Tabitha Kimani
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Minding the knowledge-action gap: Results from a mixed-methods study of antimicrobial use among dairy farmers in central Uganda Open
Antimicrobial resistance (AMR) presents a growing threat to global health and food security, accelerated by human behaviours such as suboptimal use patterns. While the negative consequences of AMR will be particularly severe in low- and mi…
View article: Building capacities in Sub-Saharan African countries for antimicrobial resistance surveillance in the food and agriculture sectors using the FAO ATLASS tool
Building capacities in Sub-Saharan African countries for antimicrobial resistance surveillance in the food and agriculture sectors using the FAO ATLASS tool Open
FAO has developed the ‘Assessment Tool for Laboratories and AMR Surveillance Systems” (FAO-ATLASS) to support the national food and agriculture sectors in describing and assessing their AMR surveillance system in a standardized manner. Bet…
Farmer field schools as interventions to reduce the need for antimicrobials in agrifood systems: a longitudinal analysis of layer farmer field school graduates and non-graduates in Kenya Open
BACKGROUND: Addressing antimicrobial resistance in agri-food systems requires both AMR-specific interventions, which target factors directly impacting AMR (e.g., prescription regulations) and AMR-sensitive interventions, which target facto…
A point prevalence survey of antimicrobial use in hospitalized patients at two hospitals in Western Kenya: 2022 Open
Information from a point prevalence survey (PPS) can guide antimicrobial stewardship programs (ASPs). The aim of the present study was to document the use of antimicrobial agents at two hospitals in Western Kenya, namely Bungoma County Ref…
Antibiotic Use and Resistance in Zambia’s Aquaculture Sector: Assessing Knowledge, Attitudes, and Practices Among Fish Farmers Open
Aquaculture in Zambia is rapidly growing, contributing significantly to food security and income generation. However, the intensification of fish farming raises concerns about antimicrobial use (AMU) and the emergence of antimicrobial resi…
Microbial Profiling, Antibiotic Susceptibility, and Residue Detection in Market-Ready Tilapia from Key Aquaculture Regions in Zambia Open
Aquaculture is a rapidly expanding sector that plays a critical role in global food security. However, intensive fish farming practices can lead to increased bacterial infections and antimicrobial resistance (AMR). This study investigated …
A point prevalence survey of antimicrobial use in two hospitals in Western Kenya Open
Background Information from point prevalence surveys can guide antimicrobial stewardship programs (ASPs). The aim of the present study was to document the use of antimicrobial agents at two hospitals in Western Kenya, namely Bungoma County…
Knowledge, Attitudes, Practices on Antimicrobial Use in Animals Among Livestock Sector Stakeholders in Kenya Open
Background: Antimicrobials are used on farms to manage livestock diseases. In many developing countries, antimicrobial use (AMU) is insufficiently controlled, and antimicrobials are prone to misuse and abuse, thereby fostering the emergenc…
Knowledge, Attitudes, Practices, and Perceptions of livestock stakeholders on Antimicrobial Use in Kenya Open
Antimicrobial resistance (AMR) remains a challenge in Kenya, while the extent remains unknown. To assess the knowledge, cultural beliefs, practices, and behavioral patterns among multisectoral stakeholders in Kenya. The cross-sectional sur…
Narratives of veterinary drug use in northern Tanzania and consequences for drug stewardship strategies in low-income and middle-income countries Open
Introduction Awareness-raising campaigns play a central role in efforts to combat drug resistance. These campaigns assume that knowledge deficits drive poor practices that increase resistance. Therefore, increasing awareness will promote p…
Social-technical interventions to reduce antimicrobial resistance in agriculture: evidence from poultry Farmer Field Schools in Ghana and Kenya Open
Objectives To assess the feasibility of the Farmer Field School approach to address the complex problem of antimicrobial resistance in agriculture, specifically within small-to-medium-scale layer poultry systems in Ghana and Kenya. Impact …
Knowing Is Not Enough: A Mixed-Methods Study of Antimicrobial Resistance Knowledge, Attitudes, and Practises Among Maasai Pastoralists Open
Global, national, and local efforts to limit antimicrobial resistance (AMR) often stress the importance of raising awareness among users, sellers, and prescribers of antimicrobial drugs. This emphasis is founded upon two assumptions. First…
Understanding Antimicrobial Use Contexts in the Poultry Sector: Challenges for Small-Scale Layer Farms in Kenya Open
The poultry sector contributes significantly to Kenya’s food and economic security. This contribution is expected to rise dramatically with a growing population, urbanization, and preferences for animal-source foods. Antimicrobial resistan…
“We are doctors”: Drivers of animal health practices among Maasai pastoralists and implications for antimicrobial use and antimicrobial resistance Open
Animal health service providers can play an important role in limiting drug resistance by promoting responsible and prudent use of veterinary drugs. Recognizing this potential, international agencies and governments have called for these p…
The Impacts of Animal Health Service Providers on Antimicrobial Use Attitudes and Practices: An Examination of Poultry Layer Farmers in Ghana and Kenya Open
International organizations and governments have argued that animal health service providers can play a vital role in limiting antimicrobial resistance by promoting the prudent use of antimicrobials. However, there is little research on th…
A One Health framework for integrated service delivery in Turkana County, Kenya Open
Pastoralists in sub-Saharan Africa have limited access to public services due to their mobile lifestyle, economic and political marginalization, and the limited health infrastructure that is common to arid and semi-arid lands (ASALs) where…
Towards a bottom-up understanding of antimicrobial use and resistance on the farm: A knowledge, attitudes, and practices survey across livestock systems in five African countries Open
The nutritional and economic potentials of livestock systems are compromised by the emergence and spread of antimicrobial resistance. A major driver of resistance is the misuse and abuse of antimicrobial drugs. The likelihood of misuse may…
Towards a bottom-up understanding of antimicrobial use and resistance on the farm: A knowledge, attitudes, and practices survey across livestock systems in five African countries Open
The nutritional and economic potentials of livestock systems are compromised by the emergence and spread of antimicrobial resistance. A major driver of resistance is the misuse and abuse of antimicrobial drugs. The likelihood of misuse may…
One Health Economics to confront disease threats Open
Global economic impacts of epidemics suggest high return on investment in prevention and One Health capacity. However, such investments remain limited, contributing to persistent endemic diseases and vulnerability to emerging ones. An inte…
One Health stakeholder and institutional analysis in Kenya Open
Thirty-two and 20 stakeholders relevant to OH were identified at national and subnational levels, respectively. Their roles spanned wildlife, livestock, and public health sectors as well as weather prediction. About 50% of national-level s…