利用 "响应式对话 "公众参与框架,将社区和公众的声音纳入共同创造的解决方案中,以减轻泰国的抗菌药耐药性(AMR)。

IF 4.8 2区 医学 Q1 INFECTIOUS DISEASES
Tassawan Poomchaichote, Niyada Kiatying-Angsulee, Kanpong Boonthaworn, Bhensri Naemiratch, Supanat Ruangkajorn, Ravikanya Prapharsavat, Chaiwat Thirapantu, Karnjariya Sukrung, Direk Limmathurotsakul, Anne Osterrieder, Phaik Yeong Cheah
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引用次数: 0

摘要

据报道,泰国是世界上人类和动物抗菌药物使用量最高的国家之一。我们的参与项目旨在增进泰国成年社区对抗菌素使用和抗菌素耐药性(AMR)问题的了解,并共同制定与当地相关的 AMR 解决方案,尤其是那些以提高认识为重点的解决方案,以改善泰国的相关政策。我们根据惠康的 "响应式对话 "参与方法开展了一系列在线和面对面 "对话",旨在汇集不同的声音,以了解复杂的 AMR 问题并找到潜在的解决方案。这种方法使主要的 AMR 利益相关者和决策者能够直接听取社区和公众的意见,反之亦然。对话活动于 2020 年 11 月 25 日至 2022 年 7 月 8 日期间举行,我们在泰国各地与 179 名抗菌药物主要利益相关者和公众进行了对话。我们发现的问题包括:人们对抗菌药物和 AMR 存在很多误解;参与者认为,围绕抗菌药物耐药性的沟通和参与活动的覆盖面和影响力有限;在泰国,因自愈性疾病而要求并服用抗生素是一种社会规范;廉价抗菌药物似乎很容易获得。为减少 AMR 的传播,与会者建议,应针对目标受众量身定制有关 AMR 的信息,应采取更多措施提高大众健康素养,应在地方一级提供更多与 AMR 相关的信息,并应加强地方对 AMR 缓解工作的领导:tctr20210528003 (28/05/2021).
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Embedding community and public voices in co-created solutions to mitigate antimicrobial resistance (AMR) in Thailand using the 'Responsive Dialogues' public engagement framework.

The use of antimicrobials in Thailand has been reported as one of the highest in the world in human and animal sectors. Our engagement project aimed to improve our understanding of the issue of antimicrobial use and antimicrobial resistance (AMR) among adult Thai communities, and co-create locally relevant solutions to AMR, especially those focusing on raising awareness to improve related policies in Thailand.We conducted a series of online and in-person 'conversations' according to Wellcome's 'Responsive Dialogues' engagement approach, designed to bring together different voices to understand complex AMR problems and find potential solutions. This approach enabled key AMR stakeholders and policy makers to hear directly from communities and members of the public, and vice versa. Conversations events took place between 25 November 2020 and 8 July 2022, and we engaged 179 AMR key stakeholders and members of the public across Thailand.The issues found were: there were quite a lot of misunderstandings around antimicrobials and AMR; participants felt that communications and engagement around antimicrobial resistance had limited reach and impact; asking for and taking antibiotics for self-limiting ailments is a social norm in Thailand; and there appeared to be a wide availability of cheap antimicrobials. To mitigate the spread of AMR, participants suggested that the messages around AMR should be tailored to the target audience, there should be more initiatives to increase general health literacy, there should be increased availability of AMR related information at the local level and there should be increased local leadership of AMR mitigation efforts.Trial registration Thaiclinicaltrials.org registration: TCTR20210528003 (28/05/2021).

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来源期刊
Antimicrobial Resistance and Infection Control
Antimicrobial Resistance and Infection Control PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES
CiteScore
9.70
自引率
3.60%
发文量
140
审稿时长
13 weeks
期刊介绍: Antimicrobial Resistance and Infection Control is a global forum for all those working on the prevention, diagnostic and treatment of health-care associated infections and antimicrobial resistance development in all health-care settings. The journal covers a broad spectrum of preeminent practices and best available data to the top interventional and translational research, and innovative developments in the field of infection control.
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