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Table 3 Summary of findings by intervention sites

From: Enhancing community awareness of antimicrobial use and resistance through community conversations in rural Ethiopia

Themes

Yabello

Menz Gera

Understanding of antimicrobials

Antimicrobials were considered medications for treating sick animals. Women also included traditional treatments.

Antimicrobials were understood as antibiotics and anthelmintics used for treating sick animals.

Sources of information on antimicrobials

Primary sources were veterinary drug stores, clinics, public officers, and CAHWs. Veterinary clinics and government officers were trusted sources.

Public veterinary clinics, researchers, private veterinary service providers, and other farmers were key sources. Men had greater access to information than women.

Sources and quality of veterinary drugs

Public veterinary clinics and private drug stores were trusted sources. Quality concerns from roadside markets and CAHWs.

Public veterinary clinics were the main source. Hesitance to buy from private drug stores and informal markets due to quality concerns.

Gendered use of antimicrobials

Women treated small animals (poultry, goats, sheep) with tablets, while men handled large animals with injections. Traditional treatments often preceded veterinary drugs.

No gender differences. Men and women took animals to public veterinary clinics and followed prescriptions. Community members rarely treated animals themselves.

Understanding of AMR, causes, and consequences

Initial difficulty understanding AMR; later associated with prolonged and frequent drug

use, expired drugs, and underdosing. Concerns about poor drug regulation and veterinary services. Awareness of financial loss and reduced animal productivity.

Similar difficulty understanding AMR; later linked to expired or poor-quality drugs, underdosing, using drugs for unknown diseases, and lack of diagnostics. Similar awareness of economic impacts.

Withdrawal periods and handling of drugs

Limited awareness of withdrawal periods; consumption of animal products shortly after treatment. Leftover drugs were often kept for later use and expired drugs were disposed of in the open (termite mounds or latrines).

Some awareness of withdrawal periods, mostly due to fear of disease transmission, but unaware of drug residues. Leftover drugs were not stored; expired drugs were disposed of in toilets or burned; fear of harm to children.

Preventive measures and community actions

Recognized the importance of responsible drug use, vaccination, biosecurity, and nutrition but faced resource limitations.

Similar understanding; emphasized improved animal health services, particularly diagnostics and mobile treatment options.