Abstract
Despite global awareness of the key factors surrounding antimicrobial resistance (AMR), designing and implementing policies to address the critical issues around the drivers of AMR remains complex to put into practice. We identified prevalent narratives and framing used by epistemological communities involved in the response to AMR in Tanzania, interrogated how this framing may inform policymaking, and identified interventions that could be tailored to the groups believed responsible for AMR. We interviewed 114 key informants from three districts and analysed transcripts line by line. Our results suggest that many different groups help drive the spread of AMR in Tanzania and need to be involved in any effective response. Human health is currently perceived as driving the response, while other domains lag behind in their efforts. For AMR programmes to be successful, all sectors need to be involved, including civil society groups, community representatives, and those working in communities (e.g., primary care physicians). However, current plans and programmes largely fail to include these viewpoints. The perceived presence of political will in Tanzania is a significant step towards such a response. Any strategies to tackle AMR need to be tailored to the context-specific realities, taking into account constraints, beliefs, and power dynamics within countries.
Highlights
IntroductionWhile global awareness of the key drivers involved in antimicrobial resistance (AMR)
While global awareness of the key drivers involved in antimicrobial resistance (AMR)exists, designing and implementing policies to address these critical issues is complex and must take into account many different factors
We identified how different actors were framed by interviewees with regard to their involvement in the response to AMR in Tanzania, while recognising that those groups or actors that potentially influence policymaking are not necessarily coherent epistemological communities
Summary
While global awareness of the key drivers involved in antimicrobial resistance (AMR). Exists, designing and implementing policies to address these critical issues is complex and must take into account many different factors. The situation is complicated by many factors, including political will, poverty, lack of understanding in communities and by experts, siloing of the various fields that need to take responsibility for both policy-setting and implementation (human, animal, and environmental health), and conflicts of interest. Clinicians may be influenced to prescribe unnecessary antibiotics by pharmaceutical companies, and this type of conflict of interest needs to be strictly regulated [3]. Untangling these conflicts and setting priorities is not simple
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
