Registration Form
The objectives of this project are:
1. Train healthcare professionals (HCP) on antimicrobial stewardship (i.e. the responsible use of antibiotics & susceptibility testing)
2. Empower HCP to make smart choices about prescribing antibiotics
3. Evaluate the impact of training and empowerment on the prescription of antibiotics over time by HCP.

Please carefully read through the instructions for each section of this form and respond to each item as appropriate. We estimate that it will take no more than 10 minutes to complete this form.

By completing this form, you are providing informed consent as well as your assent to participate in the research activities associated with this project. Ethics approval for this project has been granted by the Human Research Ethics Committee of the Abia State Ministry of Health, Umuahia, Nigeria.

Please feel free to contact us should you have any questions - m.bashfoundation@gmail.com
Thank you for your interest.
Sign in to Google to save your progress. Learn more
Email *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy