Assessing antimicrobial use patterns in Christian Health Association of Malawi (CHAM) health facilities: A cross-sectional study protocol.
The threat of antimicrobial resistance (AMR) in Malawi is high with reported mortality of 19,300 annually, the 23rd highest age-standardised mortality. One of the drivers of AMR is misuse of antibiotics, a phenomenon that has not been adequately researched in Malawi. This study aims to investigate a...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0306509 |
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| author | Evans Chimayi Chirambo Francis Kachidza Chiumia Dumisani Nkhoma Collins Mitambo Sharon Odeo Patience Khomani Innocent Chibwe Simon Matchado Pacharo Matchere Beatrice Chiweza Elled Mwenyekonde Elizabeth Kampira Happy Makala |
| author_facet | Evans Chimayi Chirambo Francis Kachidza Chiumia Dumisani Nkhoma Collins Mitambo Sharon Odeo Patience Khomani Innocent Chibwe Simon Matchado Pacharo Matchere Beatrice Chiweza Elled Mwenyekonde Elizabeth Kampira Happy Makala |
| author_sort | Evans Chimayi Chirambo |
| collection | DOAJ |
| description | The threat of antimicrobial resistance (AMR) in Malawi is high with reported mortality of 19,300 annually, the 23rd highest age-standardised mortality. One of the drivers of AMR is misuse of antibiotics, a phenomenon that has not been adequately researched in Malawi. This study aims to investigate antimicrobial use using health facility, prescribing and patient indicators in Christian Health Association of Malawi (CHAM) health facilities. This will be a multiple cross-sectional study, which will collect data from facilities (22), prescriptions (660), and patients (303). Data will be collected using KoboToolbox v2021, and exported into Microsoft Excel version 2016 for cleaning and coding. Variables will be categorised according to the antimicrobial use indicators. The study will use STATA Version 14 statistical software for data analysis. Subsequently, facilities will be entered into ArcGIS Version 10.7.1 to map hotspots of irrational antimicrobial use. The study will run from October 2024 to June 2025. This study will provide detailed information on frequently used antimicrobials, the cost of antimicrobials relative to medicine budget, the intensity of exposure to antimicrobials, the availability of antimicrobials, patients' understanding of antimicrobials use, and availability of important documents for antimicrobial use. Secondarily, the study will unravel the prevalence of irrational antimicrobial use, the main factors contributing to it, and location where irrational use is most prevalent. These findings will inform the national antimicrobial stewardship action plan, aiming to safeguard the available antimicrobials. |
| format | Article |
| id | doaj-art-77ab8d64303544ab9f123037f90cd018 |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-77ab8d64303544ab9f123037f90cd0182025-08-20T02:35:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e030650910.1371/journal.pone.0306509Assessing antimicrobial use patterns in Christian Health Association of Malawi (CHAM) health facilities: A cross-sectional study protocol.Evans Chimayi ChiramboFrancis Kachidza ChiumiaDumisani NkhomaCollins MitamboSharon OdeoPatience KhomaniInnocent ChibweSimon MatchadoPacharo MatchereBeatrice ChiwezaElled MwenyekondeElizabeth KampiraHappy MakalaThe threat of antimicrobial resistance (AMR) in Malawi is high with reported mortality of 19,300 annually, the 23rd highest age-standardised mortality. One of the drivers of AMR is misuse of antibiotics, a phenomenon that has not been adequately researched in Malawi. This study aims to investigate antimicrobial use using health facility, prescribing and patient indicators in Christian Health Association of Malawi (CHAM) health facilities. This will be a multiple cross-sectional study, which will collect data from facilities (22), prescriptions (660), and patients (303). Data will be collected using KoboToolbox v2021, and exported into Microsoft Excel version 2016 for cleaning and coding. Variables will be categorised according to the antimicrobial use indicators. The study will use STATA Version 14 statistical software for data analysis. Subsequently, facilities will be entered into ArcGIS Version 10.7.1 to map hotspots of irrational antimicrobial use. The study will run from October 2024 to June 2025. This study will provide detailed information on frequently used antimicrobials, the cost of antimicrobials relative to medicine budget, the intensity of exposure to antimicrobials, the availability of antimicrobials, patients' understanding of antimicrobials use, and availability of important documents for antimicrobial use. Secondarily, the study will unravel the prevalence of irrational antimicrobial use, the main factors contributing to it, and location where irrational use is most prevalent. These findings will inform the national antimicrobial stewardship action plan, aiming to safeguard the available antimicrobials.https://doi.org/10.1371/journal.pone.0306509 |
| spellingShingle | Evans Chimayi Chirambo Francis Kachidza Chiumia Dumisani Nkhoma Collins Mitambo Sharon Odeo Patience Khomani Innocent Chibwe Simon Matchado Pacharo Matchere Beatrice Chiweza Elled Mwenyekonde Elizabeth Kampira Happy Makala Assessing antimicrobial use patterns in Christian Health Association of Malawi (CHAM) health facilities: A cross-sectional study protocol. PLoS ONE |
| title | Assessing antimicrobial use patterns in Christian Health Association of Malawi (CHAM) health facilities: A cross-sectional study protocol. |
| title_full | Assessing antimicrobial use patterns in Christian Health Association of Malawi (CHAM) health facilities: A cross-sectional study protocol. |
| title_fullStr | Assessing antimicrobial use patterns in Christian Health Association of Malawi (CHAM) health facilities: A cross-sectional study protocol. |
| title_full_unstemmed | Assessing antimicrobial use patterns in Christian Health Association of Malawi (CHAM) health facilities: A cross-sectional study protocol. |
| title_short | Assessing antimicrobial use patterns in Christian Health Association of Malawi (CHAM) health facilities: A cross-sectional study protocol. |
| title_sort | assessing antimicrobial use patterns in christian health association of malawi cham health facilities a cross sectional study protocol |
| url | https://doi.org/10.1371/journal.pone.0306509 |
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