| Autor: |
Thi Quynh Nhi, Le, De Alwis, Ruklanthi, Khanh Lam, Phung, Nhon Hoa, Nguyen, Minh Nhan, Nguyen, Thi Tu Oanh, Le, Thanh Nam, Dang, Nguyen Ngoc Han, Bui, Thi Thuy Huyen, Hoang, Thi Tuyen, Dinh, Thuy Duong, Vu, Lan Vi, Lu, Thi Thuy Tien, Bui, Thi Diem Tuyet, Hoang, Hoang Nha, Le, Thwaites, Guy E, Van Dung, Do, Baker, Stephen |
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OBJECTIVES: Antimicrobial-resistant infections are a major global health issue. Ease of antimicrobial access in developing countries is proposed to be a key driver of the antimicrobial resistance (AMR) epidemic despite a lack of community antimicrobial usage data. METHODS: Using a mixed-methods approach (geospatial mapping, simulated clients, healthcare utilization, longitudinal cohort) we assessed antimicrobial access in the community and quantified antimicrobial usage for childhood diarrhoea in an urban Vietnamese setting. RESULTS: The study area had a pharmacy density of 15.7 pharmacies/km2 (a pharmacy for every 1316 people). Using a simulated client method at pharmacies within the area, we found that 8% (3/37) and 22% (8/37) of outlets sold antimicrobials for paediatric watery and mucoid diarrhoea, respectively. However, despite ease of pharmacy access, the majority of caregivers would choose to take their child to a healthcare facility, with 81% (319/396) and 88% (347/396) of responders selecting a specialized hospital as one of their top three preferences when seeking treatment for watery and mucoid diarrhoea, respectively. We calculated that at least 19% (2688/14427) of diarrhoea episodes in those aged 1 to |
| Databáze: |
OpenAIRE |
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