Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Knowledge, Attitudes, Practices, and Perceptions of livestock stakeholders on Antimicrobial Use in Kenya

Version 1 : Received: 6 July 2023 / Approved: 7 July 2023 / Online: 10 July 2023 (08:35:53 CEST)

How to cite: Omolo, J.O.; Omani, R.; Caudell, M.A.; Kimani, T.; Kiambi, S.; Fasina, F.O. Knowledge, Attitudes, Practices, and Perceptions of livestock stakeholders on Antimicrobial Use in Kenya. Preprints 2023, 2023070547. https://doi.org/10.20944/preprints202307.0547.v1 Omolo, J.O.; Omani, R.; Caudell, M.A.; Kimani, T.; Kiambi, S.; Fasina, F.O. Knowledge, Attitudes, Practices, and Perceptions of livestock stakeholders on Antimicrobial Use in Kenya. Preprints 2023, 2023070547. https://doi.org/10.20944/preprints202307.0547.v1

Abstract

Antimicrobial resistance (AMR) remains a challenge in Kenya, while the extent remains unknown. To assess the knowledge, cultural beliefs, practices, and behavioral patterns among multisectoral stakeholders in Kenya. The cross-sectional survey was conducted in August 2021 among farmers, animal health service providers and AMR researchers. Regional digital data collection tool developed by FAO was shared and responses obtained through mail, phone calls and direct interviews. Descriptive and inferential analysis were conducted. Antimicrobials were mostly sourced from agro-veterinary shops and from veterinary professionals. Farmers, often implement self-treatment and reported overuse, unnecessary use, and sometimes fail to complete the dosage in livestock. More farmers reported to have heard about antibiotics as compared to antimicrobials, mostly from friends and radio program, however only 9.2% could correctly differentiate the two. Animal Health Service Providers (AHSP) were the source of information to farmers regarding AMR. AHSPs mainly relied on suppliers and distributors for information about antibiotics. Both farmers and AHSPs treated viral infections with antibiotics. One Health Partners (OHPs) had higher knowledge and largely favorable attitudes towards AMR. Up to 72.7% of OHPs from training institutions had AMR included in training curriculum however, they were optimistic livestock farmers and government were less concerned about AMR. Gaps in knowledge and practice on Antimicrobial Stewardship (AMS) were observed in all categories of stakeholders. Given the documented knowledge-practice gap, innovative solutions are needed for both AHSPs and farmers to promote good antimicrobial stewardship practices and to mitigate burdens of AMR. Outcomes of this research should deepen the understanding of critical information and trigger behavioral change in usage and stewardship of antimicrobials.

Keywords

antibiotics; antimicrobial resistance; knowledge; attitude; practice; animal health service provider; livestock farmer; Kenya.

Subject

Public Health and Healthcare, Health Policy and Services

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