Table 5.
Mapping codes and themes to the BCW and COM-B model.
| Themes | BCW Framework |
Sources of Behaviour
(COM-B) |
|
|---|---|---|---|
| Intervention Functions | Policy Category | ||
| Factors contributing to irrational use of antibiotics include | |||
| Lack of continuous AMR training | Training | Social planning | Psychological capabilities |
| Poor AMR knowledge | Enablement | Psychological capabilities | |
| Limited diagnostic services | Service provision | Physical capabilities | |
| Staff shortages | Service provision | ||
| Pressure from patients | Persuasion/Coercion | Reflective motivation | |
| Incentives from pharmaceutical companies | Incentivisation | Communication/marketing | |
| Recommended strategies to improve antibiotic use | |||
| Education to increase awareness | Education/Enablement | Automatic motivation | |
| Checks/audits/monitoring antibiotic use | Regulations | ||
| Upgrade laboratory services/purchase lab items for testing | Environmental restructuring | Physical opportunity | |
| Policies | Enablement | Guidelines | Automatic motivation |
| Training for prescribers | Training/Enablement | Automatic motivation | |
| Employ more staff to build workforce | Environmental restructuring | Social planning/Service provision | Physical opportunity |
| Barriers to implementing these AMS intervention | |||
| Lack of funding in healthcare | Fiscal measures | ||
| Staff shortages | |||
| Failure to enforce laws | Regulation/Legislation | ||
AMR—Antimicrobial Resistance; BCW—Behaviour Change Wheel; COM-B—Capability, Opportunity and Motivation on Behaviours.