Experiences and views of healthcare professionals on the prescription of antibiotics in Eastern Uganda: A qualitative study

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dc.contributor.authorKawala Kagoya, Enid
dc.contributor.authorRoyen, Kathleen Van
dc.contributor.authorWaako, Paul
dc.contributor.authorRoyen, Paul Van
dc.contributor.authorIramiot, Jacob Stanley
dc.contributor.authorObakiro, Samuel Baker
dc.contributor.authorKostyanev, Tomislav
dc.contributor.authorAnthierens, Sibyl
dc.date.accessioned2023-02-26T11:00:00Z
dc.date.available2023-02-26T11:00:00Z
dc.date.issued2021
dc.description.abstractThis study aimed to explore the experiences and views of healthcare professionals on antibiotic prescription in Eastern Uganda. Methods: This was an exploratory qualitative study using semi-structured interviews. Participants included 16 healthcare professionals from Mbale and Soroti Regional Referral Hospitals. Additionally, two workshops were held (one in each hospital) with a total of 56 healthcare professionals to discuss the findings. Thematic analysis was used to analyse the data. Results: Healthcare professionals’ prescriptions are influenced by (i) healthcare workers’ perceptions and practices, (ii) patients’ perceptions and beliefs, and (iii) contextual factors. Healthcare workers’ prescriptions depend on the presence of bacterial infection and the severity of the condition, the availability and cost of medication, previous experience with antibiotic prescribing, patient character- istics, and trial and error. They also have limited knowledge and share little information on the use of antibiotics with patients. Patient factors included demand for a particular antibiotic, inability to afford expensive drugs, and limited knowledge about antibiotic use and resistance. Contextual factors that contributed to antibiotic prescribing were an overburdened healthcare system, the influence of pharmaceutical companies and pharmacies, the use of (treatment) guidelines, and difficulties with laboratory services. Conclusion: This study showed that healthcare professionals are aware of the problem of antibiotic resistance but do not feel ownership of the problem. Instead, they rather blame the overburdened system, local drug shops, pharmacies, drug representatives and patients. There is a need for a multisectoral and holistic approach toward fighting antibiotic resistance.en_US
dc.identifier.citationKagoya, E. K., Van Royen, K., Waako, P., Van Royen, P., Iramiot, J. S., Obakiro, S. B., ... & Anthierens, S. (2021). Experiences and views of healthcare professionals on the prescription of antibiotics in Eastern Uganda: A qualitative study. Journal of global antimicrobial resistance, 25, 66-71. http://dx.doi.org/10.1016/j.jgar.2021.02.019en_US
dc.identifier.urihttp://dx.doi.org/10.1016/j.jgar.2021.02.019
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/7984
dc.language.isoenen_US
dc.publisherJournal of global antimicrobial resistanceen_US
dc.subjectAntibiotic prescribingen_US
dc.subjectHealthcare professionalsen_US
dc.subjectAntimicrobial resistanceen_US
dc.subjectPerceptionsen_US
dc.subjectQualitative studyen_US
dc.titleExperiences and views of healthcare professionals on the prescription of antibiotics in Eastern Uganda: A qualitative studyen_US
dc.typeArticleen_US
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