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Resistant bugs, porous borders and ecologies of care in India

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  • Broom, Alex
  • Doron, Assa

Abstract

As social science scholarship has routinely illustrated, professional practice is rarely as contained or coherent as it is often imagined to be. The increasing emphasis on the rise of antimicrobial resistance (AMR) has drawn renewed attention to the interconnectedness of clinic, community, environment and planet, and how proposed ‘solutions’ to major problems such as AMR require a broad, cross-cutting lens. In this study, set in Hyderabad, India, we draw on a series of interviews with hospital-based clinicians completed during 2019 and early 2020, to unpack the multidimensional, ecological acceleration of AMR and the implications for everyday practice. Their accounts make visible how practice operates in relation to industrial economies, community vulnerabilities, and ecologies. This in turn highlights the problem of epistemic bordering, where ‘sites’ of AMR are targeted but are prone to leakage and transgressions. We propose an ecological approach to conceptualising antimicrobial practices with implications for AMR interventions being rolled out in the sub-continent and beyond.

Suggested Citation

  • Broom, Alex & Doron, Assa, 2022. "Resistant bugs, porous borders and ecologies of care in India," Social Science & Medicine, Elsevier, vol. 292(C).
    • Handle: RePEc:eee:socmed:v:292:y:2022:i:c:s0277953621008522
    DOI: 10.1016/j.socscimed.2021.114520
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    References listed on IDEAS

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    1. Broom, Alex & Broom, Jennifer & Kirby, Emma & Scambler, Graham, 2015. "The path of least resistance? Jurisdictions, responsibility and professional asymmetries in pharmacists' accounts of antibiotic decisions in hospitals," Social Science & Medicine, Elsevier, vol. 146(C), pages 95-103.
    2. Panter-Brick, Catherine & Clarke, Sian E. & Lomas, Heather & Pinder, Margaret & Lindsay, Steve W., 2006. "Culturally compelling strategies for behaviour change: A social ecology model and case study in malaria prevention," Social Science & Medicine, Elsevier, vol. 62(11), pages 2810-2825, June.
    3. Broom, Alex & Broom, Jennifer & Kirby, Emma, 2014. "Cultures of resistance? A Bourdieusian analysis of doctors' antibiotic prescribing," Social Science & Medicine, Elsevier, vol. 110(C), pages 81-88.
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    Cited by:

    1. Sango Mahanty & Assa Doron & Rebecca Hamilton, 2023. "A policy and research agenda for Asia's poultry industry," Asia and the Pacific Policy Studies, Wiley Blackwell, vol. 10(1-3), pages 63-72, January.

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