Final published version
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Community engagement
T2 - The key to tackling Antimicrobial Resistance (AMR) across a One Health context?
AU - Mitchell, Jessica
AU - Cooke, Paul
AU - Ahorlu, Collins
AU - Arjyal, Abriti
AU - Baral, Sushil
AU - Carter, Laura
AU - Dasgupta, Rajib
AU - Fieroze, Fariza
AU - Fonseca-Braga, Mariana
AU - Huque, Rumana
AU - Lewycka, Sonia
AU - Pachuli, Kalpana
AU - Saxeena, Deepack
AU - Tomley, Fiona
AU - Tsekleves, Emmanuel
AU - Vu Thi Quynh, Gioa
AU - King, Rebecca
PY - 2022/11/2
Y1 - 2022/11/2
N2 - Antimicrobial resistance (AMR) is a One Health problem underpinned by complex drivers and behaviours. This is particularly so in low – and middle-income countries (LMICs), where social and systemic factors fuel (mis)use and drive AMR. Behavioural change around antimicrobial use could safeguard both existing and future treatments. However, changing behaviour necessitates engaging with people to understand their experiences. This publication describes a knowledge-exchange cluster of six LMIC-based projects who co-designed and answered a series of research questions around the usage of Community Engagement (CE) within AMR. Findings suggest that CE can facilitate AMR behaviour change, specifically in LMICs, because it is a contextualised approach which supports communities to develop locally meaningful solutions. However, current CE interventions focus on human aspects, and demand-side drivers, of AMR. Our cluster suggests that broader attention should be paid to AMR as a One Health issue. The popularity of mixed methods approaches within existing CE for AMR interventions suggests there is interdisciplinary interest in the uptake of CE. Unfortunately, the specificity and context-dependency of CE can make it difficult to evaluate and scale. Nevertheless, we suggest that in synthesising learnings from CE, we can develop a collective understanding of its scope to tackle AMR across contexts.
AB - Antimicrobial resistance (AMR) is a One Health problem underpinned by complex drivers and behaviours. This is particularly so in low – and middle-income countries (LMICs), where social and systemic factors fuel (mis)use and drive AMR. Behavioural change around antimicrobial use could safeguard both existing and future treatments. However, changing behaviour necessitates engaging with people to understand their experiences. This publication describes a knowledge-exchange cluster of six LMIC-based projects who co-designed and answered a series of research questions around the usage of Community Engagement (CE) within AMR. Findings suggest that CE can facilitate AMR behaviour change, specifically in LMICs, because it is a contextualised approach which supports communities to develop locally meaningful solutions. However, current CE interventions focus on human aspects, and demand-side drivers, of AMR. Our cluster suggests that broader attention should be paid to AMR as a One Health issue. The popularity of mixed methods approaches within existing CE for AMR interventions suggests there is interdisciplinary interest in the uptake of CE. Unfortunately, the specificity and context-dependency of CE can make it difficult to evaluate and scale. Nevertheless, we suggest that in synthesising learnings from CE, we can develop a collective understanding of its scope to tackle AMR across contexts.
KW - Antimicrobial resistance
KW - community engagement
KW - One Health
KW - context
KW - knowledge exchange
U2 - 10.1080/17441692.2021.2003839
DO - 10.1080/17441692.2021.2003839
M3 - Journal article
VL - 17
SP - 2647
EP - 2664
JO - Global Public Health
JF - Global Public Health
SN - 1744-1692
IS - 11
ER -