Improvisation, therapeutic brokerage and antibiotic (mis)use in India: a qualitative interview study of Hyderabadi physicians and pharmacists

Broom, Alex and Kenny, Katherine and Chittem, Mahati and et al, . (2020) Improvisation, therapeutic brokerage and antibiotic (mis)use in India: a qualitative interview study of Hyderabadi physicians and pharmacists. Critical Public Health, 30 (1). pp. 1-12. ISSN 0958-1596

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Abstract

Antimicrobial resistance (AMR) is widely reported to be a rapidly escalating global health threat. Investigations into the social dimensions of AMR have tended to focus on economically wealthier nations, even though economically poorer countries are a site of considerable and often increasing antibiotic (mis)use. Understanding the global and local dynamics of antibiotic resistance, we propose, requires critical sociological investigation at the nexus of economic development, structural constraints, cultural norms, and infection-management practice. Here, to begin to unpack these intersections, we draw on qualitative interviews with physicians and pharmacists in Hyderabad to explore their accounts of the social dynamics of AMR in India. In particular, we focus on their accounts of practices of improvisation and self-medication with antibiotics; the nexus of informal and formal pharmaceutical economies and the vested interests therein; and the everyday brokering of antibiotics. We posit that responses to AMR need to be deeply embedded in the specificities of everyday practice, local market forces, and regulatory (im)possibilities with attention paid to the locally prevailing cultural norms.

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IITH Creators:

IITH Creators	ORCiD
Chittem, Mahati	https://orcid.org/0000-0002-8978-3544

Item Type:

Article

Additional Information:

This work was supported by the School of Social Sciences, UNSW Sydney.

Uncontrolled Keywords:

antibiotics; antimicrobial resistance; improvisation; India; qualitative interviews,antibiotic resistance; antimicrobial stewardship; Article; coughing; diarrhea; drug misuse; economic development; female; health care cost; health care system; human; India; infection risk; male; medication overuse; pharmacist; physician; poverty; prescription; prevalence; purposive sample; qualitative research; secondary infection; self medication; semi structured interview; social class; thematic analysis

Subjects:

Arts > Liberal arts

Divisions:

Department of Liberal Arts

Depositing User:

Library Staff

Date Deposited:

10 Oct 2019 06:53

Last Modified:

24 Nov 2022 11:23

URI:

http://raiithold.iith.ac.in/id/eprint/6492