A Study on Perceptions, Practices, and Experiences About Antibiotic Consumption and Antibiotic Resistance Among Various Stakeholders From the Catchment Area of an Urban Health Training Centre in Ahmedabad

Introduction: Misuse or abuse of antibiotic consumption, leading to antibiotic resistance, is an emerging global public health issue. Therefore, this qualitative study was conducted with a primary objective of documenting the perceptions, practices and experiences about antibiotic consumption and aw...

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Main Authors: Nirmika Patel, Parita Patel, Rashmi Sharma, Brijesh Patel, Sanju Gajjar, Nirav Bapat
Format: Article
Language:English
Published: Indian Association of Preventive and Social Medicine 2025-03-01
Series:Healthline
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Online Access:https://www.healthlinejournal.org/index_pdf/570.pdf
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author Nirmika Patel
Parita Patel
Rashmi Sharma
Brijesh Patel
Sanju Gajjar
Nirav Bapat
author_facet Nirmika Patel
Parita Patel
Rashmi Sharma
Brijesh Patel
Sanju Gajjar
Nirav Bapat
author_sort Nirmika Patel
collection DOAJ
description Introduction: Misuse or abuse of antibiotic consumption, leading to antibiotic resistance, is an emerging global public health issue. Therefore, this qualitative study was conducted with a primary objective of documenting the perceptions, practices and experiences about antibiotic consumption and awareness of antibiotic resistance among doctors, drug dispensers, and end-users. Objective: To document the perceptions, practices, and experiences about antibiotic consumption and awareness of antibiotic resistance amongst doctors, drug dispensers, and end-users. Method: A qualitative study was conducted in the UHTC catchment area, Ognaj, Ahmedabad. A total of 26 In-depth interviews with stakeholders (10 Doctors, 8 Drug dispensers and 8 End users) were conducted using an interview guide. Various themes and subthemes were categorized manually, and verbatim were quoted, at the end of all the In-depth interviews name of the antibiotics spoken was categories into Access, Watch and Reserve group as per WHO AWaRe classification and word cloud analysis was done. Results: Participated doctors had a wide range of qualifications and experience. It was found that doctors prescribe antibiotics mainly from the Access and Watch group (more from the Watch group). Drug dispensers were concerned about over-the-counter (OTC) dispensing and self-medication of antibiotics. However, they also shared the fact that the antibiotics are dispensed without prescriptions. End-users commonly sought antibiotics for minor ailments without prescriptions. Only one end user was aware of the implications of self-medication and resultant antibiotic resistance. Conclusion: Most antibiotics prescribed by doctors and dispensed at chemist shops were from the Watch and Access groups respectively. End users mainly purchased antibiotics from the Access and Watch groups. The findings highlight the urgent need for awareness sessions on antibiotic use and resistance for all stakeholders, along with stronger regulatory measures to control antibiotic sales by drug dispensers.
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spelling doaj-art-af9d6111e6b74d0792cf0872fb32eb242025-08-20T03:14:24ZengIndian Association of Preventive and Social MedicineHealthline2229-337X2320-15252025-03-0116161510.51957/Healthline_705_2025A Study on Perceptions, Practices, and Experiences About Antibiotic Consumption and Antibiotic Resistance Among Various Stakeholders From the Catchment Area of an Urban Health Training Centre in AhmedabadNirmika Patel 0Parita Patel1Rashmi Sharma2Brijesh Patel 3Sanju Gajjar4Nirav Bapat5Tutor, Community Medicine Department, GMERs Medical College, Sola, Ahmedabad. Tutor, Community Medicine Department, GMERs Medical College, Sola, Ahmedabad.Prof.& Head, Community Medicine Department, GMERS Medical College, Sola, Ahmedabad. Tutor, Community Medicine Department, GMERs Medical College, Sola, Ahmedabad.Tutor, Community Medicine Department, GMERs Medical College, Sola, Ahmedabad. AP(Statistics), Community Medicine Department, GMERs Medical College, Sola, AhmedabadIntroduction: Misuse or abuse of antibiotic consumption, leading to antibiotic resistance, is an emerging global public health issue. Therefore, this qualitative study was conducted with a primary objective of documenting the perceptions, practices and experiences about antibiotic consumption and awareness of antibiotic resistance among doctors, drug dispensers, and end-users. Objective: To document the perceptions, practices, and experiences about antibiotic consumption and awareness of antibiotic resistance amongst doctors, drug dispensers, and end-users. Method: A qualitative study was conducted in the UHTC catchment area, Ognaj, Ahmedabad. A total of 26 In-depth interviews with stakeholders (10 Doctors, 8 Drug dispensers and 8 End users) were conducted using an interview guide. Various themes and subthemes were categorized manually, and verbatim were quoted, at the end of all the In-depth interviews name of the antibiotics spoken was categories into Access, Watch and Reserve group as per WHO AWaRe classification and word cloud analysis was done. Results: Participated doctors had a wide range of qualifications and experience. It was found that doctors prescribe antibiotics mainly from the Access and Watch group (more from the Watch group). Drug dispensers were concerned about over-the-counter (OTC) dispensing and self-medication of antibiotics. However, they also shared the fact that the antibiotics are dispensed without prescriptions. End-users commonly sought antibiotics for minor ailments without prescriptions. Only one end user was aware of the implications of self-medication and resultant antibiotic resistance. Conclusion: Most antibiotics prescribed by doctors and dispensed at chemist shops were from the Watch and Access groups respectively. End users mainly purchased antibiotics from the Access and Watch groups. The findings highlight the urgent need for awareness sessions on antibiotic use and resistance for all stakeholders, along with stronger regulatory measures to control antibiotic sales by drug dispensers.https://www.healthlinejournal.org/index_pdf/570.pdfanti-bacterial agentsdrug resistancequalitative researchurban population
spellingShingle Nirmika Patel
Parita Patel
Rashmi Sharma
Brijesh Patel
Sanju Gajjar
Nirav Bapat
A Study on Perceptions, Practices, and Experiences About Antibiotic Consumption and Antibiotic Resistance Among Various Stakeholders From the Catchment Area of an Urban Health Training Centre in Ahmedabad
Healthline
anti-bacterial agents
drug resistance
qualitative research
urban population
title A Study on Perceptions, Practices, and Experiences About Antibiotic Consumption and Antibiotic Resistance Among Various Stakeholders From the Catchment Area of an Urban Health Training Centre in Ahmedabad
title_full A Study on Perceptions, Practices, and Experiences About Antibiotic Consumption and Antibiotic Resistance Among Various Stakeholders From the Catchment Area of an Urban Health Training Centre in Ahmedabad
title_fullStr A Study on Perceptions, Practices, and Experiences About Antibiotic Consumption and Antibiotic Resistance Among Various Stakeholders From the Catchment Area of an Urban Health Training Centre in Ahmedabad
title_full_unstemmed A Study on Perceptions, Practices, and Experiences About Antibiotic Consumption and Antibiotic Resistance Among Various Stakeholders From the Catchment Area of an Urban Health Training Centre in Ahmedabad
title_short A Study on Perceptions, Practices, and Experiences About Antibiotic Consumption and Antibiotic Resistance Among Various Stakeholders From the Catchment Area of an Urban Health Training Centre in Ahmedabad
title_sort study on perceptions practices and experiences about antibiotic consumption and antibiotic resistance among various stakeholders from the catchment area of an urban health training centre in ahmedabad
topic anti-bacterial agents
drug resistance
qualitative research
urban population
url https://www.healthlinejournal.org/index_pdf/570.pdf
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