Abstract
It has been widely recognised that a significant proportion of the world’s population suffer inequalities in accessing high quality healthcare and wider services. Within healthcare, antimicrobial resistance (AMR) is a global threat to public health affecting all healthcare systems and growing at an alarming pace. To ensure that national AMR campaigns developed by Public Health England are inclusive of all populations within the target audience a health equity assessment tool (HEAT) was used. The project leads for each campaign completed the HEAT independently with a follow up meeting with the study team to discuss and clarify the responses. A trend analysis was carried out with common themes being used to provide recommendations. The campaigns have demonstrated equality and diversity based on the requirements of the Equality Act 2010, particularly age, sex, and race protected characteristics. Some notable results include the translation of website materials in over 30 languages and reaching individuals in 122 countries. It was however noted that several of the protected characteristics were not applicable. The continuous development of resources with collaboration from a variety of diverse user groups would be advantageous towards aiding future campaign reach. The use of the HEAT has demonstrated the ease and cost-effective way to assess any health inequalities and would be a useful addition to antimicrobial stewardship and public health campaigns.
Highlights
Research has shown that there are inequalities in accessing high quality healthcare across the world, which affects a large proportion of people [1]
It is important to note that the reach of a campaign on the population can have an influence on healthcare professionals with 93% of general practitioners (GPs) saying they felt the materials supported them to say no to antibiotics when they were not needed [19]
This study focuses its attention on the importance of national campaigns considering and monitoring health inequalities in their development and revisions
Summary
Research has shown that there are inequalities in accessing high quality healthcare across the world, which affects a large proportion of people [1]. It has been estimated by the World Health. The health inequalities are classified as unjust differences in health and wellbeing between different groups of people which are systematic and avoidable and may be driven by (Supplementary Figure S1): . Different experiences of the wider determinants of health or structural factors, for example the environments, income or housing. Differences in health behaviours or other risk factors between groups, for example smoking, diet, and physical activity levels have different social distributions. Health behaviours may be influenced by wider determinants of health, like income
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