The Impacts of Animal Health Service Providers on Antimicrobial Use Attitudes and Practices: An Examination of Poultry Layer Farmers in Ghana and Kenya

International organizations and governments have argued that animal health service providers can play a vital role in limiting antimicrobial resistance by promoting the prudent use of antimicrobials. However, there is little research on the impact of these service providers on prudent use at the far...

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Main Authors: Kofi Afakye, Stella Kiambi, Eric Koka, Emmanuel Kabali, Alejandro Dorado-Garcia, Ann Amoah, Tabitha Kimani, Benjamin Adjei, Mark A Caudell
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/9/9/554
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author Kofi Afakye
Stella Kiambi
Eric Koka
Emmanuel Kabali
Alejandro Dorado-Garcia
Ann Amoah
Tabitha Kimani
Benjamin Adjei
Mark A Caudell
author_facet Kofi Afakye
Stella Kiambi
Eric Koka
Emmanuel Kabali
Alejandro Dorado-Garcia
Ann Amoah
Tabitha Kimani
Benjamin Adjei
Mark A Caudell
author_sort Kofi Afakye
collection DOAJ
description International organizations and governments have argued that animal health service providers can play a vital role in limiting antimicrobial resistance by promoting the prudent use of antimicrobials. However, there is little research on the impact of these service providers on prudent use at the farm level, especially in low- and middle-income countries where enforcement of prudent-use regulations is limited. Here, we use a mixed-methods approach to assess how animal health-seeking practices on layer farms in Ghana (<i>n</i> = 110) and Kenya (<i>n</i> = 76) impact self-reported antimicrobial usage, engagement in prudent administration and withdrawal practices and perceptions of antimicrobial resistance. In general, our results show that the frequency of health-seeking across a range of service providers (veterinarians, agrovets, and feed distributors) does not significantly correlate with prudent or non-prudent use practices or the levels of antimicrobials used. Instead, we find that patterns of antimicrobial use are linked to how much farmers invest in biosecurity (e.g., footbaths) and the following vaccination protocols. Our results emphasize that more research is required to understand the interactions between animal health service providers and farmers regarding antimicrobial use and antimicrobial resistance. Addressing these gaps will be crucial to inform antimicrobial stewardship training, curriculums and, guidelines whose ultimate purpose is to limit the selection and transmission of antimicrobial resistance.
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spelling doaj.art-ccfe0d0b2df84cf5be761e6ca179300f2023-11-20T11:47:45ZengMDPI AGAntibiotics2079-63822020-08-019955410.3390/antibiotics9090554The Impacts of Animal Health Service Providers on Antimicrobial Use Attitudes and Practices: An Examination of Poultry Layer Farmers in Ghana and KenyaKofi Afakye0Stella Kiambi1Eric Koka2Emmanuel Kabali3Alejandro Dorado-Garcia4Ann Amoah5Tabitha Kimani6Benjamin Adjei7Mark A Caudell8Food and Agriculture Organization of the United Nations, Accra 1628, GhanaFood and Agriculture Organization of the United Nations, Nairobi 00100, KenyaDepartment of Sociology and Anthropology, University of Cape Coast, Cape Coast 5007, GhanaFood and Agriculture Organization of the United Nations, 00153 Rome, ItalyFood and Agriculture Organization of the United Nations, 00153 Rome, ItalyFood and Agriculture Organization of the United Nations, Accra 1628, GhanaFood and Agriculture Organization of the United Nations, Nairobi 00100, KenyaFood and Agriculture Organization of the United Nations, Accra 1628, GhanaFood and Agriculture Organization of the United Nations, Nairobi 00100, KenyaInternational organizations and governments have argued that animal health service providers can play a vital role in limiting antimicrobial resistance by promoting the prudent use of antimicrobials. However, there is little research on the impact of these service providers on prudent use at the farm level, especially in low- and middle-income countries where enforcement of prudent-use regulations is limited. Here, we use a mixed-methods approach to assess how animal health-seeking practices on layer farms in Ghana (<i>n</i> = 110) and Kenya (<i>n</i> = 76) impact self-reported antimicrobial usage, engagement in prudent administration and withdrawal practices and perceptions of antimicrobial resistance. In general, our results show that the frequency of health-seeking across a range of service providers (veterinarians, agrovets, and feed distributors) does not significantly correlate with prudent or non-prudent use practices or the levels of antimicrobials used. Instead, we find that patterns of antimicrobial use are linked to how much farmers invest in biosecurity (e.g., footbaths) and the following vaccination protocols. Our results emphasize that more research is required to understand the interactions between animal health service providers and farmers regarding antimicrobial use and antimicrobial resistance. Addressing these gaps will be crucial to inform antimicrobial stewardship training, curriculums and, guidelines whose ultimate purpose is to limit the selection and transmission of antimicrobial resistance.https://www.mdpi.com/2079-6382/9/9/554antimicrobial usepoultry farminghealth seekingGhanaKenyaantimicrobial resistance
spellingShingle Kofi Afakye
Stella Kiambi
Eric Koka
Emmanuel Kabali
Alejandro Dorado-Garcia
Ann Amoah
Tabitha Kimani
Benjamin Adjei
Mark A Caudell
The Impacts of Animal Health Service Providers on Antimicrobial Use Attitudes and Practices: An Examination of Poultry Layer Farmers in Ghana and Kenya
Antibiotics
antimicrobial use
poultry farming
health seeking
Ghana
Kenya
antimicrobial resistance
title The Impacts of Animal Health Service Providers on Antimicrobial Use Attitudes and Practices: An Examination of Poultry Layer Farmers in Ghana and Kenya
title_full The Impacts of Animal Health Service Providers on Antimicrobial Use Attitudes and Practices: An Examination of Poultry Layer Farmers in Ghana and Kenya
title_fullStr The Impacts of Animal Health Service Providers on Antimicrobial Use Attitudes and Practices: An Examination of Poultry Layer Farmers in Ghana and Kenya
title_full_unstemmed The Impacts of Animal Health Service Providers on Antimicrobial Use Attitudes and Practices: An Examination of Poultry Layer Farmers in Ghana and Kenya
title_short The Impacts of Animal Health Service Providers on Antimicrobial Use Attitudes and Practices: An Examination of Poultry Layer Farmers in Ghana and Kenya
title_sort impacts of animal health service providers on antimicrobial use attitudes and practices an examination of poultry layer farmers in ghana and kenya
topic antimicrobial use
poultry farming
health seeking
Ghana
Kenya
antimicrobial resistance
url https://www.mdpi.com/2079-6382/9/9/554
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