Government policy interventions to reduce human antimicrobial use (2)

13 June, 2019

Dear HIFA colleagues,

Re: Government policy interventions to reduce human antimicrobial use: A systematic review and evidence map

Susan Rogers Van Katwyk, Jeremy M. Grimshaw, Miriam Nkangu, Ranjana Nagi, Marc Mendelson, Monica Taljaard, Steven J. Hoffman

PLoS Medicine

Published: June 11, 2019 https://doi.org/10.1371/journal.pmed.1002819

Comment (NPW): Many of the studies in this systematic review involved policies which 'provided information to healthcare workers on the preferred use of antimicrobial drugs or preferred treatments for resistant infections', but we are not given any more details. It would be interesting to know more about the 13 studies in which this policy intervention was used.

It could be argued that any information intervention should be based on an understanding of what information is currently available to prescribers and how they access and use it - all of which is highly contextual and will vary between and within countries (and between languages). HIFA is delighted to be working with the London School of Hygiene and Tropical Medicine and Nagasaki University on a systematic review of how primary health workers in LMICs access prescribing information. I hope our systematic review will complement the review by Susan Rogers Van Katwyk to give us a fuller picture and help ensure that every prescriber (and user) has the information they need to select and correctly use medicines. In our current information age, this is the low-hanging fruit that must be grasped to promote appropriate use of medicines (including antibiotics) and help prevent catastrophic global antimicrobial resistance.

BMJ Open. 2019 Jan 24;9(1):e023015. doi: 10.1136/bmjopen-2018-023015.

How do primary healthcare workers in low-income and middle-income countries obtain information during consultations to aid safe prescribing? A systematic review protocol.

Smith C1,2, van Velthoven MH3, Pakenham-Walsh N

https://www.ncbi.nlm.nih.gov/pubmed/30679289

Best wishes, Neil

Joint Coordinator HIFA Project on Information for Prescribers and Users of Medicines

http://www.hifa.org/projects/prescribers-and-users-medicines

Let's build a future where people are no longer dying for lack of healthcare information - Join HIFA: www.hifa.org

HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - www.hifa.org ), a global community with more than 19,000 members in 177 countries, interacting on six global forums in four languages. Twitter: @hifa_org FB: facebook.com/HIFAdotORG neil@hifa.org