Attitudes of healthcare workers at a District in KwaZulu-Natal regarding institutionalisation of antimicrobial stewardship.

IF 1.4 Q4 INFECTIOUS DISEASES
Southern African Journal of Infectious Diseases Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI:10.4102/sajid.v40i1.677
Andile P Dlungele, Lehlohonolo Mathibe
{"title":"Attitudes of healthcare workers at a District in KwaZulu-Natal regarding institutionalisation of antimicrobial stewardship.","authors":"Andile P Dlungele, Lehlohonolo Mathibe","doi":"10.4102/sajid.v40i1.677","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The Antimicrobial Stewardship (AMS) programme is one of the strategic initiatives of the World Health Organization's global action plan to reduce antimicrobial resistance (AMR). In sub-Saharan countries, there is insufficient scientific evidence regarding healthcare providers' perception of institutionalisation of ASPs as a strategy to reduce AMR.</p><p><strong>Objectives: </strong>This study investigated the knowledge, attitudes and practices of healthcare workers in the uMgungundlovu District regarding the enablers and barriers to institutionalisation of AMS programmes in public health settings.</p><p><strong>Method: </strong>This was a prospective, cross-sectional and a 5-point-Likert-scale (1 = minimal; 2 = limited; 3 = average; 4 = good and 5 = comprehensive) questionnaire-based arm of a larger mixed-methods study. Voluntary participants were purposively recruited from hospitals and community health centres in the uMgungundlovu District, South Africa.</p><p><strong>Results: </strong>Forty-nine (<i>N</i> = 49) participants were recruited. That is, 33% (<i>n</i> = 16), 28% (<i>n</i> = 14), 25% (<i>n</i> = 12) and 14% (<i>n</i> = 7) were nurses, pharmacists as well as pharmacist interns, medical practitioners and healthcare managers, respectively. Eighty percent (<i>n</i> = 40; median score 5, interquartile range [IQR] 4-5) and 67% (<i>n</i> = 33; median score 4, IQR 3-4) of participants felt that they had a key role in reducing antibiotic resistance; and good knowledge of antimicrobials as well as AMS programmes, respectively. However, participants who had been employed for less than 12 months across all the facilities had 'limited' knowledge (median score of 2; IQR 1-3.5) of antimicrobials and AMS programmes.</p><p><strong>Conclusion: </strong>Healthcare workers in public healthcare settings in the uMgungundlovu District knew how crucial their roles were in reducing AMR.</p><p><strong>Contribution: </strong>This study highlights the need for employment experience and adequate healthcare service providers as critical factors for the successful institutionalisation of AMS programmes in public health facilities.</p>","PeriodicalId":44007,"journal":{"name":"Southern African Journal of Infectious Diseases","volume":"40 1","pages":"677"},"PeriodicalIF":1.4000,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830888/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Southern African Journal of Infectious Diseases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/sajid.v40i1.677","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The Antimicrobial Stewardship (AMS) programme is one of the strategic initiatives of the World Health Organization's global action plan to reduce antimicrobial resistance (AMR). In sub-Saharan countries, there is insufficient scientific evidence regarding healthcare providers' perception of institutionalisation of ASPs as a strategy to reduce AMR.

Objectives: This study investigated the knowledge, attitudes and practices of healthcare workers in the uMgungundlovu District regarding the enablers and barriers to institutionalisation of AMS programmes in public health settings.

Method: This was a prospective, cross-sectional and a 5-point-Likert-scale (1 = minimal; 2 = limited; 3 = average; 4 = good and 5 = comprehensive) questionnaire-based arm of a larger mixed-methods study. Voluntary participants were purposively recruited from hospitals and community health centres in the uMgungundlovu District, South Africa.

Results: Forty-nine (N = 49) participants were recruited. That is, 33% (n = 16), 28% (n = 14), 25% (n = 12) and 14% (n = 7) were nurses, pharmacists as well as pharmacist interns, medical practitioners and healthcare managers, respectively. Eighty percent (n = 40; median score 5, interquartile range [IQR] 4-5) and 67% (n = 33; median score 4, IQR 3-4) of participants felt that they had a key role in reducing antibiotic resistance; and good knowledge of antimicrobials as well as AMS programmes, respectively. However, participants who had been employed for less than 12 months across all the facilities had 'limited' knowledge (median score of 2; IQR 1-3.5) of antimicrobials and AMS programmes.

Conclusion: Healthcare workers in public healthcare settings in the uMgungundlovu District knew how crucial their roles were in reducing AMR.

Contribution: This study highlights the need for employment experience and adequate healthcare service providers as critical factors for the successful institutionalisation of AMS programmes in public health facilities.

求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
11.10%
发文量
50
审稿时长
52 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信