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Sökning: WFRF:(van Doorn H Rogier) > (2021) > Community-based ant...

  • Do, Nga T. T.Oxford University Clinical Research Unit, Hanoi, Viet Nam (författare)

Community-based antibiotic access and use in six low-income and middle-income countries: a mixed-method approach

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • Elsevier,2021
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:umu-182479
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-182479URI
  • https://doi.org/10.1016/S2214-109X(21)00024-3DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Background: Antimicrobial misuse is common in low-income and middle-income countries (LMICs), and this practice is a driver of antibiotic resistance. We compared community-based antibiotic access and use practices across communities in LMICs to identify contextually specific targets for interventions to improve antibiotic use practices.Methods: We did quantitative and qualitative assessments of antibiotic access and use in six LMICs across Africa (Mozambique, Ghana, and South Africa) and Asia (Bangladesh, Vietnam, and Thailand) over a 2·5-year study period (July 1, 2016–Dec 31, 2018). We did quantitative assessments of community antibiotic access and use through supplier mapping, customer exit interviews, and household surveys. These quantitative assessments were triangulated with qualitative drug supplier and consumer interviews and discussions.Findings: Vietnam and Bangladesh had the largest proportions of non-licensed antibiotic dispensing points. For mild illness, drug stores were the most common point of contact when seeking antibiotics in most countries, except South Africa and Mozambique, where public facilities were most common. Self-medication with antibiotics was found to be widespread in Vietnam (55·2% of antibiotics dispensed without prescription), Bangladesh (45·7%), and Ghana (36·1%), but less so in Mozambique (8·0%), South Africa (1·2%), and Thailand (3·9%). Self-medication was considered to be less time consuming, cheaper, and overall, more convenient than accessing them through health-care facilities. Factors determining where treatment was sought often involved relevant policies, trust in the supplier and the drug, disease severity, and whether the antibiotic was intended for a child. Confusion regarding how to identify oral antibiotics was revealed in both Africa and Asia.Interpretation: Contextual complexities and differences between countries with different incomes, policy frameworks, and cultural norms were revealed. These contextual differences render a single strategy inadequate and instead necessitate context-tailored, integrated intervention packages to improve antibiotic use in LMICs as part of global efforts to combat antibiotic resistance.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Vu, Huong T. L.Oxford University Clinical Research Unit, Hanoi, Viet Nam (författare)
  • Nguyen, Chuc T. K.Department of Family Medicine, Hanoi Medical University, Hanoi, Viet Nam (författare)
  • Punpuing, SureepornInstitute for Population and Social Research, Mahidol University, Nakhonpathom, Thailand (författare)
  • Khan, Wasif AliInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh (författare)
  • Gyapong, MargaretInstitute of Health Research, University of Health and Allied Sciences, Ho, Ghana (författare)
  • Asante, Kwaku PokuKintampo Health Research Centre, Kintampo, Ghana (författare)
  • Munguambe, KhatiaManhiça Health Research Centre, Manhiça, Mozambique; Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (författare)
  • Gómez-Olivé, F. XavierMRC–Wits Rural Public Health and Health Transitions Research Unit (Agincourt), University of the Witwatersrand, Johannesburg, South Africa (författare)
  • John-Langba, JohannesSchool of Applied Human Sciences, University of Kwazulu-Natal, Durban, South Africa (författare)
  • Tran, Toan K.Department of Family Medicine, Hanoi Medical University, Hanoi, Viet Nam (författare)
  • Sunpuwan, MaleeInstitute for Population and Social Research, Mahidol University, Nakhonpathom, Thailand (författare)
  • Sevene, EsperancaManhiça Health Research Centre, Manhiça, Mozambique; Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique (författare)
  • Nguyen, Hanh H.Department of Family Medicine, Hanoi Medical University, Hanoi, Viet Nam (författare)
  • Ho, Phuc D.Institute of Mathematics, Vietnam Academy of Science and Technology, Hanoi, Viet Nam (författare)
  • Matin, Mohammad AbdulInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh (författare)
  • Ahmed, SabeenaInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh (författare)
  • Karim, Mohammad MahbubulInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh (författare)
  • Cambaco, OlgaManhiça Health Research Centre, Manhiça, Mozambique (författare)
  • Afari-Asiedu, SamuelKintampo Health Research Centre, Kintampo, Ghana (författare)
  • Boamah-Kaali, EllenKintampo Health Research Centre, Kintampo, Ghana (författare)
  • Abdulai, Martha AliKintampo Health Research Centre, Kintampo, Ghana (författare)
  • Williams, JohnDodowa Health Research Centre, Dodowa, Ghana (författare)
  • Asiamah, SabinaDodowa Health Research Centre, Dodowa, Ghana (författare)
  • Amankwah, GeorginaDodowa Health Research Centre, Dodowa, Ghana (författare)
  • Agyekum, Mary PomaaDodowa Health Research Centre, Dodowa, Ghana (författare)
  • Wagner, FezileMRC–Wits Rural Public Health and Health Transitions Research Unit (Agincourt), University of the Witwatersrand, Johannesburg, South Africa (författare)
  • Ariana, ProochistaNuffied Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom (författare)
  • Sigauque, BetuelManhiça Health Research Centre, Manhiça, Mozambique (författare)
  • Tollman, StephenMRC–Wits Rural Public Health and Health Transitions Research Unit (Agincourt), University of the Witwatersrand, Johannesburg, South Africa (författare)
  • van Doorn, H RogierOxford University Clinical Research Unit, Hanoi, Viet Nam; Nuffied Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom (författare)
  • Sankoh, OsmanSchool of Public Health, University of the Witwatersrand, Johannesburg, South Africa; Statistics Sierra Leone, Freetown, Sierra Leone; University Secretariat, Njala University, Njala, Sierra Leone; Heidelberg Institute for Global Health, University of Heidelberg Medical School, Heidelberg, Germany (författare)
  • Kinsman, JohnUmeå universitet,Institutionen för epidemiologi och global hälsa(Swepub:umu)joki0020 (författare)
  • Wertheim, Heiman F LOxford University Clinical Research Unit, Hanoi, Viet Nam (författare)
  • Oxford University Clinical Research Unit, Hanoi, Viet NamDepartment of Family Medicine, Hanoi Medical University, Hanoi, Viet Nam (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:The Lancet Global Health: Elsevier9:5, s. e610-e6192214-109X

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