Community engagement

The key to tackling Antimicrobial Resistance (AMR) across a One Health context

Bibliographic Data

ID15540316
AuthorsJessica Mitchell (0000-0002-8458-5717, University of Leeds, corresponding author), Paul Cooke (0000-0002-8377-3118, University of Leeds), Collins Ahorlu (0000-0001-8116-3984, University of Ghana), Abriti Arjyal (0000-0002-3624-5726), Sushil Baral (0000-0002-3425-6915), Laura Carter (0000-0002-6196-0078), Laura J Carter (0000-0002-1146-7920, University of Leeds), Rajib Dasgupta (0000-0003-0609-9796, Jawaharlal Nehru University), Fariza Fieroze (0000-0002-0200-967X, ARK Foundation), Mariana Fonseca Braga (0000-0002-3267-5999, Lancaster University), Rumana Huque (0000-0002-7616-9596, ARK Foundation), Sonia Lewycka (0000-0002-5923-9468, University of Oxford), Pachillu Kalpana (0000-0002-3847-221X, Indian Institute of Public Health Gandhinagar), Deepak Saxena (0000-0003-0563-4259, Indian Institute of Public Health Gandhinagar), Fiona M Tomley (0000-0003-2188-8013, Royal Veterinary College), Emmanuel Tsekleves (0000-0003-1842-7830, Lancaster University), Gioa Vu Thi Quynh (Oxford University Clinical Research Unit), Rebecca King (0000-0003-0874-0102, University of Leeds)
Year2021
Volume17
Issue11
Pages2647-2664
Publication date2021-12-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2021.2003839
PMID34882505
OpenAlexW4200319423
LanguageEN
Citations received17
References cited69

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

Community engagement · Context (archaeology · Geography · Knowledge management · Political science · Popularity · Psychological intervention · Public relations · Scope (computer science · Antibiotic Use and Resistance · Computer Science · Health Policy Implementation Science · Medicine · Nursing · Vaccine Coverage and Hesitancy