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The consequences of AMR education and awareness raising : outputs, outcomes, and behavioural impacts of an antibiotic-related educational activity in Lao PDR
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Haenssgen, Marco Johannes, Xayavong, Thipphaphone, Charoenboon, Nutcha, Warapikuptanun, Penporn and Khine Zaw, Yuzana (2018) The consequences of AMR education and awareness raising : outputs, outcomes, and behavioural impacts of an antibiotic-related educational activity in Lao PDR. Antibiotics, 7 (4). 95. doi:10.3390/antibiotics7040095
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Official URL: http://dx.doi.org/10.3390/antibiotics7040095
Abstract
Education and awareness raising are the primary tools of global health policy to change public behaviour and tackle antimicrobial resistance. Considering the limitations of an awareness agenda, and the lack of social research to inform alternative approaches, our objective was to generate new empirical evidence on the consequences of antibiotic-related awareness raising in a low-income country context. We implemented an educational activity in two Lao villages to share general antibiotic-related messages and also to learn about people’s conceptions and health behaviours. Two rounds of census survey data enabled us to assess the activity’s outputs, its knowledge outcomes, and its immediate behavioural impacts in a difference-in-difference design. Our panel data covered 1130 adults over two rounds, including 58 activity participants and 208 villagers exposed indirectly via conversations in the village. We found that activity-related communication circulated among more privileged groups, which limited its indirect effects. Among participants, the educational activity influenced the awareness and understanding of “drug resistance”, whereas the effects on attitudes were minor. The evidence on the behavioural impacts was sparse and mixed, but the range of possible consequences included a disproportionate uptake of antibiotics from formal healthcare providers. Our study casts doubt on the continued dominance of awareness raising as a behavioural tool to address antibiotic resistance.
| Item Type: | Journal Article | ||||||
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| Subjects: | Q Science > QR Microbiology R Medicine > RA Public aspects of medicine |
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| Divisions: | Faculty of Arts > School for Cross-faculty Studies > Global Sustainable Development | ||||||
| Library of Congress Subject Headings (LCSH): | Health education -- Laos, Drug resistance in microorganisms, Antibiotics | ||||||
| Journal or Publication Title: | Antibiotics | ||||||
| Publisher: | M.D.P.I.AG | ||||||
| ISSN: | 2079-6382 | ||||||
| Official Date: | 1 November 2018 | ||||||
| Dates: |
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| Date of first compliant deposit: | 15 November 2018 | ||||||
| Volume: | 7 | ||||||
| Number: | 4 | ||||||
| Article Number: | 95 | ||||||
| DOI: | 10.3390/antibiotics7040095 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access | ||||||
| RIOXX Funder/Project Grant: |
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