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This panel will focus on Antibiotics beyond health facilities: care, pharmaceuticals and markets. It will bring together key insights from recent social research studies into the questions of why antibiotics are being used in the ways that they are beyond health facilities and what social researchers propose should be done to address this, with a short- and medium-term horizon.  

The four panellists will provide a short description of antibiotic use in their study setting(s); a summary of reasons for this pattern of antibiotic use; and will propose ways to address antibiotic use in their study setting(s) that might be taken forward in policy, programmes and pilots. These presentations will then be followed by a chaired discussion about implications.

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Speakers

Papreen Nahar, University of Sussex

is a Medical Anthropologist based at the Department of Global Health and Infection, at Brighton and Sussex Medical School, University of Sussex, UK.

Dr Nahar has recently completed a study on Antimicrobial Resistance (AMR) in Bangladesh, applying the theory of ‘Social Lives of Medicines’.  Nahar was awarded an ESRC fund in collaboration with Bristol University, Loughborough University, and Durham University, to explore the pathways of use of antibiotics in rural and urban Bangladesh for humans and animals.

She has been conducting interdisciplinary research on diverse global health issues using medical anthropological and gender perspectives. Her research expertise are in health inequalities, marginality, stigma, and formality and informality in health systems. Nahar’s Geographic area of work cover Bangladesh, India, Pakistan, Sudan, Ethiopia, Rwanda, the Netherlands, and the UK.

Nahar’s earlier works include: Infertility/childlessness; NCD & community engagement; Health & comorbidity; diaspora community & wellbeing; health security & natural disasters; and reproductive health & sexuality.

Marco Haenssgen, University of Warwick

is a social scientist with a background in management and international development and experience in aid evaluation, intergovernmental policy making, and management consulting. His research emphasises marginalization and health behaviour in the context of health policy implementation, technology diffusion, and antimicrobial resistance (AMR).

His AMR-related research in Southeast Asia focuses on population behaviour, how people understand antibiotics and illness, their constraints in accessing healthcare, and the intended and unintended consequences of AMR interventions. His research also involves antibiotic-related public engagement activities with villagers in northern Thailand and southern Lao PDR.

Susan Nayiga, Infectious Diseases Research Collaboration, Kampala

is a social scientist with the Infectious Diseases Research Collaboration (IDRC) in Kampala, Uganda where she has been involved in researching social aspects of malaria since 2006. Her current research is on understanding the consequences of the imperative to restrict antimicrobial medicine use in Uganda. She is interested in understanding how the imperative to restrict antibiotics impacts care.

Mark Davis, Monash University

is the Policy Engagement lead for the Monash Centre to Impact Antimicrobial Resistance and the Lead Investigator for the AMR-scapes project.  AMR-scapes comprises research on general public engagements with antimicrobial resistance and the clinically-justified use of antibiotics. AMR-scapes is an interdisciplinary project with research from medical sociology, medical anthropology, health psychology and media from Monash University, Australia, Swinburne University of Technology, Australia, University of Gothenburg, Sweden, and University of Glasgow, UK. The project examines AMR news, digital, and health media messages; diverse public engagements with health media and AMR messages; enablers and barriers to the enactment of AMR advice in everyday life. The project is funded by an Australian Research Council Discovery Project grant, and is oriented to enhancing the fit between AMR communications and everyday life and developing practice and policy outputs.

Helen Lambert, University of Bristol (chair)

is interested in the application of anthropological perspectives to a range of public health issues. These include:

• Anthropological and interdisciplinary research on antimicrobial resistance
• HIV prevention and sexual health in vulnerable communities in South Asia, with a particular focus on sex work
• Popular understandings of health, illness and therapy
• Non-biomedical therapeutic traditions in India within and outside the formal health sector
• Social and cultural dimensions of health systems
• Lay understandings of suicide and suicide prevention in social and kinship networks
• The role of ethnographic and other forms of qualitative research evidence in the formulation and evaluation of public health interventions

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