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Sökning: WFRF:(Munguambe Khatia) > Community-based ant...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00008318naa a2200721 4500
001oai:DiVA.org:umu-182479
003SwePub
008210429s2021 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1824792 URI
0247 a https://doi.org/10.1016/S2214-109X(21)00024-32 DOI
040 a (SwePub)umu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Do, Nga T. T.u Oxford University Clinical Research Unit, Hanoi, Viet Nam4 aut
2451 0a Community-based antibiotic access and use in six low-income and middle-income countries: a mixed-method approach
264 1b Elsevier,c 2021
338 a electronic2 rdacarrier
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
7001 a Vu, Huong T. L.u Oxford University Clinical Research Unit, Hanoi, Viet Nam4 aut
7001 a Nguyen, Chuc T. K.u Department of Family Medicine, Hanoi Medical University, Hanoi, Viet Nam4 aut
7001 a Punpuing, Sureepornu Institute for Population and Social Research, Mahidol University, Nakhonpathom, Thailand4 aut
7001 a Khan, Wasif Aliu International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh4 aut
7001 a Gyapong, Margaretu Institute of Health Research, University of Health and Allied Sciences, Ho, Ghana4 aut
7001 a Asante, Kwaku Pokuu Kintampo Health Research Centre, Kintampo, Ghana4 aut
7001 a Munguambe, Khatiau Manhiça Health Research Centre, Manhiça, Mozambique; Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique4 aut
7001 a Gómez-Olivé, F. Xavieru MRC–Wits Rural Public Health and Health Transitions Research Unit (Agincourt), University of the Witwatersrand, Johannesburg, South Africa4 aut
7001 a John-Langba, Johannesu School of Applied Human Sciences, University of Kwazulu-Natal, Durban, South Africa4 aut
7001 a Tran, Toan K.u Department of Family Medicine, Hanoi Medical University, Hanoi, Viet Nam4 aut
7001 a Sunpuwan, Maleeu Institute for Population and Social Research, Mahidol University, Nakhonpathom, Thailand4 aut
7001 a Sevene, Esperancau Manhiça Health Research Centre, Manhiça, Mozambique; Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique4 aut
7001 a Nguyen, Hanh H.u Department of Family Medicine, Hanoi Medical University, Hanoi, Viet Nam4 aut
7001 a Ho, Phuc D.u Institute of Mathematics, Vietnam Academy of Science and Technology, Hanoi, Viet Nam4 aut
7001 a Matin, Mohammad Abdulu International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh4 aut
7001 a Ahmed, Sabeenau International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh4 aut
7001 a Karim, Mohammad Mahbubulu International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh4 aut
7001 a Cambaco, Olgau Manhiça Health Research Centre, Manhiça, Mozambique4 aut
7001 a Afari-Asiedu, Samuelu Kintampo Health Research Centre, Kintampo, Ghana4 aut
7001 a Boamah-Kaali, Ellenu Kintampo Health Research Centre, Kintampo, Ghana4 aut
7001 a Abdulai, Martha Aliu Kintampo Health Research Centre, Kintampo, Ghana4 aut
7001 a Williams, Johnu Dodowa Health Research Centre, Dodowa, Ghana4 aut
7001 a Asiamah, Sabinau Dodowa Health Research Centre, Dodowa, Ghana4 aut
7001 a Amankwah, Georginau Dodowa Health Research Centre, Dodowa, Ghana4 aut
7001 a Agyekum, Mary Pomaau Dodowa Health Research Centre, Dodowa, Ghana4 aut
7001 a Wagner, Fezileu MRC–Wits Rural Public Health and Health Transitions Research Unit (Agincourt), University of the Witwatersrand, Johannesburg, South Africa4 aut
7001 a Ariana, Proochistau Nuffied Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom4 aut
7001 a Sigauque, Betuelu Manhiça Health Research Centre, Manhiça, Mozambique4 aut
7001 a Tollman, Stephenu MRC–Wits Rural Public Health and Health Transitions Research Unit (Agincourt), University of the Witwatersrand, Johannesburg, South Africa4 aut
7001 a van Doorn, H Rogieru Oxford University Clinical Research Unit, Hanoi, Viet Nam; Nuffied Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom4 aut
7001 a Sankoh, Osmanu School 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, Germany4 aut
7001 a Kinsman, Johnu Umeå universitet,Institutionen för epidemiologi och global hälsa4 aut0 (Swepub:umu)joki0020
7001 a Wertheim, Heiman F Lu Oxford University Clinical Research Unit, Hanoi, Viet Nam4 aut
7102 a Oxford University Clinical Research Unit, Hanoi, Viet Namb Department of Family Medicine, Hanoi Medical University, Hanoi, Viet Nam4 org
7730 t The Lancet Global Healthd : Elsevierg 9:5, s. e610-e619q 9:5<e610-e619x 2214-109X
8564 u https://doi.org/10.1016/S2214-109X(21)00024-3y Fulltext
8564 u https://umu.diva-portal.org/smash/get/diva2:1548080/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-182479
8564 8u https://doi.org/10.1016/S2214-109X(21)00024-3

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