‘When I tried to explain, they shouted back at me!’: exploring how community pharmacists navigate tensions implementing antimicrobial stewardship in Vietnam

Autor: Duy Trinh Hoang, Shannon McKinn, Dorothy Drabarek, Thao Thu Trieu, Van Thuy Pham, Yen Ngoc Pham, Thai Hung Cao, Hung Mai Tran, Greg J. Fox, Thu-Anh Nguyen, Sarah Bernays
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Critical Public Health, Vol 34, Iss 1, Pp 1-14 (2024)
Druh dokumentu: article
ISSN: 09581596
1469-3682
0958-1596
DOI: 10.1080/09581596.2024.2303421
Popis: Antimicrobial resistance is a major global and national health challenge, accelerated by ‘irrational’ antibiotic use. In response, Vietnam has been implementing a public health plan of antimicrobial stewardship since 2013 to reduce antibiotic sales in community pharmacies, although it has had limited effect. Given that private pharmacies are increasingly the entry point to access healthcare, reflective of the inhibited accessibility of primary healthcare, understanding how the positioning of community pharmacists shapes the delivery of antimicrobial stewardship plans warrant further investigation. This qualitative analysis draws on data from 24 in-depth interviews with licensed community pharmacists in Vietnam. Interviewees described being constrained in rationing the sale of antibiotics by tensions within their professional role, in which the delivery of antimicrobial stewardship within their public health commitments rubs up against commercial and social obligations to their livelihoods and communities respectively. The concept of ‘resistance’ provides insight into what obstructs the integration of national antimicrobial stewardship guidance and policy, hindering the transformation of local practices concerning antibiotic sales at the community level. Findings reveal opportunities to recast community pharmacists as ‘productive anchors’ who can facilitate the appropriate use of antibiotics and strengthen links to primary care within the local context. Structural changes are needed, however, so that people do not use antibiotics as a proxy for health care. Improving the accessibility of primary healthcare would also curtail the reliance on community pharmacists’ to dispense antibiotics as a local mechanism of financial protection and social care within community.
Databáze: Directory of Open Access Journals
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