A multi-stakeholder approach towards operationalising antibiotic stewardship in India's pluralistic rural health system
This study funded by the Medical Research Council, will aim at co-designing and piloting an intervention that generates an antibiotic (AB) stewardship programme to promote responsible use of ABs in West Bengal, India.
This project will engage closely with diverse stakeholders, using a 'One Health' approach. The study will explore drivers of antibiotic usage in animals and humans, and their crossover. For this, the researchers will focus in households with backyard livestock keeping and small livestock commercial holdings. They will also map the pharmaceutical value chains of antibiotics to these households, conduct a stakeholder analysis, map community platforms for behavioural communication and conduct a secondary data review of local AMR prevalence. This will be followed by an intervention development phase where they will work with key stakeholders using a participatory methodology for democratic decision-making. The intervention options that arise from this process will be further developed and piloted with a small group of providers.
RVC: Dr Pablo Alarcon and Dr Ana Mateus
LSHTM: Dr Meenakshi Gautham (PI), Professor Catherine Goodman and Dr Richard Stabler
Liver Foundation, WestBengal : Professor Abhijit Chowdhury
West Bengal University of Animal & Fishery Science: Dr Indranil Samanta
Centre for Population Health & Development: Dr Sanghita Bhattacharyya
Institute of Development Studies: Dr Gerald Bloom