Abstract

There are growing concerns over the threat to human health from the unregulated use of antimicrobials in livestock. Broiler production is of great economic and social importance in Indonesia. This study used a structured questionnaire approach to explore the human behaviours and economic drivers associated with antimicrobial use in small commercial broiler systems in Indonesia (n = 509). The study showed that antimicrobial use was high with farmers easily able to access antimicrobials through local animal medicine, however, it was difficult for farmers to access veterinary advice on responsible antimicrobial use. The most significant finding was that the relative cost of antimicrobials was low, and farmers observed improvements in productivity rates from routine antimicrobial administration. However, farmers seldom kept detailed records on farm productivity or economic costs; this is a hurdle to undertaking a more detailed economic analysis of antimicrobial use. There is a need for further research on the cost-effectiveness of alternative methods of preventing disease and ensuring that feasible alternatives are easily available. Farm-level economics and securing the food supply chain need to be central to any future policy interventions to reduce antimicrobial use in broiler systems in Indonesia and this observation is relevant at a regional and global level.

Highlights

  • Antimicrobial resistance (AMR) poses a risk to global health by threatening effective infectious disease treatments [1]

  • It has long been suspected that indiscriminate use of antimicrobials in human and animal health would lead to the development of AMR through selection pressures in bacterial populations for the development and exchange of resistance genes [5]

  • Resistance may spread to humans through either direct contact with animals, meat consumption, contamination of vegetable matter with manure or indirectly through environmental pathways [7,8,9,10]. This risk is unquantified, research into intensive animal production systems has identified that the intestinal microbiota of livestock can act as a source of resistant bacteria for consumers, farmers and those people living in close proximity to animals [7,8,11,12]

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Summary

Introduction

Antimicrobial resistance (AMR) poses a risk to global health by threatening effective infectious disease treatments [1]. Resistance may spread to humans through either direct contact with animals, meat consumption, contamination of vegetable matter with manure or indirectly through environmental pathways [7,8,9,10]. At present, this risk is unquantified, research into intensive animal production systems has identified that the intestinal microbiota of livestock can act as a source of resistant bacteria for consumers, farmers and those people living in close proximity to animals [7,8,11,12]

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