What contributes to inappropriate antibiotic dispensing among qualified and unqualified healthcare providers in Bangladesh? A qualitative study

BMC Health Services Research
Papreen NaharEmily K Rousham

Abstract

Over-prescribing and inappropriate use of antibiotics contributes to the emergence of antimicrobial resistance (AMR). Few studies in low and middle-income settings have employed qualitative approaches to examine the drivers of antibiotic sale and dispensing across the full range of healthcare providers (HCPs). We aimed to explore understandings of the use and functions of antibiotics; awareness of AMR and perceived patient or customer demand and adherence among HCPs for human and animal medicine in Bangladesh. We used an ethnographic approach to conduct face-to-face, in-depth interviews with 46 community HCPs in one urban and one rural area (Gazipur and Mirzapur districts respectively). We purposefully selected participants from four categories of provider in human and veterinary medicine: qualified; semi-qualified; auxiliary and unqualified. Using a grounded theory approach, thematic analysis was conducted using a framework method. Antibiotics were considered a medicine of power that gives quick results and works against almost all diseases, including viruses. The price of antibiotics was equated with power such that expensive antibiotics were considered the most powerful medicines. Antibiotics were also seen as preventative m...Continue Reading

References

Jun 25, 2003·Social Science & Medicine·Aryanti Radyowijati, Hilbrand Haak
Sep 2, 2009·Health Policy and Planning·Syed Masud AhmedMushtaque Raja Chowdhury
Jul 6, 2010·International Journal of Nursing Studies·Denise F Polit, Cheryl Tatano Beck
Jul 16, 2011·Health Policy and Planning·Gerald BloomDavid H Peters
Nov 7, 2012·International Journal of Antimicrobial Agents·António Teixeira RodriguesMaria Teresa Herdeiro
Nov 24, 2012·Health Policy and Planning·Maryam BigdeliWim Van Damme
Nov 26, 2013·Lancet·A Mushtaque R ChowdhuryLincoln C Chen
Feb 22, 2014·BMC Pharmacology & Toxicology·Do Thi Thuy NgaHeiman F L Wertheim
Mar 29, 2014·Upsala Journal of Medical Sciences·Göran Tomson, Ioana Vlad
Jun 21, 2015·The Journal of Antimicrobial Chemotherapy·A R McCulloughC B Del Mar
Mar 16, 2017·Anthropology & Medicine·Papreen NaharPeter Phillimore
Sep 7, 2017·BMJ : British Medical Journal·Cecilia Stålsby Lundborg, Ashok J Tamhankar

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Citations

Dec 24, 2020·Expert Review of Anti-infective Therapy·M Mofizul Islam
Jun 1, 2021·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Gbemisola Allwell-BrownEmily White Johansson

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