Mass gathering medicine (Amsterdam, Netherlands)最新文献

{"title":"Building behaviour change systems for antimicrobial resistance response in Nigeria by leveraging insights from mass gatherings awareness efforts (2017-2023).","authors":"Abiodun Egwuenu, Stella Inweregbu, Henry Ekechi Uguru, Hamzat Omotayo, Mwapu Ndahi, Oyinloluwa Alalade, Oladipo Ogunbode, Mabel Kamweli Aworh, Estelle Mbadiwe, Oluwaseun Odebajo, Ridwan Yahaya, Josephine Gatua, Hauwa Muazu, Miriam Wampana, Tochi Okwor, Olayinka Badmus, Jeremiah Agenyi, Chukwuemeka Oguanuo, Yahya Disu, Joshua Obasanya, Olubunmi Olopha, Viviane Ihekweazu, Chinwe Lucia Ochu, Ifedayo Adetifa, Aaron Aboderin","doi":"10.1016/j.mgmed.2026.100069","DOIUrl":"10.1016/j.mgmed.2026.100069","url":null,"abstract":"<p><strong>Introduction: </strong>The Stages of Change model describes how individuals move through different levels of new behaviour adoption, supported by internal cognitive processes and external infrastructure. In Nigeria, mass gatherings were leveraged to raise awareness about antimicrobial resistance (AMR). We aimed to review the use of mass gatherings for AMR awareness in Nigeria from 2017 to 2022, describe the 2023 Joint External Evaluation (JEE) AMR findings, and propose a SoC model for sustainable behaviour change.</p><p><strong>Methods: </strong>A desk review of AMR awareness initiatives from 2017 to 2022 was conducted. Additionally, secondary analyses of a 2018 U-report survey and a 2021 qualitative study on antibiotic use and AMR were conducted. Further, the 2023 JEE-AMR findings for the country were reviewed. Frequencies and proportions were generated, and co-occurrence network analysis and thematic coding were performed for qualitative data.</p><p><strong>Results: </strong>Overall, 125 AMR awareness activities were documented, mostly in 2019 (44%). Fifteen methods were used to engage stakeholders, including mass gatherings and social media. Behaviour change efforts occurred mainly in healthcare settings. Nigeria leveraged mass gatherings to launch a national Antibiotic Guardian Pledge Campaign virtually and to establish a hybrid multisectoral Community of Practice. A 2018 national poll showed that 49% of Nigerians had heard of AMR, while stating that taking antibiotics prevented AMR. A study in the Federal Capital Territory found that rural residents were unfamiliar with the term \"AMR,\" while urban residents linked drug resistance to improper medicine use. Many respondents obtained antibiotics from pharmacies without a prescription. In selecting antibiotics, rural residents prioritised affordability, while urban residents focused on drug authenticity. The JEE-AMR score was 2.4/5 in 2023, with a multisectoral coordination mechanism for AMR response in place. However, the response was still mainly reliant on donor funding, and the enforcement of antibiotics being prescription-only was weak despite sustained awareness.</p><p><strong>Conclusion: </strong>Widespread practice of self-medication and purchasing antibiotics without prescriptions remains a significant challenge in Nigeria, driven by regulatory weaknesses and high healthcare costs. The SoC model emphasises the need for structural enablers to drive consistent behaviour change to combat AMR in Nigeria namely improving appropriate antibiotic use by strengthening the national antimicrobial stewardship programme and expanding access to health insurance .</p>","PeriodicalId":521161,"journal":{"name":"Mass gathering medicine (Amsterdam, Netherlands)","volume":"6 ","pages":"None"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13264524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of GLASS-AMR: An assessment in WHO's Eastern Mediterranean Region.","authors":"Mohamed Sarhan, Shaffi Fazaludeen Koya, Elizabeth Tayler, Hala Amer, Benedetta Allegranzi, Yvan Hutin","doi":"10.1016/j.mgmed.2025.100046","DOIUrl":"10.1016/j.mgmed.2025.100046","url":null,"abstract":"<p><strong>Background: </strong>Global Antimicrobial Resistance and Use Surveillance System-antimicrobial resistance (GLASS AMR) aimed to create national surveillance systems to estimate the extent and burden of AMR globally.</p><p><strong>Methods: </strong>We adapted the United States Centers for Disease Control framework to evaluate GLASS-AMR implementation in WHO's Eastern Mediterranean Region by (1) describing the system and (2) reviewing its key attributes using mixed methods. We reviewed GLASS documents, reports, manuals, Regional External Quality Assessment Scheme (REQAS) survey and progress reports submitted by WHO technical consultants over the years, analyzed the surveillance data generated in the Region and finally triangulated the key findings with selected national focal points from ministries of health.</p><p><strong>Results: </strong>All countries submitted to the GLASS at least once by 2022. Representativeness varied between countries, and the data management and reporting requirements were quite complex due to differences in the laboratory record keeping and data information systems. Patient selection process and insufficient laboratory quality assurance measures might have affected the sensitivity and quality of the data. Although in some respects the quality of data was better compared to other WHO Regions, there is substantial variation in quality and data completeness between countries within the Region. In terms of timeliness, the design of the system based on yearly reports meant that local feedback loops that would have guided timely local decision making did not always happen. GLASS demonstrated to be flexible with inclusion of new pathogens and specimen types.</p><p><strong>Conclusion: </strong>Variable level of quality across countries, and issues of sensitivity, representativeness, and timeliness issues might have affected the usefulness of the system to guide decision making. Implementing national AMR surveillance systems should focus on sustainability and generating and using good quality data for timely action.</p>","PeriodicalId":521161,"journal":{"name":"Mass gathering medicine (Amsterdam, Netherlands)","volume":"4 ","pages":"None"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12713532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145807306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}