抓住机会，合理用药：乌干达东部农村的抗生素使用情况。
Taking Opportunities, Taking Medicines: Antibiotic Use in Rural Eastern Uganda.
机构信息
Infectious Diseases Research Collaboration, Kampala, Uganda.
Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK.
出版信息
Med Anthropol. 2022 May-Jun;41(4):418-430. doi: 10.1080/01459740.2022.2047676. Epub 2022 Mar 24.
Abstract
The ways in which dimensions of health and healthcare intersect with economics and politics in particular contexts requires close attention. In this article we connect concerns about antibiotic overuse in Uganda to the social milieu created through policies that follow President Museveni's vision for a population who , "tap wealth." Ethnographic fieldwork in rural Eastern Uganda illustrates how taking medicines in rural households reflects a wider landscape of everyday imperatives to "tap" opportunities in a context of acute precarity. We argue for a closer connection between medical and economic anthropology to push forward understanding of health, medicines and wellbeing in Africa.
摘要
在特定背景下，健康和医疗保健的各个方面与经济和政治相互交织的方式需要密切关注。在本文中，我们将乌干达过度使用抗生素的问题与通过政策创造的社会环境联系起来，这些政策遵循穆塞韦尼总统的愿景，即让人们“挖掘财富”。在乌干达东部农村地区进行的民族志实地考察说明了在一个极度不稳定的环境中，农村家庭如何通过服用药物来反映日常生活中更广泛的“挖掘”机会的必要性。我们主张医学人类学和经济人类学之间更紧密的联系，以推动对非洲健康、药品和福祉的理解。
相似文献
1
Taking Opportunities, Taking Medicines: Antibiotic Use in Rural Eastern Uganda.抓住机会，合理用药：乌干达东部农村的抗生素使用情况。
Med Anthropol. 2022 May-Jun;41(4):418-430. doi: 10.1080/01459740.2022.2047676. Epub 2022 Mar 24.
2
Reconciling imperatives: Clinical guidelines, antibiotic prescribing and the enactment of good care in lower-level health facilities in Tororo, Uganda.协调指令：在乌干达托罗罗的低级别卫生机构中，临床指南、抗生素处方和良好护理的实施。
Glob Public Health. 2022 Dec;17(12):3322-3333. doi: 10.1080/17441692.2022.2045619. Epub 2022 Feb 27.
3
The politics of AIDS.艾滋病政治
New Afr. 1990 Feb(269):28.
4
Women's groups and individual entrepreneurs: a Ugandan case study.妇女团体与个体企业家：乌干达案例研究
Gend Dev. 1996 Oct;4(3):54-60. doi: 10.1080/741922170.
5
Uganda.乌干达
Backgr Notes Ser. 1988 Mar:1-6.
6
Uganda does what it can for women.乌干达尽其所能为女性提供帮助。
Womens Health J. 1993(4):61-2.
7
'The disease isn't listening to the drug': The socio-cultural context of antibiotic use for viral respiratory infections in rural Uganda.“疾病不听从药物”：乌干达农村地区病毒性呼吸道感染抗生素使用的社会文化背景。
Glob Public Health. 2019 May;14(5):750-763. doi: 10.1080/17441692.2018.1542017. Epub 2018 Nov 8.
8
The realities of unmet need in Uganda.乌干达未被满足的需求现状。
Plan Parent Chall. 1994(1):17-9.
9
Antibiotic stories: a mixed-methods, multi-country analysis of household antibiotic use in Malawi, Uganda and Zimbabwe.抗生素故事：马拉维、乌干达和津巴布韦三国家庭抗生素使用的混合方法、多国分析。
BMJ Glob Health. 2021 Nov;6(11). doi: 10.1136/bmjgh-2021-006920.
10
The changing economic role of women in the urbanization process: a preliminary report from Zimbabwe.城市化进程中女性经济角色的转变：来自津巴布韦的初步报告。
Int Migr Rev. 1984 Winter;18(4 Special Issue):1278-92.
引用本文的文献
1
Effectiveness of introducing pulse oximetry and clinical decision support algorithms for the management of sick children in primary care in Kenya and Senegal on referral and antibiotic prescription: the TIMCI quasi-experimental pre-post study.在肯尼亚和塞内加尔的初级保健中引入脉搏血氧饱和度测定法和临床决策支持算法用于患病儿童管理对转诊和抗生素处方的效果：TIMCI 准实验前后研究
EClinicalMedicine. 2025 May 12;83:103196. doi: 10.1016/j.eclinm.2025.103196. eCollection 2025 May.
2
The social burden of antimicrobial resistance: what is it, how can we measure it, and why does it matter?抗菌素耐药性的社会负担：它是什么，我们如何衡量它，以及为何它至关重要？
JAC Antimicrob Resist. 2025 Mar 10;7(2):dlae208. doi: 10.1093/jacamr/dlae208. eCollection 2025 Apr.
3
Managing low-back pain in rural Uganda: a qualitative study exploring the perspectives and practices of frontline health workers regarding LBP management in primary care.乌干达农村地区的腰痛管理：一项定性研究，探讨一线卫生工作者在初级保健中对腰痛管理的看法和实践。
BMC Musculoskelet Disord. 2025 Feb 19;26(1):168. doi: 10.1186/s12891-024-08164-9.
4
Dilemmas of care: Healthcare seeking behaviours and antibiotic use among women in rural communities in Nam Dinh Province, Vietnam.护理困境：越南南定省农村社区女性的就医行为与抗生素使用情况
Soc Sci Med. 2024 Dec;363:117483. doi: 10.1016/j.socscimed.2024.117483. Epub 2024 Nov 10.
5
Influences on use of antibiotics without prescription by the public in low- and middle-income countries: a systematic review and synthesis of qualitative evidence.低收入和中等收入国家公众非处方使用抗生素的影响因素：定性证据的系统评价与综合分析
JAC Antimicrob Resist. 2024 Oct 25;6(5):dlae165. doi: 10.1093/jacamr/dlae165. eCollection 2024 Oct.
6
Antibiotic prescription sources and use among under-5 children with fever/cough in sub-Saharan Africa.撒哈拉以南非洲地区5岁以下发热/咳嗽儿童的抗生素处方来源及使用情况。
Int Health. 2025 Jan 3;17(1):94-104. doi: 10.1093/inthealth/ihae026.
7
"Arming half-baked people with weapons!" Information enclaving among professionals and the need for a care-centred model for antibiotic use information in Uganda, Tanzania and Malawi.“武装半吊子的人！” 乌干达、坦桑尼亚和马拉维专业人员之间的信息隔离以及对抗生素使用信息采取以关怀为中心模式的必要性。
Glob Health Action. 2024 Dec 31;17(1):2322839. doi: 10.1080/16549716.2024.2322839. Epub 2024 Mar 5.
本文引用的文献
1
Understanding antibiotic use: practices, structures and networks.了解抗生素使用情况：实践、结构与网络
JAC Antimicrob Resist. 2021 Oct 4;3(4):dlab150. doi: 10.1093/jacamr/dlab150. eCollection 2021 Dec.
2
Use of antibiotics to treat humans and animals in Uganda: a cross-sectional survey of households and farmers in rural, urban and peri-urban settings.乌干达人类和动物抗生素使用情况：对农村、城市和城郊地区家庭及农户的横断面调查
JAC Antimicrob Resist. 2020 Oct 16;2(4):dlaa082. doi: 10.1093/jacamr/dlaa082. eCollection 2020 Dec.
3
Quick fix for care, productivity, hygiene and inequality: reframing the entrenched problem of antibiotic overuse.解决医疗、生产力、卫生和不平等问题的快速方法：重新审视抗生素过度使用这一顽固问题。
BMJ Glob Health. 2019 Aug 15;4(4):e001590. doi: 10.1136/bmjgh-2019-001590. eCollection 2019.
4
Current accounts of antimicrobial resistance: stabilisation, individualisation and antibiotics as infrastructure.抗菌药物耐药性的现状：稳定化、个体化以及作为基础设施的抗生素
Palgrave Commun. 2019 May 22;5(1). doi: 10.1057/s41599-019-0263-4. Epub 2019 May 21.
5
Seeking exposure: conversions of scientific knowledge in an African city.寻求曝光：非洲一座城市中科学知识的转化
J Mod Afr Stud. 2016 Sep;54(3):389-417. doi: 10.1017/S0022278X16000240.
6
Rumours about blood and reimbursements in a microbicide gel trial.关于一种杀微生物剂凝胶试验中血液及报销问题的传言。
Afr J AIDS Res. 2010 Dec;9(4):345-53. doi: 10.2989/16085906.2010.545636.
7
Malaria transmission, infection, and disease at three sites with varied transmission intensity in Uganda: implications for malaria control.乌干达三个传播强度各异地点的疟疾传播、感染及疾病情况：对疟疾控制的启示
Am J Trop Med Hyg. 2015 May;92(5):903-12. doi: 10.4269/ajtmh.14-0312. Epub 2015 Mar 16.
8
Precarious projects: conversions of (biomedical) knowledge in an East African city.不稳定的项目：东非城市中（生物医学）知识的转化。
Med Anthropol. 2014;33(1):68-83. doi: 10.1080/01459740.2013.833918.
9
The PROCESS study: a protocol to evaluate the implementation, mechanisms of effect and context of an intervention to enhance public health centres in Tororo, Uganda.PROCESS 研究：评估一项干预措施在乌干达托罗罗提升公共卫生中心实施、作用机制和背景的方案。
Implement Sci. 2013 Sep 30;8:113. doi: 10.1186/1748-5908-8-113.
10
The PRIME trial protocol: evaluating the impact of an intervention implemented in public health centres on management of malaria and health outcomes of children using a cluster-randomised design in Tororo, Uganda.PRIME 试验方案：在乌干达托罗罗的公共卫生中心实施干预措施，评估其对疟疾管理和儿童健康结果的影响，采用整群随机设计。
Implement Sci. 2013 Sep 30;8:114. doi: 10.1186/1748-5908-8-114.
Zotero 插件