Haenssgen, Marco Johannes, Proochista, Ariana, Wertheim, Heiman F. L., Greer, Rachel C., Jones, Caroline O.H., Lubell, Yoel, Reed-Tsochas, Felix, Zanello, Giacomo, Newton, Paul N. and Mayxay, Mayfong (2019) Antibiotics and activity spaces : rural health behaviour survey in Northern Thailand and Southern Laos 2017-2018. [Dataset]

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Abstract

Antimicrobial resistance (AMR) threatens to cause ten million deaths annually by 2050, making it a top item on the global health agenda. The current global policy response is multi-faceted, wherein behavioural dimensions like people’s medicine use are being predominantly addressed with education and communication campaigns. The social sciences literature suggests that cross-contextual translation of medical knowledge in global awareness campaigns can create misunderstandings and adverse behavioural responses. However, the consequences of AMR communication in low-income and middle-income contexts remain largely undocumented. In response to the empirical knowledge gap, this study presents the case study of educational activity in three northern Thai villages with the objective of contributing to the understanding of the consequences (and their contextual influences) when sharing antibiotic-related information in a rural middle-income setting. The activity’s messages were based on World Health Organization AMR awareness-raising material. A mixed-methods research design informed the analysis. Descriptive difference-in-difference and geographical analysis based on complete village census surveys with a 3-month interval (n = 1096) was supplemented by qualitative data and observations from the educational activity. The underlying conceptual framework hypothesised that outcomes arise via (a) direct participation and indirect exposure (posters, conversations), subject to translational processes and physical and health system contexts; and via (b) the activity’s influence on village social networks. The outcomes demonstrated that participants aligned their antibiotic-related attitudes and behaviours with the activity’s recommendations. Aside from language barriers (which excluded non-Thai speakers), fragmented local healthcare landscapes limited villagers’ ability to act on the activity but also provided a market opportunity for informal antibiotics sales, and interactions with parallel yet misunderstood public health campaigns created rumours and resistance. Social support from community members also promoted healthy behaviours but remained unaffected by the activity. As one of the most detailed mixed-method assessments of public engagement in AMR, this study challenges the current dominance of awareness-raising campaigns to change population behaviours. We call for comprehensive mixed-method evaluations of future campaigns, mandatory two-directional knowledge exchange components, and alternative behaviour change approaches that respond to contextual constraints like precarity rather than alleged knowledge deficits.

Item Type:	Dataset
Subjects:	H Social Sciences > HN Social history and conditions. Social problems. Social reform Q Science > QR Microbiology R Medicine > RA Public aspects of medicine R Medicine > RM Therapeutics. Pharmacology
Divisions:	Faculty of Medicine > Warwick Medical School
Type of Data:	Experimental data
Library of Congress Subject Headings (LCSH):	Health education -- Thailand, Health education -- Laos, Antibiotics, Drug resistance in microorganisms, Thailand -- Rural conditions, Laos -- Rural conditions , Rural development -- Thailand, Rural development -- Laos
Publisher:	UK Data Service
Official Date:	3 June 2019
Dates:	Date Event 3 June 2019 Published 5 June 2019 Updated
Collection date:	Date from Date to November 2017 April 2018
Status:	Not Peer Reviewed
Publication Status:	Published
Media of Output:	.dta .pdf .docx
Access rights to Published version:	Open Access
Copyright Holders:	University of Warwick
Description:	Data record consists of 3 data files in .dta format, 7 documentation files - covering the project information, questionnaires and surveys used, and codebooks - and a readme file for the data. The three data sets comprise each a provincial-level representative rural survey of adults in Chiang Rai and Salavan, and a two-round census survey with a three-month interval in five villages across the two sites (3 in Chiang Rai, 2 in Salavan). The surveys were implemented by 10-member survey teams in each country between November 2017 and April 2018. Data were cleaned and prepared for public disclosure using Stata 15. All strings variables have been checked to ensure no personal information (e.g. names, addresses, contact information etc.) remains. Access to data is safeguarded according to the UK Data Service definition and requires a free UK Data Service registration to access.
RIOXX Funder/Project Grant:	Project/Grant ID RIOXX Funder Name Funder ID ES/P00511X/1 [ESRC] Economic and Social Research Council http://dx.doi.org/10.13039/501100000269
Related URLs:	Related item in WRAP Other
Contributors:	Contribution Name Contributor ID Contact Person Haenssgen, Marco Johannes 92005

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