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Muhummed AM, Alemu A, Maidane YO, Tschopp R, Hattendorf J, Vonaesch P, Zinsstag J, Cissé G. Knowledge, Attitudes, and Practices of Rural Communities Regarding Antimicrobial Resistance and Climate Change in Adadle District, Somali Region, Ethiopia: A Mixed-Methods Study. Antibiotics (Basel) 2024; 13:292. [PMID: 38666968 PMCID: PMC11047595 DOI: 10.3390/antibiotics13040292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2024] [Revised: 03/15/2024] [Accepted: 03/19/2024] [Indexed: 04/29/2024] Open
Abstract
There is an urgent need for interventions in addressing the rapid and disproportionate impact of antimicrobial resistance (AMR) and climate change (CC) on low- and middle-income countries. Within this context, it is important to understand indigenous knowledge in rural communities, which are highly affected. This study examined knowledge, attitude, and practices (KAP) regarding AMR and CC in the Adadle district, Somali region, Ethiopia, utilizing mixed methods, including 362 surveys and 12 focus group discussions among rural communities. Findings showed that 39% and 63% of participants were familiar with AMR and CC, respectively. Of those surveyed, 57% attributed AMR to inappropriate antimicrobial use in animals and humans, while CC was often associated with Allah/God. Multivariable analysis indicated that males exhibited superior knowledge and a positive attitude towards AMR and CC. Additionally, individuals aged 26-35 and 36-45 years showed heightened awareness of AMR and CC, respectively. Moreover, participants who were government employees, pastoralists, and business owners showed better knowledge on CC compared to family caretaker. Religious education and households with more than six members were linked to lower AMR knowledge. This study underlines a greater awareness of CC than AMR and highlights gender-based disparities, recommending integrated educational AMR programs targeting different demographics through a One Health lens, actively involving females, and incorporating local beliefs and practices.
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Affiliation(s)
- Abdifatah Muktar Muhummed
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
- Institute of Health Science, Jigjiga University, Jigjiga P.O. Box 1020, Ethiopia
| | - Ashenafi Alemu
- Armauer Hansen Research Institute, Addis Ababa P.O. Box 1005, Ethiopia
| | - Yahya Osman Maidane
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
- Institute of Health Science, Jigjiga University, Jigjiga P.O. Box 1020, Ethiopia
| | - Rea Tschopp
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
- Armauer Hansen Research Institute, Addis Ababa P.O. Box 1005, Ethiopia
| | - Jan Hattendorf
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
| | - Pascale Vonaesch
- Department of Fundamental Microbiology, University of Lausanne, UNIL-Sorge, 1015 Lausanne, Switzerland
| | - Jakob Zinsstag
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
| | - Guéladio Cissé
- Swiss Tropical and Public Health Institute, Kreuzstrasse 2, 4123 Allschwil, Switzerland (G.C.)
- Faculty of Science, University of Basel, Petersplatz 1, 4003 Basel, Switzerland
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Zinsstag J, Crump L, Schelling E, Hattendorf J, Maidane YO, Ali KO, Muhummed A, Umer AA, Aliyi F, Nooh F, Abdikadir MI, Ali SM, Hartinger S, Mäusezahl D, de White MBG, Cordon-Rosales C, Castillo DA, McCracken J, Abakar F, Cercamondi C, Emmenegger S, Maier E, Karanja S, Bolon I, de Castañeda RR, Bonfoh B, Tschopp R, Probst-Hensch N, Cissé G. Climate change and One Health. FEMS Microbiol Lett 2019; 365:4961133. [PMID: 29790983 PMCID: PMC5963300 DOI: 10.1093/femsle/fny085] [Citation(s) in RCA: 53] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Accepted: 04/03/2018] [Indexed: 12/19/2022] Open
Abstract
The journal The Lancet recently published a countdown on health and climate change. Attention was focused solely on humans. However, animals, including wildlife, livestock and pets, may also be impacted by climate change. Complementary to the high relevance of awareness rising for protecting humans against climate change, here we present a One Health approach, which aims at the simultaneous protection of humans, animals and the environment from climate change impacts (climate change adaptation). We postulate that integrated approaches save human and animal lives and reduce costs when compared to public and animal health sectors working separately. A One Health approach to climate change adaptation may significantly contribute to food security with emphasis on animal source foods, extensive livestock systems, particularly ruminant livestock, environmental sanitation, and steps towards regional and global integrated syndromic surveillance and response systems. The cost of outbreaks of emerging vector-borne zoonotic pathogens may be much lower if they are detected early in the vector or in livestock rather than later in humans. Therefore, integrated community-based surveillance of zoonoses is a promising avenue to reduce health effects of climate change.
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Affiliation(s)
- Jakob Zinsstag
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland
| | - Lisa Crump
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland
| | - Esther Schelling
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland
| | - Jan Hattendorf
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland
| | - Yahya Osman Maidane
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland.,University of Jigjiga, Jigjiga University One Health Initiative, PO Box 1020, Jigjiga, Ethiopia
| | - Kadra Osman Ali
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland.,University of Jigjiga, Jigjiga University One Health Initiative, PO Box 1020, Jigjiga, Ethiopia
| | - Abdifatah Muhummed
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland.,University of Jigjiga, Jigjiga University One Health Initiative, PO Box 1020, Jigjiga, Ethiopia
| | - Abdurezak Adem Umer
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland.,University of Jigjiga, Jigjiga University One Health Initiative, PO Box 1020, Jigjiga, Ethiopia
| | - Ferzua Aliyi
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland.,University of Jigjiga, Jigjiga University One Health Initiative, PO Box 1020, Jigjiga, Ethiopia
| | - Faisal Nooh
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland.,University of Jigjiga, Jigjiga University One Health Initiative, PO Box 1020, Jigjiga, Ethiopia
| | - Mohammed Ibrahim Abdikadir
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland.,University of Jigjiga, Jigjiga University One Health Initiative, PO Box 1020, Jigjiga, Ethiopia
| | - Seid Mohammed Ali
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland.,University of Jigjiga, Jigjiga University One Health Initiative, PO Box 1020, Jigjiga, Ethiopia
| | - Stella Hartinger
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland.,Universidad Peruana Cayetano Heredia, Public Health School, Lima, Peru, 15102
| | - Daniel Mäusezahl
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland
| | - Monica Berger Gonzalez de White
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland.,Universidad del Valle, Guatemala City, Guatemala, 01015
| | | | | | | | - Fayiz Abakar
- Institut de Recherches en Elevage pour le Développement, BP 433, N'Djaména, Chad
| | - Colin Cercamondi
- Swiss Federal Institute of Technology (ETH), 8092 Zürich, Switzerland
| | - Sandro Emmenegger
- University of Applied Sciences, Institute for Information and Process Management, 9000 St. Gallen, Switzerland
| | - Edith Maier
- University of Applied Sciences, Institute for Information and Process Management, 9000 St. Gallen, Switzerland
| | - Simon Karanja
- Jomo Kenyatta University, School of Public Health, 00200 Nairobi, Kenya
| | - Isabelle Bolon
- Institute of Global Health, Faculty of Medicine, University of Geneva, 1202 Geneva, Switzerland
| | | | - Bassirou Bonfoh
- Centre Suisse de Recherches Scientifiques en Côte d'Ivoire, 01 BP 1303 Abidjan 01, Côte d'Ivoire
| | - Rea Tschopp
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland.,Armauer Hansen Research Institute, PO Box 1005, Addis Ababa, Ethiopia
| | - Nicole Probst-Hensch
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland
| | - Guéladio Cissé
- Swiss Tropical and Public Health Institute, PO Box, 4002 Basel, Switzerland.,University of Basel, Petersplatz 1, 4003 Basel, Switzerland
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