P23 Assessment of knowledge, attitude and practice towards antimicrobial use and resistance among students in three secondary schools in Dodoma City

Abstract

IntroductionAntimicrobial resistance is still not given enough attention and the public is insufficiently aware of its existence, leading to behaviour, which propagates the rise of antimicrobial resistance (AMR). One of the objectives of Tanzania's national action plan on antimicrobial resistance is to improve awareness and understanding of antimicrobial use and resistance through effective communication, education and training. This task will need involvement of many stakeholders and sectors.ObjectivesTo assess the knowledge, attitudes and practices toward antimicrobial use and resistance among students in three secondary schools in Dodoma city.MethodsFor this interventional pre-post comparative study, data were collected before and after training on antimicrobial use and resistance. Secondary school students from Mkonze, Merriwa and Kiwanja cha Ndege secondary school who are members of AMR school clubs participated. Training included classroom teaching and arts and crafts. We used quantitative and qualitative data collection methods by using self-administered paper-based structured coded questionnaires delivered to the students with the supervision of school guardians. Analysis was done through Excel and SPSS.ResultsThree aspects were investigated: awareness of ways to reduce AMR; knowledge that antibiotics cannot be used to treat flu and factors that contribute to AMR. Before the training knowledge of these was below 37%. Three months after the training knowledge had increased to above 90%.ConclusionsTraining of secondary school students significantly improved awareness, knowledge and attitude regarding antimicrobial use and antimicrobial resistance. AMR school clubs are an effective vehicle to raise awareness and mitigate the AMR crisis. Focus on students will lead to wider awareness in the community.Table 1.Shows three aspects investigated: awareness of ways to reduce AMR; knowledge that antibiotics cannot be used to treat flu and factors that contribute to AMRAspect investigatedBefore trainingAfter trainingMeasure%Measure%Can antibiotics be used to treat flu?Yes38.3Yes90.6No50.0No5.6I don't know11.7I don't know3.6Knowledge on practices and behaviour that contribute to AMRAware31.2Aware99.3Not aware69.8Not aware0.7Knowledge on the consequences of AMRAware31.1Aware98.6Not aware69.9Not aware1.40