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Published on: July 19, 2024
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.
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.
Abstract:
This study explores the perceived roles of children in antimicrobial resistance (AMR) in two sites across Nepal. AMR is a global challenge and underpinned by many complex behavioural drivers including how antimicrobial medicines are sourced and used. Because of this social dynamic, several research groups are using community engagement (CE) approaches to understand AMR at community level. However, most data negate the importance of children in behaviours linked to, and potentially driving AMR. In this study, authors apply secondary analysis methods to 10 transcripts representing the views of 23 adults engaged in an AMR-focused film-making project. By focusing on participants' reference to children, we reveal that antimicrobial usage and adherence to health providers' messages can be influenced by the age of the patient. Secondly that children are involved in some of the behaviours which are known to drive antimicrobial resistance such as purchasing over-the-counter antibiotic drugs. Finally, community members discuss that, with careful creation of resources, AMR could be meaningfully presented in educational settings with a view to children acting as agents of change around AMR-driving behaviours. Findings suggest that age-inclusive community engagement projects could be effective in tackling AMR at community level in Nepal and other low resource settings.
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