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.