Pathways of antibiotic use in Bangladesh: Qualitative protocol for the PAUSE study

This article was published in the BMJ Open [© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. ] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2018-028215 The Journal's website is at: https://bmjopen.bmj.com/content/9/1/e02821...

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Glavni autori:	Rousham, Emily K, Islam, Mohammad Aminul, Nahar, Papreen, Lucas, Patricia Jane, Naher, Nahitun, Ahmed, Syed Masud, Nizame, Fosiul Alam, Unicomb, Leanne
Daljnji autori:	Brac James P. Grant School of Public Health
Format:	Journal Article
Jezik:	en_US
Izdano:	BMJ Open 2022
Teme:	Antibiotic use in Bangladesh
Online pristup:	http://hdl.handle.net/10361/16461 http://dx.doi.org/10.1136/bmjopen-2018-028215

id	10361-16461
record_format	dspace
institution	Brac University
collection	Institutional Repository
language	en_US
topic	Antibiotic use in Bangladesh
spellingShingle	Antibiotic use in Bangladesh Rousham, Emily K Islam, Mohammad Aminul Nahar, Papreen Lucas, Patricia Jane Naher, Nahitun Ahmed, Syed Masud Nizame, Fosiul Alam Unicomb, Leanne Pathways of antibiotic use in Bangladesh: Qualitative protocol for the PAUSE study
description	This article was published in the BMJ Open [© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. ] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2018-028215 The Journal's website is at: https://bmjopen.bmj.com/content/9/1/e028215
author2	Brac James P. Grant School of Public Health
author_facet	Brac James P. Grant School of Public Health Rousham, Emily K Islam, Mohammad Aminul Nahar, Papreen Lucas, Patricia Jane Naher, Nahitun Ahmed, Syed Masud Nizame, Fosiul Alam Unicomb, Leanne
format	Journal Article
author	Rousham, Emily K Islam, Mohammad Aminul Nahar, Papreen Lucas, Patricia Jane Naher, Nahitun Ahmed, Syed Masud Nizame, Fosiul Alam Unicomb, Leanne
author_sort	Rousham, Emily K
title	Pathways of antibiotic use in Bangladesh: Qualitative protocol for the PAUSE study
title_short	Pathways of antibiotic use in Bangladesh: Qualitative protocol for the PAUSE study
title_full	Pathways of antibiotic use in Bangladesh: Qualitative protocol for the PAUSE study
title_fullStr	Pathways of antibiotic use in Bangladesh: Qualitative protocol for the PAUSE study
title_full_unstemmed	Pathways of antibiotic use in Bangladesh: Qualitative protocol for the PAUSE study
title_sort	pathways of antibiotic use in bangladesh: qualitative protocol for the pause study
publisher	BMJ Open
publishDate	2022
url	http://hdl.handle.net/10361/16461 http://dx.doi.org/10.1136/bmjopen-2018-028215
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spelling	10361-164612022-03-15T21:01:30Z Pathways of antibiotic use in Bangladesh: Qualitative protocol for the PAUSE study Rousham, Emily K Islam, Mohammad Aminul Nahar, Papreen Lucas, Patricia Jane Naher, Nahitun Ahmed, Syed Masud Nizame, Fosiul Alam Unicomb, Leanne Brac James P. Grant School of Public Health Antibiotic use in Bangladesh This article was published in the BMJ Open [© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. ] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2018-028215 The Journal's website is at: https://bmjopen.bmj.com/content/9/1/e028215 Introduction Global actions to reduce antimicrobial resistance (AMR) include optimising the use of antimicrobial medicines in human and animal health. In countries with weak healthcare regulation, this requires a greater understanding of the drivers of antibiotic use from the perspective of providers and consumers. In Bangladesh, there is limited research on household decision-making and healthcare seeking in relation to antibiotic use and consumption for humans and livestock. Knowledge is similarly lacking on factors influencing the supply and demand for antibiotics among qualified and unqualified healthcare providers. The aim of this study is to conduct integrated research on household decision-making for healthcare and antibiotic use, as well as the awareness, behaviours and priorities of healthcare providers and sellers of antibiotics to translate into policy development and implementation. Methods and analysis In-depth interviews will be conducted with (1) household members responsible for decision-making about illness and antibiotic use for family and livestock; (2) qualified and unqualified private and government healthcare providers in human and animal medicine and (3) stakeholders and policy-makers as key informants on the development and implementation of policy around AMR. Participant observation within retail drug shops will also be carried out. Qualitative methods will include a thematic framework analysis. A holistic approach to understanding who makes decisions on the sale and use of antibiotics, and what drives healthcare seeking in Bangladesh will enable identification of routes to behavioural change and the development of effective interventions to reduce the health risks of AMR. Ethics and dissemination Approval for the study has been obtained from the Institutional Review Board at the International Centre for Diarrhoeal Disease Research, Bangladesh following review by the Research and Ethics Committees (PR-16100) and from Loughborough University (R17-P081). Information about the study will be provided in a participant information letter in Bangla (to be read verbally and given in writing to participants). A written informed consent form in Bangla will be obtained and participants will be informed of their right to withdraw from the study. Dissemination will take place through a 1 day dissemination workshop with key stakeholders in public health and policy, practitioners and scientists in Bangladesh, and through international conference presentations and peer-review publications. Anonymised transcripts of interviews will be made available through open access via institutional data repositories after an embargo period. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made Published 2022-03-15T08:52:02Z 2022-03-15T08:52:02Z 2019 2019-01-25 Journal Article Rousham, E. K., Islam, M. A., Nahar, P., Lucas, P. J., Naher, N., Ahmed, S. M., . . . Unicomb, L. (2019). Pathways of antibiotic use in Bangladesh: Qualitative protocol for the PAUSE study. BMJ Open, 9(1) doi:10.1136/bmjopen-2018-028215 http://hdl.handle.net/10361/16461 http://dx.doi.org/10.1136/bmjopen-2018-028215 en_US https://bmjopen.bmj.com/content/9/1/e028215 application/pdf BMJ Open

Pathways of antibiotic use in Bangladesh: Qualitative protocol for the PAUSE study

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