Irrational Use of Antimicrobials in Urban Poor Areas: A Multiple Case Study
Keywords:
Antimicrobials, Urban Poor, Infectious Disease Management, Coping MechanismAbstract
Background: Antimicrobial Resistance (AMR) in low-income urban communities is one of the most pressing threats to healthcare, primarily attributed to a lack of access to resources and inadequate enforcement of policies. Related studies show that antimicrobial misuse is evident even in metropolitan areas, such as Manila and Central Visayas.
Objectives: This research examines the experiences of Urban Poor communities in Mindanao regarding antimicrobial use to determine the practices and processes conducive to AMR.
Methods: In this Multiple Case Study, purposive sampling was used to recruit five (5) volunteers from the Urban Poor community, who participated in a focus group discussion. After transcribing the responses, thematic analysis was used to identify the following themes: Fact-Based Perception and Practical Response to Infectious Disease, Following Methods of Infectious Disease Management as Advised by Parents and Healthcare Professionals, Taking Medication as Advised by Parents and Healthcare Professionals, and asking neighbors and Stocking Medications.
Results: This study reveals the diverse lived experiences and coping mechanisms of the urban poor regarding infectious diseases.
Conclusion: Based on the study findings, it can be concluded that the urban poor's perception of infectious disease has an inaccurate scientific background. Their coping mechanisms are constrained by sources of information and motivated by current and future interests. Cross-case examination revealed similarities attributed to context. Meanwhile, differences are rooted in their individual experiences, such as the severity and frequency of the infectious disease.
References
Barber, D. A., Casquejo, E., Ybañez, P. L., Pinote, M. T., Casquejo, L., Pinote, L. S., Estorgio, M., & Young, A. M. (2017). Prevalence and correlates of antibiotic sharing in the Philippines: antibiotic misconceptions and community-level access to non-medical sources of antibiotics. Tropical Medicine & International Health, 22(5), 567–575. https://doi.org/10.1111/tmi.12854
Chautrakarn, S., Khumros, W., & Phutrakool, P. (2021). Self-medication with over-the-counter medicines among the working-age population in metropolitan areas of Thailand. Frontiers in Pharmacology, 12. https://doi.org/10.3389/fphar.2021.726643
Djulbegovic, B., Elqayam, S., & Dale, W. (2017). Rational decision making in medicine: Implications for overuse and underuse. Journal of Evaluation in Clinical Practice, 24(3), 655–665. https://doi.org/10.1111/jep.12851
Karuniawati, H., Hassali, M. a. A., Suryawati, S., Ismail, W. I., Taufik, T., & Wiladatika, A. (2020). Public practices towards antibiotics: A qualitative study. Clinical Epidemiology and Global Health, 8(4), 1277–1281. https://doi.org/10.1016/j.cegh.2020.04.027
Saito, N., Takamura, N., Retuerma, G. P., Frayco, C. H., Solano, P. S., Ubas, C. D., Lintag, A. V., Ribo, M. R., Solante, R. M., Dimapilis, A. Q., Telan, E. O., Go, W. S., Suzuki, M., Ariyoshi, K., & Parry, C. M. (2018). Frequent Community Use of Antibiotics among a Low-Economic Status Population in Manila, the Philippines: A Prospective Assessment Using a Urine Antibiotic Bioassay. American Journal of Tropical Medicine and Hygiene, 98(5), 1512–1519. https://doi.org/10.4269/ajtmh.17-0564
WomensMedia. (2021, January 15). The benefits of resting and how to unplug in a busy world. Forbes. https://www.forbes.com/sites/womensmedia/2021/01/15/the-benefits-of-resting-and-how-to-unplug-in-a-busy-world/?sh=5121398d2133
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