Barriers and pathways to environmental surveillance of antibiotic resistance in middle- and low-income settings: a qualitative exploratory key expert study
Background Local and global surveillance of antibiotic resistance (ABR) has proven a challenge to implement effectively in low- and middleincome (LMI) settings. Environmental surveillance solutions are increasingly highlighted as a strategy to help overcome such problems, and thus to promote global...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2343318 |
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| author | Ann-Christin Peters D. G. Joakim Larsson Ramanan Laxminarayan Christian Munthe |
| author_facet | Ann-Christin Peters D. G. Joakim Larsson Ramanan Laxminarayan Christian Munthe |
| author_sort | Ann-Christin Peters |
| collection | DOAJ |
| description | Background Local and global surveillance of antibiotic resistance (ABR) has proven a challenge to implement effectively in low- and middleincome (LMI) settings. Environmental surveillance solutions are increasingly highlighted as a strategy to help overcome such problems, and thus to promote global health as well as the local management of ABR in LMI countries. While technical and scientific aspects of such solutions are being probed continuously, no study has investigated their practical feasibility. Objective Explore practical barriers for environmental surveillance of ABR in LMI countries, and pathways for surveillance experts to manage these. Methods To start charting this unknown territory, we conducted an explorative, qualitative interview study with key informants, applying a constructivist grounded theory approach to analyze the results. Results Barriers were identified across infrastructural, institutional and social dimensions, and pathways to manage them were mostly counterproductive from an ABR management perspective, including avoiding entire regions, applying substandard methods and failing to include local collaborators. Conclusion The research community as well as international agencies, organizations and states have key roles and responsibilities for improving the prospects of feasible environmental ABR surveillance in LMI-settings. |
| format | Article |
| id | doaj-art-6a00ea5f908745afa1725a1bf983439b |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj-art-6a00ea5f908745afa1725a1bf983439b2025-02-05T12:46:13ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.23433182343318Barriers and pathways to environmental surveillance of antibiotic resistance in middle- and low-income settings: a qualitative exploratory key expert studyAnn-Christin Peters0D. G. Joakim Larsson1Ramanan Laxminarayan2Christian Munthe3University of GothenburgCentre for Antibiotic Resistance Research in Gothenburg (CARe)One Health TrustUniversity of GothenburgBackground Local and global surveillance of antibiotic resistance (ABR) has proven a challenge to implement effectively in low- and middleincome (LMI) settings. Environmental surveillance solutions are increasingly highlighted as a strategy to help overcome such problems, and thus to promote global health as well as the local management of ABR in LMI countries. While technical and scientific aspects of such solutions are being probed continuously, no study has investigated their practical feasibility. Objective Explore practical barriers for environmental surveillance of ABR in LMI countries, and pathways for surveillance experts to manage these. Methods To start charting this unknown territory, we conducted an explorative, qualitative interview study with key informants, applying a constructivist grounded theory approach to analyze the results. Results Barriers were identified across infrastructural, institutional and social dimensions, and pathways to manage them were mostly counterproductive from an ABR management perspective, including avoiding entire regions, applying substandard methods and failing to include local collaborators. Conclusion The research community as well as international agencies, organizations and states have key roles and responsibilities for improving the prospects of feasible environmental ABR surveillance in LMI-settings.http://dx.doi.org/10.1080/16549716.2024.2343318antimicrobial resistanceenvironmental healthglobal healthone healthresearch policypublic health |
| spellingShingle | Ann-Christin Peters D. G. Joakim Larsson Ramanan Laxminarayan Christian Munthe Barriers and pathways to environmental surveillance of antibiotic resistance in middle- and low-income settings: a qualitative exploratory key expert study Global Health Action antimicrobial resistance environmental health global health one health research policy public health |
| title | Barriers and pathways to environmental surveillance of antibiotic resistance in middle- and low-income settings: a qualitative exploratory key expert study |
| title_full | Barriers and pathways to environmental surveillance of antibiotic resistance in middle- and low-income settings: a qualitative exploratory key expert study |
| title_fullStr | Barriers and pathways to environmental surveillance of antibiotic resistance in middle- and low-income settings: a qualitative exploratory key expert study |
| title_full_unstemmed | Barriers and pathways to environmental surveillance of antibiotic resistance in middle- and low-income settings: a qualitative exploratory key expert study |
| title_short | Barriers and pathways to environmental surveillance of antibiotic resistance in middle- and low-income settings: a qualitative exploratory key expert study |
| title_sort | barriers and pathways to environmental surveillance of antibiotic resistance in middle and low income settings a qualitative exploratory key expert study |
| topic | antimicrobial resistance environmental health global health one health research policy public health |
| url | http://dx.doi.org/10.1080/16549716.2024.2343318 |
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