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Published March 30, 2023 | Version v1
Video/Audio Open

I'm not a doctor, but I know the basics: Share information, not medication. (Mimi sio daktari, lakini nafahamu mambo ya msingi. Sambaza taarifa, sio dawa.).

Creators

  • 1. University of St Andrews
  • 2. Catholic University of Health and Allied Sciences
  • 3. Makerere University

Description

Video in Swahili with English subtitles, containing an example of friends discussing recent experiences of illness and giving advice/information on Antimicrobial Resistance (AMR). 

Video produced as part of a Participatory Action Research Workshop with young professionals in Mwanza, Tanzania to create public health messages on Antimicrobial Resistance in a post-COVID East Africa in June 2022. This builds off of the data gathered in two international, interdisciplinary research projects (HATUA - Holistic Approaches to Understanding Antimicrobial Resistance in East Africa and CARE - COVID-19 and Antimicrobial Resistance in East Africa – Impact and Response), seeking to understand the wider medical and societal drivers of AMR in East Africa and identify possible interventions to curb the spread of AMR. The workshop ran for 9 days over a 3 week period and consisted of focus group style discussions with participants to explore issues surrounding AMR, antibiotic use, and public health messaging awareness in local communities (Days 1-2),participant-led design of poster, radio, and video messages with feedback from the research team and introduction to filming/recording equipment (days 3-4), filming, shooting and recording materials within local settings in Mwanza with participants serving as actors, directors, and crew with guidance from research team (days 4-8) and a final in-person review and hands-on feedback of preliminary mock-ups of posters and videos (day 9). Participants have continued to collaborate via email and WhatsApp as materials were finalised. 

Reflexive self-critique: Video and sound quality are a reflection of the participatory approach to producing materials. We are also acknowledge that there are  issues which could have been highlighted in greater detail, particularly considering the post-COVID context e.g., using hand sanitiser and social distancing, for example. Character also emphasises having knowledge despite not being a doctor, which could undermine the importance of other healthcare professionals in spreading critical and reliable public health information. 

Correspondence: kjf4@st-andrews.ac.uk; mgk@st-andrews.ac.uk

Notes

Funding information: Field work in Tanzania June 2022 funded by: NIHR National Institute for Health Research, UKRI UK Research and Innovation, Medical Research Council under the 'Global Effort on COVID-19 (GECO) Health Research' initiative for the project: "CARE: COVID-19 and Antimicrobial Resistance in East-Africa – impact and response" (Matt Holden PI). Presented at dissemination meeting "Improved antibiotic stewardship in Tanzania Dissemination and Stakeholder consultation meeting", Morena Hotel, Dodoma, Tanzania, Mon 17th and Tues 18th Oct 2022. Meeting and further dissemination funded by: MRC HIAA (Medical Research Council - Harmonised Impact Acceleration Account) for the project: "Impacting antibiotic dispensing in Tanzania: going beyond stricter enforcement of regulations to improved antibiotic stewardship through participatory citizen science" grant number MR/X502716/1 (Mike Kesby PI). Workshop led by: Drs Mike Kesby and Kathryn J Fredricks - Department of Geography and Sustainable Development, University of St Andrews, Scotland, Dr Joseph R Mwanga and Pendo Ndaki - School of Public Health, Catholic University of Health and Allied Sciences, Mwanza, Tanzania, Prof Stella Neema - Department of Sociology and Anthropology, Makerere University, Kampala, Uganda Created by Mwanza Participants: Damary Gideon, Fundi Fransiscko, Mwanaisha S. Jamhuri, Mary B. Kabika, Elisha Mabula, Mtega Marco, Stanley Muyenjwa, Yasinta W. Mgeni, Daudi Nungwana, Precious Obed, Ernest Paul Sebarua, Millicent Tobias

Files

Fredricks Kesby 2023 CARE Friends PAR video.mp4

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Additional details

Funding

CARE: COVID-19 and Antimicrobial Resistance in East Africa - impact and response MR/V036157/1
UK Research and Innovation