OBJECTIVES: In Indonesia, legislation mandates a medical prescription for purchase of antibiotics. However, the use of nonprescribed antibiotics is widespread among the population. Therefore, the aim of this study was to elicit common beliefs about the use of antibiotics without prescription among Indonesians in an urban area of Yogyakarta. METHODS: Adults ( > 18 years old) with experience of using nonprescribed antibiotics, including leftovers from previously prescribed medication were interviewed. The questions focused on the advantages, disadvantages, enabling factors and social pressure related to this behavior. Two researchers independently analyzed the qualitative data using thematic analysis. RESULTS: A total of 25 face to face interviews has been conducted. Saving money and saving time-as a result of avoiding a medical consultation-were two main advantages of using nonprescribed antibiotics. Moreover, this behavior was reported as preventing the participants from taking too many different types of medicines commonly prescribed by doctors. Despite insurance coverage for the cost of prescribed medicines and medical consultation fees, some participants preferred to purchase nonprescribed antibiotics out-of-pocket because of the perceived advantages mentioned. Availability of antibiotics to be purchased without prescription in pharmacies as well as their accessibility in shops, and previous successful medication use, made this behavior easier. However, participants tended to seek advice from medical practitioners when there were health concerns for their children. Fear for adverse effects, poor outcome and antimicrobial resistance were declared as the disadvantages of using nonprescribed antibiotics. Family members and friends, especially those with a health education background, were more likely to approve of this behavior. CONCLUSIONS: Qualitatively benefits, supports, concerns and social pressure related to the use of nonprescribed antibiotics were reported. These findings will inform further quantitative study aimed at understanding the extent of such use and predicting the strength of intentions to use nonprescribed antibiotics.
Widayati, A., Suryawati, S., de Crespigny, C., & Hiller, J. (2010). PIN23 BELIEFS ABOUT THE USE OF NONPRESCRIBED ANTIBIOTICS AMONG INDONESIAN PEOPLE:A PRELIMINARY STUDY IN YOGYAKARTA CITY INDONESIA. Value in Health, 13(7), A550–A551. https://doi.org/10.1016/s1098-3015(11)73303-4