Evidence map›Paper›PMID 33662643›Full record

ArticleJournal of global antimicrobial resistance2021

Policy actors and human and animal health practitioners' perceptions of antimicrobial use and resistance in Tanzania: A qualitative study.

Gasto Frumence, Leonard E G Mboera, Bugwesa Z Katale, Calvin Sindato, Sharadhuli Kimera, Anna Durrance-Bagale, Stephen E Mshana, Taane G Clark, Mark M Rweyemamu, Helena Legido-Quigley and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of global antimicrobial resistance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 11 citations in OpenAlex.

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  9. Framing the Drivers of Antimicrobial Resistance in Tanzania.Antibiotics (Basel, Switzerland) · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Gasto FrumenceMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania. Electronic address: frumencegasto@yahoo.co.uk.
Leonard E G MboeraEastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Bugwesa Z KataleTanzania Commission for Science and Technology, Dar es Salaam, Tanzania.
Calvin SindatoEastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; National Institute for Medical Research, Tabora Research Centre, Tabora, Tanzania.
Sharadhuli KimeraEastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; Sokoine University of Agriculture, Morogoro, Tanzania.
Anna Durrance-BagaleLondon School of Hygiene and Tropical Medicine, London, United Kingdom.
Stephen E MshanaEastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Taane G ClarkLondon School of Hygiene and Tropical Medicine, London, United Kingdom.
Mark M RweyemamuEastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania; SACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Helena Legido-QuigleyLondon School of Hygiene and Tropical Medicine, London, United Kingdom.
Mecky MateeMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), 3019 Morogoro, Tanzania.
Southern African Centre for Infectious Disease Surveillance · TZLondon School of Hygiene & Tropical Medicine · GBMuhimbili University of Health and Allied Sciences · TZCatholic University of Health and Allied Sciences · TZTanzania Commission for Science and Technology · TZ

Funding

Medical Research Council MR/S012796/1Wellcome Trust
6 · The paper itself

Abstract

objectiveTo explore and describe the perceptions of policy actors and practitioners on antimicrobial use and resistance in human and animal health in Tanzania.

methodsThis was an exploratory qualitative study, which involved semi-structured interviews with nine policy makers and 102 practitioners.

resultsImproved multisectoral collaboration and coordination among experts from the animal and human sectors, government will, improved infrastructures, existence of public awareness campaigns on appropriate use of antimicrobials and existence of antimicrobial stewardship were identified as strengths for the implementation of National Action Plan on Antimicrobial Resistance (NAP-AMR) in Tanzania. Despite these strengths, insufficient public awareness of AMR, limited community engagement and inadequate human resources were among the reported weaknesses. A number of opportunities for the implementation of NAP-AMR were also reported including the presence of integrated disease surveillance and response strategy in health sector and development of a coordinated surveillance system. Furthermore, the inadequate laboratory capacity and poor resource mobilization were identified as challenges facing the implementation of NAP-AMR.

conclusionThe future policies of AMR need to capitalize on the identified strengths and opportunities as well as design interventions to improve public awareness of AMR and community engagement, deployment of adequate human resources and ensure adequate resource mobilization to meet AMR needs.

Indexed as

Anti-Infective AgentsDrug Resistance, BacterialAnimalsHumansPerceptionPolicyTanzaniaAnti-Infective AgentsAntimicrobial usePerceptionPolicy actorsPractitionersResistanceTanzania

Identifiers

PMID33662643
PMCPMC8213539
OpenAlexW3134299608

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.