Understanding antimicrobial use in subsistence farmers in Chikwawa District Malawi, implications for public awareness campaigns

  10 June 2022

Drug resistant infections are increasing across the world and urgent action is required to preserve current classes of antibiotics. Antibiotic use practices in low-and-middle-income countries have gained international attention, especially as antibiotics are often accessed beyond the formal health system. Public awareness campaigns have gained popularity, often conceptualising antimicrobial resistance (AMR) as a problem of excess, precipitated by irrational behaviour. Insufficient attention has been paid to people’s lived experiences of accessing medicines in low-income contexts. In Chikwawa District, Malawi, a place of extreme scarcity, our study aimed to understand the care and medicine use practices of households dependent on subsistence farming.


Further reading: PLOS Global Public Health
Author(s): Eleanor E. MacPherson, Joanna Reynolds, Esnart Sanudi, Alexander Nkaombe, John Mankhomwa, Justin Dixon, Clare I. R. Chandler
Effective Surveillance  


Unrestricted financial support by:

Antimicrobial Resistance Fighter Coalition


JSS University

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