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Villager and calf share milk from cow in Rajasthan, India

For effective awareness raising on prudent use of antimicrobials, dairy farmers need regular education and veterinary experts need tools and strategies to educate farmers on prudent use of antimicrobials, a new research study says.

Antimicrobial resistance (AMR) is a global public health threat and the indiscriminate use of antibiotics in the animal health sector contributes to increasing rates of AMR. In India, studies involving dairy farmers have found knowledge levels regarding antibiotics and AMR to be very low.

The study, published in Frontiers in Public Health, was conducted in September to December of 2018 in some parts of Haryana, Assam, Karnataka, and West Bengal to assess different methods to raise awareness and knowledge about AMR and antibiotic use among dairy farmers, veterinarians and veterinary assistants (paraveterinarians).

The study had two parts: an intervention meeting (September–October 2018) which consisted of focus group discussions (FGD) with farmers, key informant interviews (KII) with veterinary professionals along with distribution of information packages, and then a follow-up survey (November–December 2018). The villages were randomly allocated to either one of the four intervention approaches (1-FGD/KII and information package on AMR; 2-FGD/KI and information on animal health; 3- FGD/KII and information package on animal health plus information on AMR; or 4- only the FGD/KII). A follow-up survey was done to assess the effect of interventions.

A total of 274 dairy farmers and 51 veterinary professionals (21 veterinarians and 30 paravets) participated in the follow-up survey. Many of the farmers and veterinary professionals who participated in the follow-up survey had been part of the intervention meetings. The average knowledge score of farmers was 7.8. It was found that the knowledge score was higher amongst farmers who had participated in the intervention meetings, had received intervention approach 2 or approach 3 , and amongst female farmers compared to male. The veterinary professionals had good knowledge but lacked interest in training the farmers about antimicrobial resistance.

The study showed that a higher percentage of farmers and veterinary professionals who attended the intervention meeting had improved knowledge.


Sharma, G., Mutua, F., Deka, R.P., Shome, R., Bandyopadhyay, S., Shome, B.R., Kumar, N.G., Grace, D., Dey, T.K. and Lindahl, J. 2022. Comparing the effectiveness of different approaches to raise awareness about antimicrobial resistance in farmers and veterinarians of India. Frontiers in Public Health 10: 837594. 

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