Exploring Social and Cultural Determinants of Antibiotic Use in Semi-Urban Egypt

Antimicrobial resistance (AMR) is a pressing global health concern, exacerbated by widespread antibiotic use in humans and animals. This study will explore the sociohistorical, socioeconomic and cultural determinants influencing antibiotic use practices in semi-urban Egypt, where unique challenges exist due to limited healthcare access and diversity in social backgrounds. Through diverse methods including participatory mapping, observations and interviews with community members, physicians and pharmacy staff, and stakeholder engagement, we will identify sociocultural processes shaping current patterns of antibiotic consumption and co-develop potential solutions to mitigate unnecessary use. Findings will inform development of evidence-based interventions to control and ameliorate AMR, aligning with Egypt's National Action Plan for Antimicrobial Resistance while maintaining access to essential antibiotics for all and ensuring social and gender equity. By addressing community dynamics of knowledge and practice, this research contributes to efforts to combat AMR and safeguard public health in LMICs, especially in semi-urban communities.

Research Team: Dr Helen Lambert, University of Bristol; Dr Mariam Taher Amin, Assiut University; Dr Nour Alhusein, University of Bristol; Dr Amira Fathy El-Gazzer, Badr University