Community engagement: The key to tackling Antimicrobial Resistance (AMR) across a One Health context?
Community engagement: The key to tackling Antimicrobial Resistance (AMR) across a One Health context?
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DOI：
10.1080/17441692.2021.2003839
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发表时间：
2021-11-18
影响因子：
3.3
通讯作者：
King, Rebecca
中科院分区：
文献类型：
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作者：
Mitchell, Jessica;Cooke, Paul;King, Rebecca
抗菌素耐药性(AMR)是一个由复杂的驱动因素和行为支撑的健康问题。这在低收入和中等收入国家尤其如此，在那里，社会和系统因素助长了(滥用)AMR的使用并推动了AMR的使用。围绕抗菌剂使用的行为改变可以保护现有和未来的治疗方法。然而，改变行为需要与人们接触，以了解他们的经历。这本出版物描述了一个由六个基于LMIC的项目组成的知识交流集群，他们共同设计并回答了一系列关于AMR中社区参与(CE)使用的研究问题。研究结果表明，CE可以促进AMR行为的改变，特别是在LMIC中，因为它是一种结合背景的方法，支持社区制定有当地意义的解决方案。然而，当前的CE干预侧重于AMR的人的方面和需求方面的驱动因素。我们的分组建议将AMR作为一个健康问题给予更广泛的关注。混合方法方法在现有的用于AMR干预的CE中的流行表明，对于CE的采用存在跨学科的兴趣。不幸的是，CE的特殊性和上下文依赖性会使其难以评估和衡量。然而，我们建议，在综合从行政长官那里学到的东西时，我们可以对其范围达成集体理解，以应对不同背景下的AMR。
Antimicrobial resistance (AMR) is a One Health problem underpinned by complex drivers and behaviours. This is particularly so in low - and middle-income countries (LMICs), where social and systemic factors fuel (mis)use and drive AMR. Behavioural change around antimicrobial use could safeguard both existing and future treatments. However, changing behaviour necessitates engaging with people to understand their experiences. This publication describes a knowledge-exchange cluster of six LMIC-based projects who co-designed and answered a series of research questions around the usage of Community Engagement (CE) within AMR. Findings suggest that CE can facilitate AMR behaviour change, specifically in LMICs, because it is a contextualised approach which supports communities to develop locally meaningful solutions. However, current CE interventions focus on human aspects, and demand-side drivers, of AMR. Our cluster suggests that broader attention should be paid to AMR as a One Health issue. The popularity of mixed methods approaches within existing CE for AMR interventions suggests there is interdisciplinary interest in the uptake of CE. Unfortunately, the specificity and context-dependency of CE can make it difficult to evaluate and scale. Nevertheless, we suggest that in synthesising learnings from CE, we can develop a collective understanding of its scope to tackle AMR across contexts.