Policy actors and human and animal health practitioners' perceptions of antimicrobial use and resistance in Tanzania: A qualitative study.
Policy actors and human and animal health practitioners' perceptions of antimicrobial use and resistance in Tanzania: A qualitative study.
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DOI：
10.1016/j.jgar.2021.02.027
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发表时间：
2021-06
影响因子：
4.6
通讯作者：
Matee M
中科院分区：
文献类型：
--
作者：
Frumence G;Mboera LEG;Katale BZ;Sindato C;Kimera S;Durrance-Bagale A;Mshana SE;Clark TG;Rweyemamu MM;Legido-Quigley H;Matee M
探讨和描述政策参与者和从业人员对坦桑尼亚人类和动物健康中抗菌药物使用和耐药性的看法。这是一个探索性的定性研究，其中涉及半结构化的采访9决策者和102从业人员。来自动物和人类部门的专家之间的多部门合作和协调得到改善，政府意愿，基础设施得到改善，关于适当使用抗菌剂的公众意识运动的存在以及抗菌剂管理的存在被确定为坦桑尼亚实施抗菌剂耐药性国家行动计划的优势。尽管有这些优势，但公众对抗生素耐药性的认识不足、社区参与有限和人力资源不足是报告的弱点。还报告了执行国家行动方案-抗生素耐药性的一些机会，包括卫生部门的综合疾病监测和应对战略以及协调监测系统的发展。此外，实验室能力不足和资源调动不力被确定为执行国家适应计划年度监测和报告所面临的挑战。未来的抗菌素耐药性政策需要利用已确定的优势和机会，并设计干预措施，以提高公众对抗菌素耐药性的认识和社区参与，部署足够的人力资源，并确保充分调动资源，以满足抗菌素耐药性需求。
To explore and describe the perceptions of policy actors and practitioners on antimicrobial use and resistance in human and animal health in Tanzania. This was an exploratory qualitative study, which involved semi-structured interviews with nine policy makers and 102 practitioners. Improved multisectoral collaboration and coordination among experts from the animal and human sectors, government will, improved infrastructures, existence of public awareness campaigns on appropriate use of antimicrobials and existence of antimicrobial stewardship were identified as strengths for the implementation of National Action Plan on Antimicrobial Resistance (NAP-AMR) in Tanzania. Despite these strengths, insufficient public awareness of AMR, limited community engagement and inadequate human resources were among the reported weaknesses. A number of opportunities for the implementation of NAP-AMR were also reported including the presence of integrated disease surveillance and response strategy in health sector and development of a coordinated surveillance system. Furthermore, the inadequate laboratory capacity and poor resource mobilization were identified as challenges facing the implementation of NAP-AMR. The future policies of AMR need to capitalize on the identified strengths and opportunities as well as design interventions to improve public awareness of AMR and community engagement, deployment of adequate human resources and ensure adequate resource mobilization to meet AMR needs.
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影响因子：
4.9
作者：
Agbo S;Gbaguidi L;Biliyar C;Sylla S;Fahnbulleh M;Dogba J;Keita S;Kamara S;Jambai A;Harris A;Nyenswah T;Seni M;Bhoye S;Duale S;Kitua A
通讯作者：
Kitua A
影响因子：
2.6
作者：
Katakweba, Abdul A. S.;Muhairwa, Amandus P.;Olsen, John E.
通讯作者：
Olsen, John E.
DOI：
10.4102/ojvr.v82i1.911
发表时间：
2015-11-27
期刊：
The Onderstepoort journal of veterinary research
影响因子：
--
作者：
Kimera ZI;Mdegela RH;Mhaiki CJ;Karimuribo ED;Mabiki F;Nonga HE;Mwesongo J
通讯作者：
Mwesongo J
影响因子：
1.8
作者：
Moyo SJ;Aboud S;Kasubi M;Lyamuya EF;Maselle SY
通讯作者：
Maselle SY
坦桑尼亚北部的农业养护者之间的抗菌使用和兽医护理。
影响因子：
3.7
作者：
Caudell MA;Quinlan MB;Subbiah M;Call DR;Roulette CJ;Roulette JW;Roth A;Matthews L;Quinlan RJ
通讯作者：
Quinlan RJ