Bonita Stanton, Veronica Dinaj-Koci, Bo Wang, Lynette Deveaux, Sonja Lunn, Xiaoming Li, Glenda Rolle, Nanika Brathwaite, Sharon Marshall, Perez Gomez
Adolescent HIV Risk Reduction in the Bahamas: Results from Two Randomized Controlled Intervention Trials Spanning Elementary School Through High School
AIDS and behavior
understand community antibiotic practices drivers comprehensively contextually sensitive ways explored individual community health systemlevel factors influencing community antibiotic practices rural west bengal india qualitative study using focus group discussions indepth interviews two contrasting village clusters south 24 parganas district west bengal india fieldwork conducted november 2019 january 2020 98 adult community members 42 men 56 women selected purposively 8 focus group discussions indepth interviews conducted 16 community key informants 7 teachers 4 elected village representatives 2 doctors 3 social workers 14 community health workers significant themes individual level included sociodemographics age gender education cognitive factors knowledge perceptions modern antibiotics within nonbiomedical belief systems affective influences emotive interpretations appropriate medicine consumption economic constraints affordability antibiotic courses overall costs care antibiotics viewed essential fever remedies akin antipyretics decisions halt midcourse influenced nonbiomedical beliefs associating prolonged use toxicity themes community health system levels included health stewardship roles village leaders knowledge brokering informal providers pharmacists public sector accredited social health activists however community resources lacked sufficient knowledge address peoples doubts concerns qualified doctors physically socially inaccessible creating barrier seeking expertise interplay sociodemographic cognitive affective factors economic constraints individual level underscores complexity antibiotic usage additionally community leaders health workers emerge crucial players yet knowledge gaps lack empowerment pose challenges addressing public concerns comprehensive analysis highlights need targeted interventions address individual beliefs community health dynamics promote judicious antibiotic use