Caudell, M. | Search bioRxiv

bioRxiv2025

Antibiotic Use and Resistance in Zambia's Aquaculture Sector: Assessing Knowledge, Attitudes, and Practices Among Fish Farmers

Aquaculture in Zambia is rapidly growing, contributing significantly to food security and income generation. However, the intensification of fish farming raises concerns about antimicrobial use (AMU) and the emergence of antimicrobial resistance (AMR). This study assessed the knowledge, attitudes, and practices (KAP) of fish farmers regarding AMU and AMR across 25 districts in Zambias ten provinces. Data were collected from fish farmers using a structured questionnaire distributed via district fisheries officers and analyzed through descriptive and inferential statistics, including logistic regression. The results revealed significant gaps in knowledge, with only 17.4% of farmers classified as knowledgeable about AMU and AMR. Attitude assessments showed that 60.5% exhibited positive attitudes toward responsible AMU practices, while the remaining 39.5% displayed negative perceptions. In terms of practices, 76.5% adhered to good practices, including consulting veterinary professionals and responsible antibiotic use, whereas 23.5% engaged in poor practices. Key factors influencing KAP outcomes included age, farming experience, and annual production capacity. Farmers aged 30-39 years and those with 1-5 years of experience demonstrated significantly more positive attitudes (p < 0.05), while those with higher production capacities (501-1000 kg) exhibited better practices (p < 0.001). The findings highlight critical knowledge gaps and inconsistent practices regarding AMU and AMR among Zambian fish farmers. Targeted interventions, including education programs, enhanced access to veterinary services, and strengthened regulatory frameworks, are essential to promote responsible AMU, mitigate AMR risks, and ensure the sustainability of aquaculture in Zambia.

scientific communication and education↗

bioRxiv2019

Towards a bottom-up understanding of antimicrobial use and resistance on the farm: A knowledge, attitudes, and practices survey across livestock systems in five African countries

The nutritional and economic potentials of livestock systems are compromised by the emergence and spread of antimicrobial resistance. A major driver of resistance is the misuse and abuse of antimicrobial drugs. The likelihood of misuse may be elevated in low- and middle-income countries where limited professional veterinary services and laissez faire access to drugs are assumed to promote non-prudent practices (e.g., self-administration of drugs). The extent of these practices, as well as the knowledge and attitudes motivating them, are largely unknown within most agricultural communities in low- and middle-income countries. The main objective of this study was to document dimensions of knowledge, attitudes and practices related to antimicrobial use and antimicrobial resistance in livestock systems and identify the livelihood factors associated with these dimensions. A mixed-methods ethnographic approach was used to survey households keeping layers in Ghana (N=110) and Kenya (N=76), pastoralists keeping cattle, sheep, and goats in Tanzania (N=195), and broiler farmers in Zambia (N=198), and Zimbabwe (N=298). Across countries, we find that it is individuals who live or work at the farm who draw upon their knowledge and experiences to make decisions regarding antimicrobial use and related practices. Input from animal health professionals is rare and antimicrobials are sourced at local, privately owned agrovet drug shops. We also find that knowledge, attitudes, and particularly practices significantly varied across countries, with poultry farmers holding more knowledge, desirable attitudes, and prudent practices compared to pastoralists households. Multivariate models showed that variation is related to several factors, including education, disease dynamics on the farm, and sources of animal health information. Study results emphasize that interventions to limit antimicrobial resistance must be founded upon a bottom-up understanding of antimicrobial use at the farm-level given limited input from animal health professionals and under-resourced regulatory capacities within most low- and middle-income countries. Establishing this bottom-up understanding across cultures and production systems will inform the development and implementation of the behavioral change interventions to combat AMR globally.

scientific communication and education↗