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抗菌药物耐药性行为改变沟通中的机遇与挑战

Opportunities and challenges in antimicrobial resistance behavior change communication.

作者信息

Othieno Joseph O, Njagi Obadiah, Azegele Allan

机构信息

Director of Veterinary Services, P.O Box Private Bag Kangemi, 00625 Nairobi, Kenya.

出版信息

One Health. 2020 Sep 29;11:100171. doi: 10.1016/j.onehlt.2020.100171. eCollection 2020 Dec 20.

Abstract

Antimicrobial Resistance (AMR) is already affecting human and animal health sectors negatively. The UN General Assembly has listed AMR among issues that need urgent address; subsequently FAO/OIE/WHO tripartite took lead and jointly developed Global Action Plan (GAP) to tackle the problem. States and Governments have developed AMR National Action Plans (NAP), Policies and Communication Strategies. In health communication realms AMR is a distinctive and novel phenomenon. Consequently, communication theories and principles on this issue have not been tested adequately; even as literature around AMR is growing. While there are lessons that can be learned from previous and ongoing health communication campaigns targeting various audiences and coined around behavior change strategies; AMR is certainly a unique and maiden case. Kenya developed and is implementing its AMR - NAP. Kenya is among few countries that have developed and implemented an AMR Communication Strategy with the goal to create awareness and subsequently change audience behavior. This paper presents a review of available literature, reports, Kenya experiences and theories that can be applied to AMR communications. It illustrates the gaps, opportunities and challenges and proposes strategies that can be applied at the moment as more literature on AMR communication is collected through research and documentation of country experiences.

摘要

抗菌耐药性(AMR)已经对人类和动物健康领域产生了负面影响。联合国大会已将抗菌耐药性列为需要紧急解决的问题之一;随后,粮农组织/世界动物卫生组织/世界卫生组织三方牵头,联合制定了应对该问题的全球行动计划(GAP)。各国政府已制定了抗菌耐药性国家行动计划(NAP)、政策和传播战略。在健康传播领域,抗菌耐药性是一个独特而新颖的现象。因此,关于这个问题的传播理论和原则尚未得到充分检验;尽管围绕抗菌耐药性的文献在不断增加。虽然可以从以往和正在进行的针对不同受众并围绕行为改变策略开展的健康传播活动中吸取经验教训,但抗菌耐药性无疑是一个独特的新案例。肯尼亚制定并正在实施其抗菌耐药性国家行动计划。肯尼亚是少数几个制定并实施了抗菌耐药性传播战略的国家之一,其目标是提高认识并随后改变受众行为。本文对可应用于抗菌耐药性传播的现有文献、报告、肯尼亚的经验和理论进行了综述。它阐述了差距、机遇和挑战,并提出了在通过研究和记录国家经验收集到更多关于抗菌耐药性传播的文献时目前可以应用的策略。

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