Knowledge, Attitude, and Practices of Antibiotic Usage and Resistance among People Attending Primary Healthcare in Rwanda.

Rwanda journal of medicine and health sciences Pub Date : 2024-11-30 eCollection Date: 2024-11-01 DOI:10.4314/rjmhs.v7i3.7

Jerome Ndayisenga, Obed Tuyishime, Olivier Sibomana, Philemon Kwizera, Hosee Niyompano, François Hakizayezu, Margaret I Fitch

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Abstract

Background: Antimicrobial resistance (AMR) poses a global threat to public health with sub-Saharan Africa facing a substantial burden. Our study assessed the knowledge, attitude, and practices of antibiotic usage and resistance among people attending primary healthcare facilities in Rwanda.

Methods: The cross-sectional study was conducted at three health centres in Kigali, and it involved 246 individuals. We used a close-ended questionnaire for data collection. The levels of knowledge, attitudes and practices were calculated as proportions of correct answers, with high, good, or positive being greater or equal to 70%. The chi-square test was used to find the association between demographic characteristics and knowledge, attitudes and practices.

Results: Among 246 participants, 8 (3.2%) and 51 (20.7%) had high knowledge of antibiotic usage and antimicrobial resistance respectively. In addition, 81 (32.9%) had a positive attitude and 97 (39.4%) had good practices. Attitudes were significantly positive in males (p = 0.003) and among individuals with a university education (p = 0.007). Knowledge of antimicrobial resistance was significantly high in males (p-value = 0.047).

Conclusion: Limited levels of knowledge, attitude and practices on antibiotic usage and resistance were found, with women having lower levels in multiple aspects. Strategies to promote rational use of antibiotics ought to address social inequities.

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卢旺达初级卫生保健人员抗生素使用和耐药性的知识、态度和实践。

背景：抗菌素耐药性（AMR）对公共卫生构成全球性威胁，撒哈拉以南非洲面临着沉重负担。我们的研究评估了在卢旺达初级卫生保健机构就诊的人们对抗生素使用和耐药性的知识、态度和做法。方法：横断面研究在基加利的三个保健中心进行，涉及246人。我们使用封闭式问卷来收集数据。知识、态度和实践的水平以正确答案的比例计算，高、好、积极大于或等于70%。使用卡方检验来发现人口统计学特征与知识、态度和实践之间的关系。结果：246名参试者中，抗菌药物使用知识知晓率高的有8人（3.2%），耐药知识知晓率高的有51人（20.7%）。另外，有81人（32.9%）有积极态度，97人（39.4%）有良好做法。男性（p = 0.003）和受过大学教育的人（p = 0.007）的态度明显是积极的。男性对抗菌药物耐药知识知晓程度显著高于男性（p值= 0.047）。结论：我院对抗生素使用及耐药的知识、态度和行为水平有限，女性在多个方面水平较低。促进合理使用抗生素的战略应解决社会不平等问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Rwanda journal of medicine and health sciences

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