Anna Barker|Kelly Brown|Muneeb Ahsan|Shamik Sengupta|Nasia Safdar
Social determinants of antibiotic misuse: a qualitative study of community members in Haryana, India
University of Wisconsin–Madison|University of Wisconsin–Madison|Medanta The Medicity|Medanta The Medicity|University of Wisconsin–Madison
antibiotic resistance global public health crisis india alone multidrug resistant organisms responsible 58000 infant deaths year major driver drug resistance antibiotic misuse pervasive phenomenon worldwide due shortage trained doctors access licensed allopathic doctors limited indias villages pharmacists unlicensed medical providers commonly primary sources healthcare patients also key participants decision treat illness antibiotics thus better understanding patientprovider interactions may contribute patients inappropriate use antibiotics critical reducing practices urban rural indian villageswe conducted qualitative study social determinants antibiotic use among twenty community members haryana india semistructured interview questions focused two domains typical antibiotic use motivation behind practices crosssectional pilot survey investigated twenty participants understanding usage antibiotics interview openended survey responses translated transcribed coded themesantibiotics implications misuse poorly understood study participants participant able correctly define term antibiotics participants limited access allopathic doctor either logistic economic reasons likely purchase medications directly pharmacy without prescription low income participants also likely prematurely stop antibiotics symptoms subsided regardless income participants likely seek allopathic doctor children themselvesthe prevalent misuse antibiotics among community members reinforces importance conducting research develop effective strategies stemming tide antibiotic resistance indias villages