Understanding health system linkages: Formative research to develop strategies to support quality improvement in treatment in the private sector
Funding: DFID/MRC/Wellcome Trust/ESRC. Health Systems Research call, 2017-2019
LSHTM investigators: Sian Clarke (co-PI), Eleanor Hutchinson, Catherine Goodman, Heidi Hopkins
International collaborators: Anthony Mbonye (co-PI), Phyllis Awor, Elizeus Rutebemberwa, Pascal Magnussen
Through a specific focus on antibiotic treatment and use, this study aims to shed light on the broader processes affecting quality of care in private clinics and drug shops in Uganda. The private sector plays an important role in health care provision in many African countries and cannot be overlooked in strategies to control misuse of antibiotics. Nor can treatment practices and standards be addressed by focusing on one sector in isolation. The private sector interacts with, and is shaped by, the organisation and performance of the public sector, demand from patients and regulatory controls.
By improving our understanding of how specific health system factors can shape treatment practices in the private sector, the study hopes to generate novel insights to inform intervention strategy; and identify opportunities to use health system levers more effectively to improve quality of care in the private sector, and promote responsible prescribing and use of antibiotics. Results will be used to inform strategic planning by the Uganda Ministry to Health, and help to refine the national plan to counter antimicrobial resistance. The study should also identify opportunities to build synergy across sectors, inform current debates on the role of the private sector in health care provision in Uganda, and help shape models for future implementation.
The Fight Against Antimicrobial Resistance: Applying Theory to Practice
Funding: Wellcome Trust, 2015-
Staff: Clare Chandler, Eleanor Hutchinson, Coll Hutchison
The aim of this seed award is to open up new perspectives on antimicrobial resistance through the application of theories from the social sciences. Substantial bodies of work have the potential for application to the problem of AMR. Through a review of literature and engagement with a range of scientists we intend to stimulate new avenues to approach the problem of AMR.