Community Education and Surveillance on Antibiotics Use Among Young Children in Nepal: A Randomized Controlled Trial
Support: Pennsylvania State University
Partner: Henry Ford Health/ Work with Health Office (Kathmandu, Lalitpur and Bhaktapur)
Status: Phase Out
Objectives: The project aims to design and test an educational intervention targeting parents of
children aged 0-10 years, focusing on promoting appropriate antibiotic use (AMU) in this age
group. In parallel, a mobile-based surveillance system will be developed and implemented at the
community level to monitor antibiotic use in households. To ensure effective scale-up and
sustainability, the project will also identify key barriers and enabling factors for expanding both
the educational intervention and the surveillance system. This process will be guided by an
established implementation science framework to ensure practical, evidence-informed strategies
are developed for future use.
Outcome: The educational intervention and mobile-based surveillance system will be piloted
across 960 households in three districts, generating critical data on antibiotic use patterns in
children and household-level practices. This pilot will not only provide baseline data but also
offer practical insights into the feasibility, acceptability, and scalability of both interventions.
The findings will inform strategies for larger-scale implementation, contributing to improved
community-level antibiotic stewardship and enhanced AMU surveillance in resource-limited
settings.