Global Public Health最新文献_第9页

Professionalisation experiences of a 'business-minded' HIV targeted intervention NGO in India: An organisational ethnography. 印度一个具有 "商业头脑 "的艾滋病干预非政府组织的专业化经验：组织人种学研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-09-05 DOI: 10.1080/17441692.2024.2399674

Anuprita Shukla, Flora Cornish

{"title":"Professionalisation experiences of a 'business-minded' HIV targeted intervention NGO in India: An organisational ethnography.","authors":"Anuprita Shukla, Flora Cornish","doi":"10.1080/17441692.2024.2399674","DOIUrl":"https://doi.org/10.1080/17441692.2024.2399674","url":null,"abstract":"This paper contributes to the literature on the professionalisation of NGOs in the context of the rise of 'business-minded' approaches whereby donors establish a market environment in which NGOs compete for funding by demonstrating their achievement of targets and implementing globally recognised management models. Theoretically, we use the distinction between 'economies of performance' and 'ecologies of practice' to explore how NGOs simultaneously 'perform' themselves publicly as meeting expected professional standards while simultaneously producing themselves practically through 'unprofessional' means. Limited global health and development literature addresses professionalisation as an empirical practice and experience. We report on an ethnography of a Bill and Melinda Gates Foundation-funded, HIV-targeted intervention NGO in western India, drawing on six months of participant observation and 17 interviews with NGO workers. The organisation meets 'business-minded' success criteria but does so through informal, personal, hierarchical arrangements at odds with the professionalisation model. Frontline workers are demotivated by their professionalisation experience, are suspicious of the performance of success, and find ways of achieving their vocation despite a system which they feel does not recognise the value of human relationships. Showing that 'business-minded' approaches do not necessarily rule out informal, potentially 'corrupt' ways of working, we argue against the 'professional-unprofessional' binary.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2399674"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the feeding practices of mothers of under-five children and how household members influence exclusive breastfeeding in Jigawa State, Nigeria - A qualitative study. 探索尼日利亚吉加瓦州五岁以下儿童母亲的喂养方式以及家庭成员如何影响纯母乳喂养--一项定性研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-11-14 DOI: 10.1080/17441692.2024.2426135

Funmilayo Shittu, Carina King, Susanne Rautiainen, Agnese Iuliano, Ayobami Adebayo Bakare, Tim Colbourn, Damola Bakare, Julius Salako, Hamish R Graham, Adegoke G Falade, Rochelle A Burgess

{"title":"Exploring the feeding practices of mothers of under-five children and how household members influence exclusive breastfeeding in Jigawa State, Nigeria - A qualitative study.","authors":"Funmilayo Shittu, Carina King, Susanne Rautiainen, Agnese Iuliano, Ayobami Adebayo Bakare, Tim Colbourn, Damola Bakare, Julius Salako, Hamish R Graham, Adegoke G Falade, Rochelle A Burgess","doi":"10.1080/17441692.2024.2426135","DOIUrl":"https://doi.org/10.1080/17441692.2024.2426135","url":null,"abstract":"Child nutrition interventions in low-income settings are variably effective as strategies often focus on primary caregivers, with less attention given to other household members. This study explored the influence of household members on exclusive breastfeeding and the feeding practices of mothers of under-five children in Jigawa State, Northern Nigeria. As part of a cluster randomised controlled trial in Jigawa State, we conducted an ethnographic process evaluation. Households were selected from six administrative wards (3 intervention and 3 control) in the Kiyawa local government area, and 90 women were recruited for the ethnography. In-depth life history interviews were conducted at three time points alongside monthly informal household visits. For this study, 36 women, who reported breastfeeding within the last 2 years, were included. Data were analysed using a reflexive thematic approach. Participant accounts identified that breastfeeding practices in the first six months varied from exclusive breastfeeding to mixed practices combining breastmilk with traditional practices centring on symbolic, nutritional and religious roles of water. Crucially, we found that decision-making around feeding practices includes wider networks of household members, involving in-laws/older family members, co-wives and neighbours who support childcare efforts. Our findings suggest that a more comprehensive and inclusive approach is needed to tackle suboptimal breastfeeding in this setting. Information needs to target entire communities to create enabling environments for exclusive breastfeeding.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2426135"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142618661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing the needs of cisgender, heterosexual men and LGBTIQ+ survivors of sexual violence: a scoping review of service delivery and funding priorities among humanitarian organisations. 满足顺性别、异性恋男性和 LGBTIQ+ 性暴力幸存者的需求：对人道主义组织提供的服务和资金优先事项的范围审查。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-14 DOI: 10.1080/17441692.2024.2371389

Katherine Gambir, Courtney Hutchison, Lillian Alexander, Edward J Alessi

{"title":"Addressing the needs of cisgender, heterosexual men and LGBTIQ+ survivors of sexual violence: a scoping review of service delivery and funding priorities among humanitarian organisations.","authors":"Katherine Gambir, Courtney Hutchison, Lillian Alexander, Edward J Alessi","doi":"10.1080/17441692.2024.2371389","DOIUrl":"10.1080/17441692.2024.2371389","url":null,"abstract":"Sexual violence in humanitarian contexts is a global public health issue. Yet, evidence suggests that humanitarian organisations may not always be inclusive of cisgender, heterosexual men and LGBTIQ+ survivors in their responses. This scoping review examines the extent to which global organisations focusing on sexual and gender-based violence (SGBV) address the needs of cisgender, heterosexual men and LGBTIQ+ survivors in service delivery and funding priorities. We examined grey literature published from 2013-2023 on SGBV service delivery and funding priorities in humanitarian contexts. Forty-seven documents were included in the final analyses, which comprised content and thematic analyses. Many of the documents acknowledged cisgender, heterosexual men or LGBTIQ+ individuals as at-risk groups; however, there was a lack of comprehensive discussion of these groups. Documents on LGBTIQ+ individuals referred to the group as a monolith, making little distinction among the LGBTIQ+ experience and the need to tailor responses to meet intersectional needs. Documents on men emphasised their role as perpetrators and allies, while overlooking that they also experience sexual violence. Findings support the critical need to address gaps in humanitarian programme and donor priorities to better ensure inclusion of cisgender, heterosexual men and LGBTIQ+ individuals without ignoring the needs of women and girls.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2371389"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The economic consequence of large-scale epidemic outbreak: The path and loss evaluation of COVID-19 in China based on input-output analysis. 大规模疫情爆发的经济后果：基于投入产出分析的中国 COVID-19 的路径和损失评估。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-04-24 DOI: 10.1080/17441692.2024.2341403

Zhi-Nan Lu, Zhiyuan Gao, Yu Hao

{"title":"The economic consequence of large-scale epidemic outbreak: The path and loss evaluation of COVID-19 in China based on input-output analysis.","authors":"Zhi-Nan Lu, Zhiyuan Gao, Yu Hao","doi":"10.1080/17441692.2024.2341403","DOIUrl":"10.1080/17441692.2024.2341403","url":null,"abstract":"The COVID-19 pandemic has significantly impacted China's economic and social development. Understanding the direct and indirect effects of the epidemic on the economy is vital for formulating scientifically grounded epidemic management policies. This study assesses the economic losses and influence paths of a large-scale epidemic in China. We proposed three COVID-19 scenarios - serious, normal, and mild - to evaluate the direct economic impact on China's GDP from a demand perspective. An input-output model was used to estimate the indirect impact. Our findings show that China's GDP could lose 94,206, 75,365, and 56,524 hundred million yuan under serious, normal, and mild scenarios, respectively, with corresponding GDP decline rates of 9.27%, 7.42%, and 5.56%. Under the normal scenario, indirect economic loss and total loss are projected at 75,364 and 489,386 hundred million yuan, respectively. Additionally, the pandemic led to a reduction in carbon emissions: direct emissions decreased by 1,218.69 million tons, indirect emissions by 9,594.32 million tons, and total emissions by 10,813.01 million tons across various industries. This study provides a comprehensive analysis of the economic and environmental impacts of the pandemic.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2341403"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Temporal changes in HIV-related stigma and sexual behaviours: An examination of 22 African countries. 与艾滋病毒有关的污名和性行为的时间变化：对 22 个非洲国家的研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-09-26 DOI: 10.1080/17441692.2024.2405019

Danielle Denardo, David A Cort

{"title":"Temporal changes in HIV-related stigma and sexual behaviours: An examination of 22 African countries.","authors":"Danielle Denardo, David A Cort","doi":"10.1080/17441692.2024.2405019","DOIUrl":"https://doi.org/10.1080/17441692.2024.2405019","url":null,"abstract":"ABSTRACTDespite non-trivial success against the HIV epidemic, health experts in Sub-Saharan Africa (SSA) remain concerned about new infections, stigma attitudes, and increasing rates of higher-risk sexual behaviours (HRSBs). Although this concern has produced voluminous scholarship on the behavioural consequences of belonging to stigmatised populations, scholars have only recently examined the behavioural consequences of holding stigmatising attitudes. Existing work generally finds a positive relationship between stigmatising beliefs and the practice of HRSBs. Yet, it is unknown whether this relationship has changed for countries over the past two decades. We fill this gap using Demographic and Health Survey data from 22 SSA countries. We first find that in most countries, the practice of HRSBs has increased, while stigma beliefs have become more tolerant. Second, the relationship between stigma beliefs and HRSBs changed in only six countries: Nigeria, Kenya, Mozambique, Sierra Leone, Ethiopia, and Lesotho. It changed from non-existent or negative to positive in Nigeria, Kenya, Mozambique, and Ethiopia, but non-existent to negative in Sierra Leone. In Lesotho, the positive association weakened over time. These findings highlight the importance of social and epidemic contexts when considering how stigma impacts sexual behaviours and HIV rates in SSA.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2405019"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond the illness: a qualitative exploration of the burden of caring for people with tuberculosis on caregivers and their households in South Africa. 超越疾病：对南非肺结核患者的护理给护理者及其家庭带来的负担的定性探索。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-10-21 DOI: 10.1080/17441692.2024.2413654

Lieve Vanleeuw, Salla Atkins, Nasiphi Gwiji, Namhla Sicwebu, Wanga Zembe-Mkabile

{"title":"Beyond the illness: a qualitative exploration of the burden of caring for people with tuberculosis on caregivers and their households in South Africa.","authors":"Lieve Vanleeuw, Salla Atkins, Nasiphi Gwiji, Namhla Sicwebu, Wanga Zembe-Mkabile","doi":"10.1080/17441692.2024.2413654","DOIUrl":"https://doi.org/10.1080/17441692.2024.2413654","url":null,"abstract":"Tuberculosis (TB) affects not only the person sick with TB but also their households. Our study aimed for a deeper understanding of the multiplicative impact of TB on households, and more specifically on caregivers of people with TB, as well as factors that influence the burden on caregivers in South Africa. We conducted an exploratory qualitative study focusing on the lived experiences of people providing care to a family member sick with TB. The study found that the burden of caregiving is significant and falls disproportionally on women and poorer households whose resilience has already been compromised by pre-existing multiple stressors and demands, contributing to health inequities and gender inequalities. Having to care for a household member sick with TB imposed an additional strain causing further health, financial and social problems, leaving the household in a worse-off position, and at a higher risk of continued ill health and further poverty. Social support was found to mediate the burden, however, was lacking for many as kinship bonds are weakened by high levels of poverty and unemployment. Support to households is recommended to ensure recovery of the person with TB and their household post-TB illness, and prevent further ill health and poverty.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2413654"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stakeholder views on the relationship between human rights and the law in addressing the HIV epidemic in Papua New Guinea. 利益攸关方对巴布亚新几内亚在应对艾滋病毒疫情时人权与法律之间关系的看法。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-10-17 DOI: 10.1080/17441692.2024.2405976

Benjamin Hegarty, Ruthy Boli-Neo, Herick Aeno, Jamee Newland, Paula Jops, John Pukali, Angela Kelly-Hanku

{"title":"Stakeholder views on the relationship between human rights and the law in addressing the HIV epidemic in Papua New Guinea.","authors":"Benjamin Hegarty, Ruthy Boli-Neo, Herick Aeno, Jamee Newland, Paula Jops, John Pukali, Angela Kelly-Hanku","doi":"10.1080/17441692.2024.2405976","DOIUrl":"https://doi.org/10.1080/17441692.2024.2405976","url":null,"abstract":"Community activists, policymakers and researchers have long identified human rights as central to addressing the HIV epidemic. Over the past 10 years, efforts to incorporate human rights into the HIV response have focused on reforming laws which criminalise sex work and male-to-male sex. Laws criminalising sex work and male-to-male sex drive communities underground, making HIV prevention, testing, and treatment efforts more difficult. This article draws on a qualitative study conducted in Papua New Guinea (PNG) which examined stakeholder views on prospects for law reform, the impact of criminal laws on communities, and the role of law reform in addressing the HIV epidemic. While efforts to reform criminal laws related to sex work and male-to-male sex have taken place in PNG, these have been unsuccessful. Stakeholders identified that strategies for addressing criminal laws and the impacts of law reform must be grounded in the PNG context, that there must be material support for community members to engage with criminal laws and human rights, and that dignity rather than HIV should be the justification for law reform.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2405976"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resilience and associated factors in orphaned and separated adolescents in Kenya: Understanding the relationship with care environment and HIV risks. 肯尼亚孤儿和失散青少年的复原力及相关因素：了解护理环境与艾滋病毒风险之间的关系。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-01-22 DOI: 10.1080/17441692.2023.2271970

Sarah C Sutherland, Harry S Shannon, David Ayuku, David L Streiner, Olli Saarela, Lukoye Atwoli, Joseph Hogan, Paula Braitstein

{"title":"Resilience and associated factors in orphaned and separated adolescents in Kenya: Understanding the relationship with care environment and HIV risks.","authors":"Sarah C Sutherland, Harry S Shannon, David Ayuku, David L Streiner, Olli Saarela, Lukoye Atwoli, Joseph Hogan, Paula Braitstein","doi":"10.1080/17441692.2023.2271970","DOIUrl":"10.1080/17441692.2023.2271970","url":null,"abstract":"Orphans are at higher risk of HIV infection and several important HIV risk factors than non-orphans; however, this may be due to a combination of related social, psychological, and economic factors, as well as care environment, rather than orphan status alone. Understanding these complex relationships may aid policy makers in supporting evidence-based, cost-effective programming for this vulnerable population. This longitudinal study uses a causal effect model to examine, through decomposition, the relationship between care environment and HIV risk factors in orphaned and separated adolescents and youths (OSAY) in Uasin Gishu County, Kenya; considering resilience, social, peer, or family support, volunteering, or having one's material needs met as potential mediators. We analysed survey responses from 1105 OSAY age 10-26 living in Charitable Children's Institutions (CCI) (orphanages) and family-based care settings (FBS). Follow-up time was 7-36 months. Care in CCIs (vs. FBS) was associated with a decreased likelihood of engaging in forced, exchange, and consensual sex. Excess relative risks (ERR) attributable to the indirect pathway, mediation, or interaction were not significant in any model. Care environment was not statistically associated with differences in substance use. Our findings support the direct, unmediated, association between institutional care and HIV risk factors.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2271970"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10832302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors associated with tuberculosis treatment outcomes among TB patients aged 15 years and older at chawama level one hospital in Lusaka, Zambia. 赞比亚卢萨卡 Chawama 一级医院 15 岁及以上结核病患者中与结核病治疗效果相关的因素。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-01-29 DOI: 10.1080/17441692.2024.2307979

Rodgers Chilyabanyama, Nathan Kamanga, Jim Nkukwa Mwandia

{"title":"Factors associated with tuberculosis treatment outcomes among TB patients aged 15 years and older at chawama level one hospital in Lusaka, Zambia.","authors":"Rodgers Chilyabanyama, Nathan Kamanga, Jim Nkukwa Mwandia","doi":"10.1080/17441692.2024.2307979","DOIUrl":"10.1080/17441692.2024.2307979","url":null,"abstract":"Tuberculosis is a global health concern n impacting communities, health systems, and economies This study assessed the TB treatment outcomes among individuals aged 15+ at Chawama first level hospital in Lusaka, Zambia, using a retrospective design focussing on individuals notified in 2020. The sample was described using descriptive statistics. The Pearson Chi-square test and logistics regression were used to analyse the characteristics of the patients influencing the treatment outcomes at 5% significant level. Out of 404 participants, 83.4% of them had successful treatment outcomes. Varied outcomes were noted in sex, patient type, TB type, HIV status, and DOT plan, but lacked significance. Odds of success were lower by 72.4% for those aged 65+ compared to those aged 15-24 years (OR (95% CI): 0.276 (0.086-0.881), p = .030). Similarly, after adjusting for other variables, the odds of success were lower by 72.9% (AOR (95% CI): 0.271 (0.083-0.882), p = .030). This study yielded an encouraging 83.4% TB success rate highlighting the potential for improvement to meet WHO targets. Notably, individuals aged 65+ showed a distinct pattern with lower treatment success odds, suggesting a need for focussed interventions. Special attention to elderly patients and targeted TB program interventions are recommended.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2307979"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139574396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The unseen use of antimicrobials: Drivers of human antibiotic use in a community in Thailand and implications for surveillance. 看不见的抗菌药使用：泰国一个社区人类使用抗生素的驱动因素及其对监测的影响。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI: 10.1080/17441692.2023.2298940

Nour Alhusein, Nutcha Charoenboon, Kantima Wichuwaranan, Kornrawan Poonsawad, Varapon Montrivade, Matthew B Avison, Luechai Sringernyuang, Helen Lambert

{"title":"The unseen use of antimicrobials: Drivers of human antibiotic use in a community in Thailand and implications for surveillance.","authors":"Nour Alhusein, Nutcha Charoenboon, Kantima Wichuwaranan, Kornrawan Poonsawad, Varapon Montrivade, Matthew B Avison, Luechai Sringernyuang, Helen Lambert","doi":"10.1080/17441692.2023.2298940","DOIUrl":"10.1080/17441692.2023.2298940","url":null,"abstract":"We investigated sociocultural and economic drivers of human antimicrobial use (AMU) in Thailand through ethnographic research, interviews, focus groups and a cross-sectional survey. This community-based study generated findings clustered around three key themes: treatment-seeking practices, medicine use, and interpretation of biomedical constructs. Participants sought care from public health facilities for chronic conditions, but medicines from the private sector were considered more powerful and were preferred for acute complaints. Many antibiotics were unrecognised as such by consumers due to the practice at private healthcare facilities of dispensing repackaged medicines without identifying labels. This unseen use of antibiotics is probably driven by economic drivers including market competition in the private sector, policy implementation drivers whereby rational drug use policies mainly target the public sector, behavioural drivers relating to treatment seeking-practices, and sociocultural drivers that influenced participants' understanding of medical terms and concepts. Participants regarded antibiotics as reducing inflammation and were uncertain about the distinctions between anti-inflammatories, antibiotics, and pain relievers. Antimicrobial Resistance (AMR) was understood as a form of drug tolerance to be remedied by changing the medicine. Community surveys may not provide accurate estimates of AMU where people are unable to distinguish antibiotics reliably from other medicines.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2298940"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0