Strengthening antimicrobial stewardship in public health facilities in Malawi through a participatory epidemiology approach
Our findings underscore the complexity of the drivers for antibiotic overuse and resistance in hospital settings, as well as the need for more participatory approaches in tackling the complex challenge of AMR. The findings also signify the importance of a bottom-up approach in designing a solution for promoting antimicrobial stewardship and controlling resistance in hospital and community settings. Participatory approaches blended with principles of implementation research will help to identify contextual challenges, and help to design solutions that are people-centred, context-specific and largely accepted by all involved stakeholders.
Authors
- Thomas Nyirenda (ORCID: https://orcid.org/0000-0003-4727-7130)
- Steward Mudenda (ORCID: https://orcid.org/0000-0003-1692-8981)
- Gracian Harawa (ORCID: https://orcid.org/0000-0002-8568-7491)
- Collins Mitambo (ORCID: https://orcid.org/0000-0001-6840-4958)
- Alessia Masi (ORCID: https://orcid.org/0000-0001-9822-9767)
- Tumaini Makole (ORCID: https://orcid.org/0009-0007-7258-4403)
- Samuel Lawrent Mpinganjira (ORCID: https://orcid.org/0000-0002-2034-7701)
- Adriano Focus Lubanga (ORCID: https://orcid.org/0000-0002-5491-5412)
- Akim Nelson Bwanali (ORCID: https://orcid.org/0009-0005-2070-0041)
- Gillian Mwale
- Sibongile Kondowe
- Cynthia Chitule
- Ellen Nzima
- Yaleka Njikho
Institutions
- University of Washington (US)
- Stellenbosch University (ZA)
- University of Zambia (ZM)
- Zambia National Public Health Institute (ZM)
- Queen Elizabeth Central Hospital (MW)
- Seattle University (US)
Publication Details
- Journal
- JAC-Antimicrobial Resistance
- Published
- 2025-04-29
- DOI
- https://doi.org/10.1093/jacamr/dlaf103
- Citations
- 6
- Primary Topic
- Antibiotic Use and Resistance
- Type
- article
- Field-Weighted Citation Impact
- 7.57
Funders
- Pfizer