ReviewPLoS neglected tropical diseases2021
Addressing antimicrobial resistance by improving access and quality of care-A review of the literature from East Africa.
Review in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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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.
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.
Who cites it
23 citing papers in PubMed.
- Climate change and antimicrobial resistance.Nature reviews. Microbiology · 2026Review
- A machine learning analysis of perceived healthcare access barriers among women of reproductive age in Sub-Saharan Africa: using demographic and health surveys.AJOG global reports · 2026Article
- Psychometric Validation of the Community Antimicrobial Use Scale (CAMUS) in Primary Healthcare and the Implications for Future Use.Antibiotics (Basel, Switzerland) · 2026Article
- Access to essential medicines and vaccines among hard-to-reach populations in Tanzania: evidence from a cross-sectional study of artisanal miners, fisherfolk, and pastoralists.Journal of pharmaceutical policy and practice · 2026Article
- Leveraging a people-centred approach to combat antimicrobial resistance in Africa.Tropical medicine and health · 2025Review
- A five-year retrospective analysis of antimicrobial resistance patterns in clinical bacterial isolates from the Jazeera University Laboratory in Mogadishu, Somalia.BMC microbiology · 2025Article
- Predictive Factors Associated With Multidrug-Resistant Tuberculosis Among Tuberculosis Patients in Southwest Ethiopia: An Unmatched Case-Control Study.Health science reports · 2025Article
- The two costs of neglect: evaluating the health and economic impacts of anthrax in an endemic area of rural Africa.medRxiv : the preprint server for health sciences · 2025Article
- Assessment of antimicrobial use and stewardship practices among animal health practitioners, veterinary drug retailers and cattle keepers in Mvomero, Tanzania.Frontiers in antibiotics · 2025Article
- Unpacking social and digital determinants of health in Africa: a narrative review on challenges and opportunities.mHealth · 2025Review
- Update on antimicrobial resistance in Somalia: Current status, challenges, opportunities, and future perspectives.Heliyon · 2024Review
- Exploring drivers of self-treatment with antibiotics in three agricultural communities of northern Tanzania.Antimicrobial resistance and infection control · 2024Article
- The Use of CHROMIDAntibiotics (Basel, Switzerland) · 2024Article
- Evaluating the Knowledge, Practice, and Regulatory Situation of Veterinary Experts Regarding Counterfeit Veterinary Medications in the Selected Districts of Central Gondar Zone, Ethiopia.Veterinary medicine (Auckland, N.Z.) · 2024Article
- A brief review of online education resources on gamification in addressing antimicrobial resistance.JAC-antimicrobial resistance · 2023Review
- Supply-chain factors and antimicrobial stewardship.Bulletin of the World Health Organization · 2023Article
- Viral etiology of lower respiratory tract infections in adults in the pre-COVID-19 pandemic era: A cross-sectional study in a single center experience from Cameroon.Health science reports · 2023Article
- "If You Do Not Take the Medicine and Complete the Dose…It Could Cause You More Trouble": Bringing Awareness, Local Knowledge and Experience into Antimicrobial Stewardship in Tanzania.Antibiotics (Basel, Switzerland) · 2023Article
- Potential Causes of Spread of Antimicrobial Resistance and Preventive Measures in One Health Perspective-A Review.Infection and drug resistance · 2023Review
- Multidrug Resistance: The Growing Menace in PICU.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Universal access to healthcare, including quality medicines, is a fundamental human right but is still out of reach for many in low- and middle-income countries (LMICs). An existing framework capturing variability of access to healthcare in low-resource settings includes the 5 dimensions: availability, accessibility, affordability, adequacy, and acceptability. This framework encompasses key components, including health infrastructure and means to access it as well as service organisation, costs, and factors that influence users' satisfaction. However, in reality, the effectiveness of accessed healthcare is measured by the likelihood of a positive outcome. We therefore propose an expansion of this framework to include an additional dimension, "aspects of quality," incorporating quality, which critically influences the ability of the accessed services to generate optimal health outcomes. Within this framework, we explore literature from East Africa likely relevant to a range of LMIC contexts, mainly focusing on the provision of widely used antimicrobials such as antimalarials and antibiotics. We argue that major inadequacies exist across all 6 dimensions of access and quality of drugs and their provision. While the global focus is on curbing excessive antimicrobial use to tackle the antimicrobial resistance (AMR) crisis, major constraints around access shape patients' health-seeking decisions leading to potentially problematic practices that might exacerbate the AMR problem. We advocate for a holistic approach to tackling these inadequacies, encompassing all dimensions of access and quality of healthcare in order to improve health outcomes while simultaneously counteracting the AMR crisis.
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What OpenQuestion holds
Registered trials
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.