Exploring the potential for children to act on antimicrobial resistance in Nepal: Valuable insights from secondary

Jessica Mitchell1, Paul Cooke2, Abriti Arjyal3

  • 1Nuffield Centre for International Health and Development, Faculty of Medicine, University of Leeds, Leeds, United Kingdom.

Plos One
|June 2, 2023
PubMed

Insights

Children play a significant role in antimicrobial resistance (AMR) by influencing medicine use and purchasing antibiotics. Engaging children in educational programs can empower them as agents of change against AMR in Nepal.

Area of Science:

  • Global Health
  • Social Sciences
  • Public Health

Background:

  • Antimicrobial resistance (AMR) is a critical global health threat driven by complex human behaviors.
  • Community engagement (CE) is increasingly used to understand and address AMR at the local level.
  • Existing research often overlooks the role of children in AMR-related behaviors.

Purpose of the Study:

  • To explore the perceived roles and influence of children in antimicrobial resistance (AMR) in Nepal.
  • To understand how children's age impacts antimicrobial medicine use and adherence to health advice.
  • To identify potential strategies for involving children in combating AMR.

Main Methods:

  • Secondary analysis of 10 transcripts from an AMR-focused film-making project involving 23 adults.
  • Qualitative approach focusing on participants' references to children's involvement in AMR-related behaviors.
  • Exploration of community perceptions on children's influence on antimicrobial use.

Main Results:

  • Antimicrobial usage and adherence are influenced by patient age, with children's age being a factor.
  • Children participate in AMR-driving behaviors, including purchasing over-the-counter antibiotics.
  • Community members believe educational resources can position children as agents of change for AMR.

Conclusions:

  • Age-inclusive community engagement projects are effective for tackling AMR in community settings.
  • Children's involvement in AMR initiatives, particularly in low-resource settings like Nepal, should be prioritized.
  • Empowering children through education can foster significant behavioral change to combat antimicrobial resistance.