTIVISM: A Psychological Theory of Learning. Teachers College Press.
Hadi, U., & al., et. (2020). Antibiotic use and resistance in Indonesia: a systematic review. Tropical Medicine and Infectious Disease, 5(2), 50. https://doi.org/10.3390/tropicalmed5020050
Kementerian Kesehatan RI. (2019). Riset Kesehatan Dasar (Riskesdas) Nasional. Badan Penelitian dan Pengembangan Kesehatan.
Kementerian Kesehatan RI. (2023). Laporan Sistem Surveilans Resistensi Antimikroba Nasional (SRI-AMR) Tahun 2023. Direktorat Jenderal Pencegahan dan Pengendalian Penyakit. https://pusatdata.kemkes.go.id/
Kementerian Kesehatan RI. (2024). Visualisasi Data SKI 2023 Penggunaan Antibiotik Tanpa Resep Dokter.
Kim, H., Moon, S., & Kim, Y. (2022). Influence of social norms and health literacy on antibiotic misuse: A survey among Korean adults. International Journal of Environmental Research and Public Health, 19(4), 2403. https://doi.org/10.3390/ijerph19042403
Lestari, E. S., Hadi, U., & Parwati, I. (2021). Keterlibatan masyarakat dalam mempromosikan penggunaan antibiotik yang rasional di Indonesia: studi kasus. Global Health Action, 14(1), 1927333.
Montgomery, A. A., Fahey, T., & Peters, T. J. (2019). Antibiotic prescribing and patient outcomes in primary care: A prospective cohort study. British Journal of General Practice, 69(678), e289–e297. https://doi.org/10.3399/bjgp19X701357
Putri, Y. E., Lestari, P. W., & Ramadhani, A. (2020). Pengaruh edukasi berbasis media digital terhadap peningkatan pengetahuan resistensi antibiotik pada mahasiswa farmasi. Jurnal Ilmiah Farmasi, 9(1), 45–52.
Rogers, E. M., Singhal, A., & Quinlan, M. M. (2017). Diffusion of innovations. In D. Holtzhausen & A. Zerfass (Eds.), An Integrated Approach to Communication Theory and Research (Vol. 3, pp. 432–448). Routledge.
Rohmah, N., Mulyani, N., & Lestari, S. (2018). Peningkatan pengetahuan resistensi antibiotik melalui penyuluhan dengan media leaflet dan poster di Puskesmas Surabaya. Jurnal Kesehatan Masyarakat, 13(2), 97–103.
Shatla, M., Althobaiti, F. S., & Almqaiti, A. (2022). Public Knowledge, Attitudes, and Practices Towards Antibiotic Use and Antimicrobial Resistance in the Western Region of Saudi Arabia. Cureus. https://doi.org/10.7759/cureus.31857
Sia, C. H., Tang, T. L., & Lee, H. C. (2020). Pemahaman publik tentang resistensi antibiotik: survei cross-sectional di Asia Tenggara. Jurnal Infeksi Dan Kesehatan Masyarakat, 13(4), 522–529.
Smith, R. D., Coast, J., & Millar, M. (2017). Kampanye kesadaran publik untuk memerangi resistensi antimikroba: Pelajaran dari kampanye kesehatan masyarakat. BMJ Global Health, 2(4), e000481.
WHO. (2022). WHO strategic and technical advisory group for antimicrobial resistance (STAG-AMR): report of the second meeting, 14-16 June 2022. World Health Organization. https://iris.who.int/handle/10665/366191
Widayati, A., Suryawati, S., de Crespigny, C., & Hiller, J. E. (2012). Self-medication with antibiotics in Yogyakarta City Indonesia: a cross sectional population-based survey. BMC Research Notes, 5, 491. https://doi.org/10.1186/1756-0500-5-491
Widayati, A., Suryawati, S., de Crespigny, C., & Hiller, J. E. (2019). Self-medication with antibiotics in Yogyakarta City Indonesia: a cross sectional population-based survey. BMC Research Notes, 12, 333. https://doi.org/10.1186/s13104-019-4382-z
Yates, T. A., Rawson, T. M., & Holmes, A. H. (2016). Meningkatkan pengelolaan antimikroba melalui keterlibatan masyarakat. Journal of Antimicrobial Chemotherapy, 71(11), 2931–2934.
Zhou, M., Luo, Y., Wang, S., & al., et. (2021). Knowledge, attitudes, and behaviors regarding antibiotics use among Chinese residents: A cross-sectional study. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-11775-z

Authors

Galih Hamdani Riansyah
hamdanirgalih@gmail.com (Primary Contact)
Lilis Tusliah
Riansyah, G. H., & Tusliah, L. . (2025). Upaya pencegahan resistensi antibiotik melalui edukasi kesehatan di Puskesmas Siliwangi, Kabupaten Garut. KHIDMAH : Jurnal Pengabdian Masyarakat, 5(1), 33–38. https://doi.org/10.55210/khidmah.v5i1.521
Copyright and license info is not available

Article Details