The 'Drug Bag' method: lessons from anthropological studies of antibiotic use in Africa and South-East Asia

Autor: Eleanor E MacPherson, Yuzana Khine Zaw, C Hutchison, Christine Nabirye, Justin Dixon, Laurie Denyer Willis, Susan Nayiga, Clare I R Chandler, Salome Manyau, Miriam Kayendeke
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
antibiotic resistance
antibiotic use
0302 clinical medicine
pile sorting
Prevalence
030212 general & internal medicine
South east asia
Sociology
Asia
Southeastern

media_common
2. Zero hunger
education.field_of_study
Point (typography)
lcsh:Public aspects of medicine
030503 health policy & services
Health Policy
Methods Forum
Drug Resistance
Microbial

Public relations
wa_300
3. Good health
Anti-Bacterial Agents
Research Design
Antibiotic use
Female
0305 other medical science
Medical terminology
media_common.quotation_subject
Population
Context (language use)
wa_395
qw_45
03 medical and health sciences
Animals
Humans
Conversation
antimicrobial resistance
education
household surveys
business.industry
Public Health
Environmental and Occupational Health

lcsh:RA1-1270
Drug Utilization
Antibiotic Resistance
Africa
Stewardship
business
Zdroj: Global Health Action
Global Health Action, Vol 12, Iss S1 (2019)
Dixon, J, MacPherson, E, Manyau, S, Nayiga, S, Khine Zaw, Y, Kayendeke, M, Nabirye, C, Denyer Willis, L, de Lima Hutchison, C & Chandler, C I R 2019, ' The ‘Drug Bag’ method : Lessons from anthropological studies of antibiotic use in Africa and South-East Asia ', Global Health Action, vol. 12, no. 1, 1639388, pp. 1-11 . https://doi.org/10.1080/16549716.2019.1639388
ISSN: 1654-9716
1654-9880
DOI: 10.1080/16549716.2019.1639388
Popis: Understanding the prevalence and types of antibiotics used in a given human and/or animal population is important for informing stewardship strategies. Methods used to capture such data often rely on verbal elicitation of reported use that tend to assume shared medical terminology. Studies have shown the category ‘antibiotic’ does not translate well linguistically or conceptually, which limits the accuracy of these reports. This article presents a ‘Drug Bag’ method to study antibiotic use (ABU) in households and on farms, which involves using physical samples of all the antibiotics available within a given study site. We present the conceptual underpinnings of the method, and our experiences of using this method to produce data about antibiotic recognition, use and accessibility in the context of anthropological research in Africa and South-East Asia. We illustrate the kinds of qualitative and quantitative data the method can produce, comparing and contrasting our experiences in different settings. The Drug Bag method can produce accurate antibiotic use data as well as provide a talking point for participants to discuss antibiotic experiences. We propose it can help improve our understanding of antibiotic use in peoples’ everyday lives across different contexts, and our reflections add to a growing conversation around methods to study ABU beyond prescriber settings, where data gaps are currently substantial.
Databáze: OpenAIRE