Knowledge, attitudes and practices regarding antimicrobial use and resistance among communities of Ilala, Kilosa and Kibaha districts of Tanzania
Abstract Background Antimicrobial resistance (AMR) represents one of the biggest threats to health globally. This cross-sectional study determined knowledge, attitudes and practices (KAP) regarding antimicrobial use (AMU) and AMR among communities of Ilala, Kilosa and Kibaha in Tanzania. Method A se...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-12-01
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| Series: | Antimicrobial Resistance and Infection Control |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13756-020-00862-y |
| _version_ | 1819075799137910784 |
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| author | Calvin Sindato Leonard E. G. Mboera Bugwesa Z. Katale Gasto Frumence Sharadhuli Kimera Taane G. Clark Helena Legido-Quigley Stephen E. Mshana Mark M. Rweyemamu Mecky Matee |
| author_facet | Calvin Sindato Leonard E. G. Mboera Bugwesa Z. Katale Gasto Frumence Sharadhuli Kimera Taane G. Clark Helena Legido-Quigley Stephen E. Mshana Mark M. Rweyemamu Mecky Matee |
| author_sort | Calvin Sindato |
| collection | DOAJ |
| description | Abstract Background Antimicrobial resistance (AMR) represents one of the biggest threats to health globally. This cross-sectional study determined knowledge, attitudes and practices (KAP) regarding antimicrobial use (AMU) and AMR among communities of Ilala, Kilosa and Kibaha in Tanzania. Method A semi-structured questionnaire was used to collect socio-demographic and KAP data through face-to-face interviews. Responses related to the triad of KAP were assigned scores that were aggregated for each participant. Linear regression analysis was conducted to determine predictors of KAP scores. Results The study enrolled 828 participants from the three districts. A total of 816 (98.6%) were aware of antimicrobials, and 808 (99%, n = 816) reported to have used them. Antimicrobials were mainly used to treat cough (68.0%), urinary tract infections (53.4%), diarrhoea (48.5%) and wounds (45.2%). The most frequent sources of antimicrobials were health facility (65.0%, n = 820) and pharmacies/basic drug shops (53.7%). The median AMU knowledge score was 5 (IQR = 4, 7) and that of AMR was 26 (IQR=23, 29). The median AMU attitudes score was 32 (IQR: 29, 35) and that of AMR was 19 (IQR=17, 22). The median AMU practice score was 3 (IQR: 3, 3). The KAP scores were significantly influenced by increased participant’s age (βadj=0.10; 95% CI: 0.05, 0.15) and level of education, being lower among those with primary education (βadj=5.32; 95% CI: 3.27, 7.37) and highest among those with college/university education (βadj=9.85; 95% CI: 6.04, 13.67). Conclusion The study documented a moderate level of KAP regarding AMU and AMR in the study districts. The participant's age and level of education were significantly associated with participant's KAP scores. The observed inadequate knowledge, inappropriate attitude, and practices of AMU and AMR should be considered as alarming problems that require immediate actions including policy formulation and planning of community-based mitigation measures. |
| first_indexed | 2024-12-21T18:31:09Z |
| format | Article |
| id | doaj.art-03b6dac638b34f6caef83564d1320f70 |
| institution | Directory Open Access Journal |
| issn | 2047-2994 |
| language | English |
| last_indexed | 2024-12-21T18:31:09Z |
| publishDate | 2020-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Antimicrobial Resistance and Infection Control |
| spelling | doaj.art-03b6dac638b34f6caef83564d1320f702022-12-21T18:54:16ZengBMCAntimicrobial Resistance and Infection Control2047-29942020-12-019111710.1186/s13756-020-00862-yKnowledge, attitudes and practices regarding antimicrobial use and resistance among communities of Ilala, Kilosa and Kibaha districts of TanzaniaCalvin Sindato0Leonard E. G. Mboera1Bugwesa Z. Katale2Gasto Frumence3Sharadhuli Kimera4Taane G. Clark5Helena Legido-Quigley6Stephen E. Mshana7Mark M. Rweyemamu8Mecky Matee9National Institute for Medical Research, Tabora Research CentreSACIDS Foundation for One Health, Sokoine University of AgricultureSACIDS Foundation for One Health, Sokoine University of AgricultureSACIDS Foundation for One Health, Sokoine University of AgricultureSACIDS Foundation for One Health, Sokoine University of AgricultureLondon School of Hygiene and Tropical MedicineLondon School of Hygiene and Tropical MedicineSACIDS Foundation for One Health, Sokoine University of AgricultureSACIDS Foundation for One Health, Sokoine University of AgricultureSACIDS Foundation for One Health, Sokoine University of AgricultureAbstract Background Antimicrobial resistance (AMR) represents one of the biggest threats to health globally. This cross-sectional study determined knowledge, attitudes and practices (KAP) regarding antimicrobial use (AMU) and AMR among communities of Ilala, Kilosa and Kibaha in Tanzania. Method A semi-structured questionnaire was used to collect socio-demographic and KAP data through face-to-face interviews. Responses related to the triad of KAP were assigned scores that were aggregated for each participant. Linear regression analysis was conducted to determine predictors of KAP scores. Results The study enrolled 828 participants from the three districts. A total of 816 (98.6%) were aware of antimicrobials, and 808 (99%, n = 816) reported to have used them. Antimicrobials were mainly used to treat cough (68.0%), urinary tract infections (53.4%), diarrhoea (48.5%) and wounds (45.2%). The most frequent sources of antimicrobials were health facility (65.0%, n = 820) and pharmacies/basic drug shops (53.7%). The median AMU knowledge score was 5 (IQR = 4, 7) and that of AMR was 26 (IQR=23, 29). The median AMU attitudes score was 32 (IQR: 29, 35) and that of AMR was 19 (IQR=17, 22). The median AMU practice score was 3 (IQR: 3, 3). The KAP scores were significantly influenced by increased participant’s age (βadj=0.10; 95% CI: 0.05, 0.15) and level of education, being lower among those with primary education (βadj=5.32; 95% CI: 3.27, 7.37) and highest among those with college/university education (βadj=9.85; 95% CI: 6.04, 13.67). Conclusion The study documented a moderate level of KAP regarding AMU and AMR in the study districts. The participant's age and level of education were significantly associated with participant's KAP scores. The observed inadequate knowledge, inappropriate attitude, and practices of AMU and AMR should be considered as alarming problems that require immediate actions including policy formulation and planning of community-based mitigation measures.https://doi.org/10.1186/s13756-020-00862-yAntimicrobialUseResistanceCommunityKnowledgeAttitude |
| spellingShingle | Calvin Sindato Leonard E. G. Mboera Bugwesa Z. Katale Gasto Frumence Sharadhuli Kimera Taane G. Clark Helena Legido-Quigley Stephen E. Mshana Mark M. Rweyemamu Mecky Matee Knowledge, attitudes and practices regarding antimicrobial use and resistance among communities of Ilala, Kilosa and Kibaha districts of Tanzania Antimicrobial Resistance and Infection Control Antimicrobial Use Resistance Community Knowledge Attitude |
| title | Knowledge, attitudes and practices regarding antimicrobial use and resistance among communities of Ilala, Kilosa and Kibaha districts of Tanzania |
| title_full | Knowledge, attitudes and practices regarding antimicrobial use and resistance among communities of Ilala, Kilosa and Kibaha districts of Tanzania |
| title_fullStr | Knowledge, attitudes and practices regarding antimicrobial use and resistance among communities of Ilala, Kilosa and Kibaha districts of Tanzania |
| title_full_unstemmed | Knowledge, attitudes and practices regarding antimicrobial use and resistance among communities of Ilala, Kilosa and Kibaha districts of Tanzania |
| title_short | Knowledge, attitudes and practices regarding antimicrobial use and resistance among communities of Ilala, Kilosa and Kibaha districts of Tanzania |
| title_sort | knowledge attitudes and practices regarding antimicrobial use and resistance among communities of ilala kilosa and kibaha districts of tanzania |
| topic | Antimicrobial Use Resistance Community Knowledge Attitude |
| url | https://doi.org/10.1186/s13756-020-00862-y |
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