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Cited by 94Antibiotic Use and ResistanceCommunity Health and DevelopmentHIV/AIDS Research and Interventions

Community engagement: The key to tackling Antimicrobial Resistance (AMR) across a One Health context?

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Mitchell, Jessica, Cooke, Paul, Ahorlu, Collins, Arjyal, Abriti, Baral, Sushil, Carter, Laura, Dasgupta, Rajib, Fieroze, Fariza +9 more·2022·Global Public Health
DOI 10.1080/17441692.2021.2003839
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Abstract

Antimicrobial resistance (AMR) is a One Health problem underpinned by complex drivers and behaviours. This is particularly so in low - and middle-income countries (LMICs), where social and systemic factors fuel (mis)use and drive AMR. Behavioural change around antimicrobial use could safeguard both existing and future treatments. However, changing behaviour necessitates engaging with people to understand their experiences. This publication describes a knowledge-exchange cluster of six LMIC-based projects who co-designed and answered a series of research questions around the usage of Community Engagement (CE) within AMR. Findings suggest that CE can facilitate AMR behaviour change, specifically in LMICs, because it is a contextualised approach which supports communities to develop locally meaningful solutions. However, current CE interventions focus on human aspects, and demand-side drivers, of AMR. Our cluster suggests that broader attention should be paid to AMR as a One Health issue. The popularity of mixed methods approaches within existing CE for AMR interventions suggests there is interdisciplinary interest in the uptake of CE. Unfortunately, the specificity and context-dependency of CE can make it difficult to evaluate and scale. Nevertheless, we suggest that in synthesising learnings from CE, we can develop a collective understanding of its scope to tackle AMR across contexts. .

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  • Actively involving communities in intervention design fosters ownership, promotes sustainable behaviour change and enables them to devise solutions relevant to their specific circumstances.

    “Actively involving communities in intervention design fosters ownership, promotes sustainable behaviour change and enables them to devise solutions relevant to their specific circumstances.40”

    From Public-targeted interventions addressing antimicrobial resistance and antibiotic use in Sub-Saharan Africa: a scoping review (2025) · cites this paper as [40]

    The Introduction and ‘Toward a shared understanding of community’ section describe co-designed, locally meaningful solutions and say co-development builds community ownership. They do not establish that involving communities in intervention design produces sustained behaviour change; the Introduction says only that awareness-raising and education alone are insufficient for long-term change. (LLM, conf=0.83)

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Authors
Mitchell, J., Cooke, P., Ahorlu, C., Arjyal, A., Baral, S., Carter, L., Dasgupta, R., Fieroze, F., Fonseca-Braga, M., Huque, R., Lewycka, S., Kalpana, P., Saxena, D., Tomley, F., Tsekleves, E., Vu Thi Quynh, G., & King, R.
Affiliations
  • University of Leeds (GB)
  • University of Ghana (GH)
  • HERD International (Nepal) (NP)
  • Jawaharlal Nehru University (IN)
  • ARK Foundation (BD)
  • ImaginationLancaster, LICA, Lancaster University, Lancaster, UK
  • University of Oxford (GB)
  • Indian Institute of Public Health Gandhinagar (IN)
  • Royal Veterinary College (GB)
  • Lancaster University (GB)
  • Oxford University Clinical Research Unit, National Hospital for Tropical Diseases, Ha Noi, Vietnam
Corresponding author
Mitchell, Jessica
ORCID
Venue
Global Public Health
Publisher
Informa UK Limited
Published
2021-12-09
Volume
17
Issue
11
Pages
2647-2664
ISSN
  • 1744-1692 (ISSN-L)
  • 1744-1706
DOI
10.1080/17441692.2021.2003839
OpenAlex
W4200319423
Cited by
94
References
69
Citations by year
2026: 15 · 2025: 38 · 2024: 17 · 2023: 20 · 2022: 4
FWCI
6.08
Type
journal article
Language
en
Open access
Licence
Locations
  • Global Public Health (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
  • Lancaster EPrints (Lancaster University) (submittedVersion)
Funders
EPSRCs GCRF (EP/T02335x/1)
Topics
  • Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
  • Health Sciences › Health Professions › General Health Professions › Community Health and Development
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
antimicrobial resistance, community participation, One Health, behavior change, antimicrobial use, low- and middle-income countries, knowledge sharing, mixed methods, scaling up interventions
MeSH terms
One Health, Anti-Bacterial Agents, Humans, Poverty, Drug Resistance, Bacterial

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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