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Table 2 Table illustrating the results of the critical appraisal process including manuscript information, the number of and occupation of participants and their critical appraisal score, including justification for points lost

From: A systematic review of qualitative literature on antimicrobial stewardship in Sub-Saharan Africa

Manuscript

Interviews

Critical appraisal

References

First author

Main research area and setting

Number

Participants

CASP score

CASP points lost/unclear

[21]

Charani E

Development of stewardship programmes in different countries. (SSA: Burkina Faso)

52

Healthcare professionals (doctors and pharmacists)

7/9

No. 5: No clear description of interview technique

No. 6: Lacking discussion of relationship between researcher and participants

[28]

Legenza L

Healthcare provider knowledge about Clostridium difficile infection in a South African hospital

26

Healthcare professionals (doctors, nurses and pharmacists)

8/9

No. 6: Lacking discussion of relationship between researchers and participants

[27]

Gebretekle GB

Implementation of antibiotic stewardship in an Ethiopian tertiary care hospital

35

Healthcare professionals (doctors, pharmacists)

8/9

No. 4: Subjective criteria for recruitment, focussing on prestige of job role

[32]

Mula CT

Workarounds and their perceived impact on antibiotic stewardship in a referral hospital in Malawi

13

Healthcare professionals (nurses)

7/9

No. 4: No discussion of recruitment criteria for interview

No. 6: Lacking discussion of relationship between researchers and participants

[31]

Rout J

The role of ICU nurses in antimicrobial stewardship at a South African private hospital

17

Healthcare professionals (doctors, nurses and pharmacists in ICU/surgery)

8/9

No. 6: Lacking discussion of relationship between researchers and participants

[19]

Torres NF

Patterns of self-medication in Maputo city, Mozambique

49

Healthcare professionals (pharmacists) and pharmacy customers

9/9

No points lost

[24]

Agardh C

Using pharmacists and drugstore workers as sexual healthcare workers among MSM in Dar es Salaam, Tanzania

15

Drugstore customers (men who have sex with men)

9/9

No points lost

[29]

Asante KP

Knowledge of antibiotic resistance and prescription practices in the Brong Ahafo Region of Ghana

33

Healthcare professionals (doctors, physician assistants, nurses and community health officers)

8/9

No. 8: Brief description of data analysis technique for qualitative component

[20]

Gebretekle GB

Exploration of over-the-counter sales in community pharmacies in Addis Ababa, Ethiopia

5

Healthcare professionals (pharmacists)

7/9

No. 4: Recruitment sequential, may not have achieved full geographical coverage

No. 5: Interview technique not discussed

[22]

Yantzi R

Antibiotic use for viral respiratory infection in rural southwestern Uganda

22

Healthcare professionals (clinical officers, nursing offices, nurses, laboratory staff, non-medical staff, public health professionals, village health team members)

6/9

No. 4: Recruitment strategy for non-host clinic participants unclear

No. 5: Interview technique not discussed

No. 6: Lacking discussion of relationship between researchers and participants

[23]

Watkins JA

Community perceptions of antibiotic usage in Mpumalanga province, South Africa

17

Community members randomly selected from a Health Demographic Surveillance site

9/9

No points lost

[25]

Foster EK

Patient knowledge of prescription medications and antibiotics in Blantyre, Malawi

54

Pharmacy customers at 5 randomly selected community pharmacies

8/9

No. 5: Interview technique/questions asked not discussed

[30]

Pearson M

Awareness of anti-microbial resistance in multiple low-income countries (SSA: Ethiopia, Nigeria and Sierra Leone)

244

Healthcare and veterinary professionals (doctors, dentists, nurses, pharmacists, educator, veterinarian)

9/9

No points lost

[26]

Dillip A

Factors influencing antibiotic dispensing in Tanzania

84

Healthcare professionals (pharmacy owners and dispensers)

9/9

No points lost