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Research article2022Peer reviewedOpen access

Comparing the Effectiveness of Different Approaches to Raise Awareness About Antimicrobial Resistance in Farmers and Veterinarians of India

Sharma, Garima; Mutua, Florence; Deka, Ram Pratim; Shome, Rajeshwari; Bandyopadhyay, Samiran; Shome, Bibek Ranjan; Kumar, Naresh Goyal; Grace, Delia; Dey, Tushar Kumar; Lindahl, Johanna

Abstract

BackgroundAntimicrobial resistance (AMR) is a global public health threat. The indiscriminate use of antibiotics in the animal health sector contributes to increasing rates of AMR and studies involving dairy farmers in India have found knowledge levels regarding antibiotics and AMR to be very low. The purpose of this study was to assess different methods to raise awareness and knowledge about AMR and antibiotic use among dairy farmers, paravets (veterinary assistants), and veterinarians. Materials and MethodsThe study was conducted in September-December of 2018 in some parts of Haryana, Assam, Karnataka, and West Bengal. It had two parts: an intervention meeting (September-October 2018) which consisted of focus group discussions (FGD) with farmers, key informant interviews (KII) with veterinary professionals along with distribution of information packages, and then a follow-up survey (November-December 2018). The villages were randomly allocated to either one of the four intervention approaches (1-FGD/KII and information package on AMR; 2-FGD/KI and information on animal health; 3- FGD/KII and information package on animal health plus information on AMR; or 4- only the FGD/KII). A follow-up survey was done to assess the effect of interventions. ResultsIn total, 274 dairy farmers and 51 veterinary professionals (21 veterinarians and 30 paravets) participated in the follow-up survey. Many of the farmers and veterinary professionals who participated in the follow-up survey had been part of the intervention meetings. The average knowledge score of farmers was 7.8. It was found that the knowledge score was higher amongst farmers who had participated in the intervention meetings (p < 0.05), had received intervention approach 2 (p = 0.03) or approach 3 (p = 0.01), and amongst female farmers (p = 0.03) compared to male. The veterinary professionals had good knowledge but lacked interest in training the farmers about antimicrobial resistance. ConclusionOur research demonstrated that a higher percentage of farmers and veterinary professionals who attended the intervention meeting had improved knowledge. Dairy farmers should be regularly educated on antibiotic usage and how to avoid misusing them. Also, veterinary experts should be provided with tools and strategies to educate farmers on the use of antimicrobials.

Keywords

antimicrobial resistance; dairy farmers; veterinarians; animal health; intervention; antibiotic use; one health

Published in

Frontiers in Public Health
2022, Volume: 10, article number: 837594
Publisher: FRONTIERS MEDIA SA

      SLU Authors

    • Associated SLU-program

      AMR: Bacteria

      Sustainable Development Goals

      Ensure healthy lives and promote well-being for all at all ages
      Strengthen the means of implementation and revitalize the global partnership for sustainable development

      UKÄ Subject classification

      Public Health, Global Health, Social Medicine and Epidemiology

      Publication identifier

      DOI: https://doi.org/10.3389/fpubh.2022.837594

      Permanent link to this page (URI)

      https://res.slu.se/id/publ/119555