Stewardship without walls: taming the unregulated antibiotic economy to contain antimicrobial resistance in Ethiopia
Balew Arega, Asnake Agunie · 2026
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Description
Balew Arega and Asnake Agunie present a 2026 perspective on antibiotic stewardship in Ethiopia, called stewardship without walls. Ethiopia has an unregulated private antibiotic economy that spans hospitals, clinics, pharmacies, drug shops and informal vendors. Non prescribed dispensing is the norm there and selects resistant bacteria. Three forces drive it: family self medication habits passed down, a sales imperative that ties profit to customer satisfaction, and a corner shop calculus that favours fast access over slow public care.
The authors propose a six pillar framework to tame the market. Pillars hold tiered accreditation, point of service education and supply chain engagement. Mystery client support, technology enabled consultation and operational research complete the set. The frame works outside hospital walls, where most antibiotics change hands. They call it an urgent priority for Ethiopia and like settings, where resistance grows in the open market.
Catalog record
| CREATOR | Balew Arega, Asnake Agunie |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 33120 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |