Barriers and facilitators to implementing a new regulation restricting antimicrobial use in dairy production in Québec, Canada: A qualitative study

With the emergence of antimicrobial resistance (AMR), many countries are implementing restrictive regulations to reduce antimicrobial use (AMU) in animal production. Although these measures are effective at the national level, their implementation may generate challenges for producers and veterinari...

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Main Authors: Nikky Millar, Simon Dufour, Hélène Lardé, Jean-Philippe Roy, Catherine Belloc, David Francoz, Marie-Ève Paradis, Marie Archambault, John Morris Fairbrother, Cécile Aenishaenslin
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2023.1025781/full
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author Nikky Millar
Nikky Millar
Nikky Millar
Nikky Millar
Simon Dufour
Simon Dufour
Simon Dufour
Hélène Lardé
Hélène Lardé
Hélène Lardé
Hélène Lardé
Jean-Philippe Roy
Jean-Philippe Roy
Catherine Belloc
David Francoz
David Francoz
Marie-Ève Paradis
Marie Archambault
Marie Archambault
John Morris Fairbrother
Cécile Aenishaenslin
Cécile Aenishaenslin
Cécile Aenishaenslin
author_facet Nikky Millar
Nikky Millar
Nikky Millar
Nikky Millar
Simon Dufour
Simon Dufour
Simon Dufour
Hélène Lardé
Hélène Lardé
Hélène Lardé
Hélène Lardé
Jean-Philippe Roy
Jean-Philippe Roy
Catherine Belloc
David Francoz
David Francoz
Marie-Ève Paradis
Marie Archambault
Marie Archambault
John Morris Fairbrother
Cécile Aenishaenslin
Cécile Aenishaenslin
Cécile Aenishaenslin
author_sort Nikky Millar
collection DOAJ
description With the emergence of antimicrobial resistance (AMR), many countries are implementing restrictive regulations to reduce antimicrobial use (AMU) in animal production. Although these measures are effective at the national level, their implementation may generate challenges for producers and veterinarians. The objective of this study was to explore the barriers and facilitators of implementing a new regulation restricting the use of antimicrobials of very high importance for human health in the dairy production sector in the province of Québec, Canada. Individual interviews were conducted with fifteen veterinarians and twenty-seven dairy producers. Thematic analysis was performed based on the COM-B model of behavior change (capability-opportunity-motivation-behavior). Our results indicated that the lack of availability of alternative treatments, the long delays related to diagnostic tests and the fear of economic consequences were major barriers to the implementation of the regulation. A small number of producers also perceived that the regulation negatively impacted the health and wellbeing of their animals. Additionally, participants acknowledged the importance of early education and training to better understand the purpose of the regulation and increase its acceptability. Lastly, most participants reported that they had not only reduced their use of antimicrobials of very high importance for human health following the regulation, but they had also increased preventive practices on their farm. This study reveals that the implementation of restrictive regulations to reduce AMU in animal production can lead to multiple challenges in practice. Our results highlight the need for better communication and training of producers and veterinarians before and during the implementation of similar regulations in the future and underline the importance of measuring the direct and indirect impacts of those regulations on productivity and on animal health and wellbeing.
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spelling doaj.art-0ba687868a824554bcc5429985e0e3532024-09-23T11:30:45ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692023-03-011010.3389/fvets.2023.10257811025781Barriers and facilitators to implementing a new regulation restricting antimicrobial use in dairy production in Québec, Canada: A qualitative studyNikky Millar0Nikky Millar1Nikky Millar2Nikky Millar3Simon Dufour4Simon Dufour5Simon Dufour6Hélène Lardé7Hélène Lardé8Hélène Lardé9Hélène Lardé10Jean-Philippe Roy11Jean-Philippe Roy12Catherine Belloc13David Francoz14David Francoz15Marie-Ève Paradis16Marie Archambault17Marie Archambault18John Morris Fairbrother19Cécile Aenishaenslin20Cécile Aenishaenslin21Cécile Aenishaenslin22Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaGroupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaCentre de recherche en santé publique, Université de Montréal et Centre intégré de santé et de services sociaux du Québec du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, CanadaFond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, CanadaDepartment of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaGroupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaFond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, CanadaDepartment of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaGroupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaFond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, CanadaRoss University School of Veterinary Medicine, Basseterre, Saint Kitts and NevisFond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, CanadaDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaOniris, INRAE, BIOEPAR, Nantes, FranceFond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, CanadaDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaAssociation des médecins vétérinaires praticiens du Québec, Saint-Hyacinthe, QC, CanadaDepartment of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaFond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, CanadaDepartment of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaDepartment of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaGroupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, CanadaCentre de recherche en santé publique, Université de Montréal et Centre intégré de santé et de services sociaux du Québec du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, CanadaWith the emergence of antimicrobial resistance (AMR), many countries are implementing restrictive regulations to reduce antimicrobial use (AMU) in animal production. Although these measures are effective at the national level, their implementation may generate challenges for producers and veterinarians. The objective of this study was to explore the barriers and facilitators of implementing a new regulation restricting the use of antimicrobials of very high importance for human health in the dairy production sector in the province of Québec, Canada. Individual interviews were conducted with fifteen veterinarians and twenty-seven dairy producers. Thematic analysis was performed based on the COM-B model of behavior change (capability-opportunity-motivation-behavior). Our results indicated that the lack of availability of alternative treatments, the long delays related to diagnostic tests and the fear of economic consequences were major barriers to the implementation of the regulation. A small number of producers also perceived that the regulation negatively impacted the health and wellbeing of their animals. Additionally, participants acknowledged the importance of early education and training to better understand the purpose of the regulation and increase its acceptability. Lastly, most participants reported that they had not only reduced their use of antimicrobials of very high importance for human health following the regulation, but they had also increased preventive practices on their farm. This study reveals that the implementation of restrictive regulations to reduce AMU in animal production can lead to multiple challenges in practice. Our results highlight the need for better communication and training of producers and veterinarians before and during the implementation of similar regulations in the future and underline the importance of measuring the direct and indirect impacts of those regulations on productivity and on animal health and wellbeing.https://www.frontiersin.org/articles/10.3389/fvets.2023.1025781/fullantimicrobialsantimicrobial resistancelegislationanimalsbehaviorindividual interview
spellingShingle Nikky Millar
Nikky Millar
Nikky Millar
Nikky Millar
Simon Dufour
Simon Dufour
Simon Dufour
Hélène Lardé
Hélène Lardé
Hélène Lardé
Hélène Lardé
Jean-Philippe Roy
Jean-Philippe Roy
Catherine Belloc
David Francoz
David Francoz
Marie-Ève Paradis
Marie Archambault
Marie Archambault
John Morris Fairbrother
Cécile Aenishaenslin
Cécile Aenishaenslin
Cécile Aenishaenslin
Barriers and facilitators to implementing a new regulation restricting antimicrobial use in dairy production in Québec, Canada: A qualitative study
Frontiers in Veterinary Science
antimicrobials
antimicrobial resistance
legislation
animals
behavior
individual interview
title Barriers and facilitators to implementing a new regulation restricting antimicrobial use in dairy production in Québec, Canada: A qualitative study
title_full Barriers and facilitators to implementing a new regulation restricting antimicrobial use in dairy production in Québec, Canada: A qualitative study
title_fullStr Barriers and facilitators to implementing a new regulation restricting antimicrobial use in dairy production in Québec, Canada: A qualitative study
title_full_unstemmed Barriers and facilitators to implementing a new regulation restricting antimicrobial use in dairy production in Québec, Canada: A qualitative study
title_short Barriers and facilitators to implementing a new regulation restricting antimicrobial use in dairy production in Québec, Canada: A qualitative study
title_sort barriers and facilitators to implementing a new regulation restricting antimicrobial use in dairy production in quebec canada a qualitative study
topic antimicrobials
antimicrobial resistance
legislation
animals
behavior
individual interview
url https://www.frontiersin.org/articles/10.3389/fvets.2023.1025781/full
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