Exploring community insights on antimicrobial resistance in Nepal: a formative qualitative study.
Exploring community insights on antimicrobial resistance in Nepal: a formative qualitative study.
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DOI：
10.1186/s12913-023-10470-2
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发表时间：
2024-01-11
影响因子：
2.8
通讯作者：
King, Rebecca
中科院分区：
文献类型：
--
作者：
Parajuli, Ayuska;Garbovan, Lidis;Bhattarai, Basudev;Arjyal, Abriti;Baral, Sushil;Cooke, Paul;Latham, Sophia;Barrington, Dani J.;Mitchell, Jessica;King, Rebecca
抗生素耐药性（AMR）是微生物进化机制以在旨在摧毁它们的药物（即抗生素（AM））中生存的过程。尽管抗生素耐药性是一个自然过程，但滥用抗生素正在加速这一过程。就尼泊尔而言，关于抗生素耐药性的驱动因素和从社区角度解决这一问题的障碍的信息有限。本研究探讨了社区中AM周围使用的当地语言和术语，常用的AM及其使用原因，这些AM的来源，以及通过One Health方法解决AMR的感知障碍。本研究采用现象学的研究设计，并以实用主义为理论框架，进行应用质性研究。于二零二二年四月，我们有目的地与尼泊尔Kapilvastu市的广泛持份者及社区居民进行了十二次深入访谈及非正式讨论。通过专题框架方法手动分析所获得的数据。该研究获得了尼泊尔卫生研究理事会伦理审查委员会和利兹大学的伦理批准。尼泊尔语和阿瓦德语没有特定的词语来表示AM或AMR，这是社区人民可以理解的。相反，社区使用完整的解释性句子。人们使用AM，但对它们的了解并不完整，他们对这些药物有自己的当地词汇。人类和动物健康对AM的认识和使用受到社会结构因素、政府监管有限、地方政府卫生设施AM供应不足以及卫生系统内共存的各种不受监管的卫生提供者的影响。新的想法，如使用视觉和智能技术，例如移动的电话和社交媒体曝光，可以使访问有关AM和AMR的信息。这项研究表明，在尼泊尔语和阿瓦德语中，社区可以理解的关于AM和AMR的术语并不存在，但使用了完整的解释性句子和口语化的名称。尽管经常使用，但社区对AM的了解并不完整。由于仅靠知识无法改善行为，因此需要采取行为干预措施，通过社区参与共同制定自己的解决方案来解决AMR问题。不适用因在线版本包含补充材料，可通过10.1186/s12913-023-10470-2获得。
Antimicrobial resistance (AMR) is the process by which microbes evolve mechanisms to survive the medicines designed to destroy them i.e. antimicrobials (AMs). Despite being a natural process, AMR is being hastened by the abuse of AMs. In context of Nepal, there is limited information on drivers of AMR and barriers in addressing it from a community perspective. This study explores the local language and terminology used around AMs in the community, commonly used AMs and reasons for their usage, how these AMs are sourced, and the perceived barriers to addressing AMR via One Health approach. A phenomenological study design was utilized with applied qualitative research theoretically framed as pragmatism. Twelve in-depth interviews and informal discussions with a One Health focus, were purposively conducted with wide range of stakeholders and community resident of Kapilvastu municipality of Nepal during April 2022. The acquired data was analyzed manually via a thematic framework approach. The study obtained ethical approval from ethical review board of Nepal Health Research Council and University of Leeds. Nepali and Awadhi languages does not have specific words for AMs or AMR, which is understandable by the community people. Rather, community use full explanatory sentences. People use AMs but have incomplete knowledge about them and they have their own local words for these medicines. The knowledge and usage of AMs across human and animal health is impacted by socio-structural factors, limited Government regulation, inadequate supply of AMs in local government health facilities and the presence of various unregulated health providers that co-exist within the health system. Novel ideas such as the use of visual and smart technology, for instance mobile phones and social media exposure, can enable access to information about AMs and AMR. This study shows that terminology that is understandable by the community referring to AMs and AMR in Nepali and Awadhi languages does not exist, but full explanatory sentences and colloquial names are used. Despite regular utilisation, communities have incomplete knowledge regarding AMs. Since, knowledge alone cannot improve behaviour, behavioural interventions are required to address AMR via community engagement to co-produce their own solutions. Not applicable. The online version contains supplementary material available at 10.1186/s12913-023-10470-2.
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DOI：
10.1186/s12905-021-01189-5
发表时间：
2021-01-30
期刊：
BMC women's health
影响因子：
--
作者：
Matin BK;Williamson HJ;Karyani AK;Rezaei S;Soofi M;Soltani S
通讯作者：
Soltani S
影响因子：
2.4
作者：
Green, Celia;Dickinson, Helen;Joyce, Andrew
通讯作者：
Joyce, Andrew
影响因子：
3.3
作者：
Kim, CW;Lee, SY;Hong, SC
通讯作者：
Hong, SC
影响因子：
2.2
作者：
Castro, Shamyr S.;Cieza, Alarcos;Cesar, Chester L. G.
通讯作者：
Cesar, Chester L. G.
影响因子：
0.4
作者：
Hassanzadeh, Jafar;Mohammadbeigi, Abolfazl;Rajaeefard, Abdolreza
通讯作者：
Rajaeefard, Abdolreza