A theory-based exploration of antibiotic use in primary healthcare in Gezira state, Sudan

Abstract Background Inappropriate use of antibiotics is a major contributing factor to the emergence of antimicrobial resistance globally, including in Sudan. Objectives The project aimed to develop a theory-driven behaviour change strategy addressing both prescribers and patients based on factors t...

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Autores principales:	Anna-Leena Lohiniva, Einas Elwali, Duha Abuobaida, Ashwag Abdulrahim, Paul Bukuluki, Maha Talaat
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Behaviour change Theory-based intervention Antibiotic use Primary healthcare Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/1b5655b6be97478696fdad7fc3b2761f
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spelling	oai:doaj.org-article:1b5655b6be97478696fdad7fc3b2761f2021-12-05T12:04:06ZA theory-based exploration of antibiotic use in primary healthcare in Gezira state, Sudan10.1186/s43058-021-00229-32662-2211https://doaj.org/article/1b5655b6be97478696fdad7fc3b2761f2021-12-01T00:00:00Zhttps://doi.org/10.1186/s43058-021-00229-3https://doaj.org/toc/2662-2211Abstract Background Inappropriate use of antibiotics is a major contributing factor to the emergence of antimicrobial resistance globally, including in Sudan. Objectives The project aimed to develop a theory-driven behaviour change strategy addressing both prescribers and patients based on factors that are driving antibiotic use in primary healthcare settings in Gezira state in Sudan. Methods The strategy was designed based on the Theoretical Domains Framework (TDF) to identify behavioural domains and the Behaviour Change Wheel (BCW) to select appropriate intervention functions. The process included (1) a formative qualitative research study and (2) a knowledge co-production workshop that utilized the results of the qualitative study to design a salient, appropriate, and credible behaviour change strategy. Results The TDF domains related to prescribers that emerged from the study included knowledge, skills, and intention. The selected BCW intervention functions included education, training, modelling, and persuasion. The main TDF domains related to patients included social influences and intention. The selected BCW intervention functions included enablement and education. Conclusion Using the TDF and BCW intervention functions, the study identified behavioural domains that influence antibiotic prescription and consumption in rural primary healthcare settings in Gezira state in Sudan and appropriate intervention functions to modify these behaviours. Knowledge co-production ensured that the evidence-based strategy was acceptable and practical in the local context.Anna-Leena LohinivaEinas ElwaliDuha AbuobaidaAshwag AbdulrahimPaul BukulukiMaha TalaatBMCarticleBehaviour changeTheory-based interventionAntibiotic usePrimary healthcareMedicine (General)R5-920ENImplementation Science Communications, Vol 2, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Behaviour change Theory-based intervention Antibiotic use Primary healthcare Medicine (General) R5-920
spellingShingle	Behaviour change Theory-based intervention Antibiotic use Primary healthcare Medicine (General) R5-920 Anna-Leena Lohiniva Einas Elwali Duha Abuobaida Ashwag Abdulrahim Paul Bukuluki Maha Talaat A theory-based exploration of antibiotic use in primary healthcare in Gezira state, Sudan
description	Abstract Background Inappropriate use of antibiotics is a major contributing factor to the emergence of antimicrobial resistance globally, including in Sudan. Objectives The project aimed to develop a theory-driven behaviour change strategy addressing both prescribers and patients based on factors that are driving antibiotic use in primary healthcare settings in Gezira state in Sudan. Methods The strategy was designed based on the Theoretical Domains Framework (TDF) to identify behavioural domains and the Behaviour Change Wheel (BCW) to select appropriate intervention functions. The process included (1) a formative qualitative research study and (2) a knowledge co-production workshop that utilized the results of the qualitative study to design a salient, appropriate, and credible behaviour change strategy. Results The TDF domains related to prescribers that emerged from the study included knowledge, skills, and intention. The selected BCW intervention functions included education, training, modelling, and persuasion. The main TDF domains related to patients included social influences and intention. The selected BCW intervention functions included enablement and education. Conclusion Using the TDF and BCW intervention functions, the study identified behavioural domains that influence antibiotic prescription and consumption in rural primary healthcare settings in Gezira state in Sudan and appropriate intervention functions to modify these behaviours. Knowledge co-production ensured that the evidence-based strategy was acceptable and practical in the local context.
format	article
author	Anna-Leena Lohiniva Einas Elwali Duha Abuobaida Ashwag Abdulrahim Paul Bukuluki Maha Talaat
author_facet	Anna-Leena Lohiniva Einas Elwali Duha Abuobaida Ashwag Abdulrahim Paul Bukuluki Maha Talaat
author_sort	Anna-Leena Lohiniva
title	A theory-based exploration of antibiotic use in primary healthcare in Gezira state, Sudan
title_short	A theory-based exploration of antibiotic use in primary healthcare in Gezira state, Sudan
title_full	A theory-based exploration of antibiotic use in primary healthcare in Gezira state, Sudan
title_fullStr	A theory-based exploration of antibiotic use in primary healthcare in Gezira state, Sudan
title_full_unstemmed	A theory-based exploration of antibiotic use in primary healthcare in Gezira state, Sudan
title_sort	theory-based exploration of antibiotic use in primary healthcare in gezira state, sudan
publisher	BMC
publishDate	2021
url	https://doaj.org/article/1b5655b6be97478696fdad7fc3b2761f
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A theory-based exploration of antibiotic use in primary healthcare in Gezira state, Sudan

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