Drivers of Anti-Microbial Resistance (AMR) Within the Communities of Nepal from a One Health Perspective: A Scoping Review protocol

Autor: PARAJULI, AYUSKA, Arjyal, Abriti, Poudel, Shraddha, Regmi, Shophika, King, Natalie, Mitchell, Jessica, Latham, Sophia, Hamade, Prudence, Hawkings, Helen, King, Rebecca, Baral, Sushil
Rok vydání: 2022
Předmět:
DOI: 10.17605/osf.io/fv326
Popis: Anti-microbial resistance (AMR) poses one of the biggest health hazards in global health and food security in the present century as new resistance mechanisms are emerging and spreading across the globe. This has threatened our ability to treat infections with available anti-microbial, which in turn increases the risk of spreading disease to others, severe illness and even death. AMR is a multifaceted challenge and hence, requires a collaborative approach across sectors, in accordance with the global action plan, 2015 1. Different types of community related factors, mainly categorized into behavioral and environmental factors are responsible for the transmission of drug resistant bacteria in the community. Irrational use of antibiotics is one of the major contributors of AMR in community settings. Most of the injudicious prescription of antibiotics occurs in the community care settings. Despite being a critical public health problem, AMR is often neglected in Nepal owing to other public health priorities as evidenced by the lack of appropriate implementation of laws and policies related to AMR 2. Lower and middle income countries of the South East Asian region are considered hotspots for AMR. However, modern travel of goods and people can easily spread AMR across the borders and continents, making it global public health problem. Thus, this scoping review aims to explore the drivers of AMR and existing enablers and barriers to address AMR within the communities of Nepal from a one health perspective across gender, geographic location (including rural/urban), ethnicity/religion and education status of community members.
Databáze: OpenAIRE