Health personnel experiences with antimicrobial resistance: A qualitative phenomenological assessment in a low resource setting


Author: Grace Tadzong-Awasum
Page Range: 197-202
Published in: International Public Health Journal, 15#2 (2023)
ISSN: 1947-4989

Table of Contents


Antimicrobial resistance (AMR) is a global public health problem that requires urgent action. The burden is highest in sub-Saharan Africa, where antimicrobial stewardship is reportedly challenged by contextual issues which need to be understood in detail. The objective of this study was to understand health personnel point of view and experiences regarding antimicrobial resistance. A phenomenological qualitative study was used on a sample of seven health personnel (two certified physicians and five registered nurses), who prescribe and administer antimicrobials on a daily basis in Yaounde, Cameroon. Findings were grouped into four major themes: 1) Confirmed clinical overuse of antibiotics following systematic prescription is a major enhancer of antimicrobial resistance, 2) Unregulated over-the-counter sales of antimicrobials render antimicrobial stewardship difficult, 3) Excessive uncontrolled use of anti-microbials in the community for plant and animal farming indirectly promotes antimicrobial resistance and 4) Inad-equate follow-up and evaluation of antimicrobial surveill-ance measures. There is a need to step up anti-microbial surveillance and control strategies, while raising population awareness of the dangers of self-medication and systematic overuse of antibiotics. Improved public health policies on antimicrobial stewardship are needed to reduce the harm caused by antimicrobial resistance.

Keywords: Antimicrobial resistance, health personnel, antimicrobial stewardship, Cameroon

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