1. Maximising access to achieve appropriate human antimicrobial use in low-income and middle-income countries.
- Author
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Mendelson, Marc, Røttingen, John-Arne, Gopinathan, Unni, Hamer, Davidson H., Wertheim, Heiman, Basnyat, Buddha, Butler, Christopher, Tomson, Göran, and Balasegaram, Manica
- Subjects
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HEALTH services accessibility , *ANTI-infective agents , *LOW-income countries , *MIDDLE-income countries , *EVIDENCE-based medicine , *ANTIBIOTICS , *DIAGNOSIS of bacterial diseases , *BACTERIAL diseases , *CLINICAL medicine , *DRUG resistance in microorganisms , *ECONOMICS , *GENERIC drugs , *IMMUNIZATION , *INFORMATION storage & retrieval systems , *MEDICAL databases , *MEDICAL care , *MEDICAL protocols , *PREVENTIVE health services , *QUALITY control , *RESEARCH funding , *PROFESSIONAL practice , *ROUTINE diagnostic tests , *INAPPROPRIATE prescribing (Medicine) ,DEVELOPING countries - Abstract
Access to quality-assured antimicrobials is regarded as part of the human right to health, yet universal access is often undermined in low-income and middle-income countries. Lack of access to the instruments necessary to make the correct diagnosis and prescribe antimicrobials appropriately, in addition to weak health systems, heightens the challenge faced by prescribers. Evidence-based interventions in community and health-care settings can increase access to appropriately prescribed antimicrobials. The key global enablers of sustainable financing, governance, and leadership will be necessary to achieve access while preventing excess antimicrobial use. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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