Evidence map›Paper›PMID 40118465›Full record

ArticleBMJ global health2025

Public-targeted interventions addressing antimicrobial resistance and antibiotic use in Sub-Saharan Africa: a scoping review.

Winifred Maduko, Emmanuel Olamijuwon, Mike Kesby, Jo Mhairi Hale

Abstract readScoping Review
In one paragraph

Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. 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

4 authors.

Winifred MadukoSchool of Geography and Sustainable Development, University of St Andrews, St Andrews, UK Wcm5@st-andrews.ac.uk.ORCID http://orcid.org/0009-0001-4044-7451
Emmanuel OlamijuwonSchool of Geography and Sustainable Development, University of St Andrews, St Andrews, UK.
Mike KesbySchool of Geography and Sustainable Development, University of St Andrews, St Andrews, UK.
Jo Mhairi HaleSchool of Geography and Sustainable Development, University of St Andrews, St Andrews, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAntimicrobial resistance (AMR) is a global health threat, with sub-Saharan Africa (SSA) experiencing the heaviest health burden and the highest AMR-related mortality. Most interventions in the region focus on hospital settings and provider behaviour, with few empirical papers discussing how theories inform those interventions specifically, community-centred interventions often lack a theoretical framework. However, using behavioural change theories can help us understand public behaviour around antibiotic usage and how to develop theoretically based interventions to maximise effectiveness. This scoping review critically investigates public-targeted interventions on AMR and antibiotic use within SSA, paying close attention to the theories underpinning those interventions. Given the concerning global rise in the spread of AMR and its severe implications, the situation may likely deteriorate if interventions are not significantly enhanced.

methodsA comprehensive search of peer-reviewed literature published in three databases (PubMed, Web of Science and Google Scholar) between 1997 and 2023 was conducted to determine the extent, range and nature of existing studies in this area. This review used the Arksey and O'Malley five-step scoping review framework.

resultsThe final review included seven publications, with three of the studies conducted in Ghana and the remaining studies carried out across other SSA nations. Findings revealed that AMR interventions were tailored to various demographics, including school children, parents, patients and online audiences. There is a notable lack of inclusive interventions for vulnerable populations, such as persons living with disabilities.

conclusionThe study findings emphasise the critical need for more community-centred research and AMR interventions that integrate relevant theoretical frameworks while being appropriately tailored to local contexts.

Indexed as

Anti-Bacterial AgentsDrug Resistance, MicrobialAfrica South of the SaharaHumansAnti-Bacterial AgentsGlobal HealthHealth education and promotionIntervention studyPublic HealthSystematic review

Identifiers

PMID40118465
PMCPMC11931924

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.