Educate and Act Now: Empowering Healthcare Professionals, Students, and Communities to Combat Antimicrobial Resistance
DOI:
https://doi.org/10.4314/wnjms.v9i1.3Keywords:
Health care workers, studentsAbstract
Introduction
Antimicrobial resistance (AMR) is a major global public health threat driven by inappropriate antimicrobial use, weak stewardship systems, and poor awareness among healthcare providers and the public. Addressing AMR requires coordinated action across healthcare professionals, students, and communities. To highlight strategies for empowering healthcare professionals, students, and communities to strengthen antimicrobial stewardship and combat antimicrobial resistance.
Methods
This article is a narrative review of published literature, policy documents, and global reports on antimicrobial resistance, antimicrobial stewardship, and educational and community-based interventions aimed at improving antimicrobial use. Evidence was synthesised to identify effective approaches for AMR education, advocacy, and behavioural change.
Results
Healthcare professionals play a central role in antimicrobial stewardship through rational prescribing, patient education, infection prevention, and multidisciplinary collaboration. Students contribute through early curricular exposure, peer education, research participation, and advocacy activities. Community engagement remains essential for reducing self-medication, improving adherence, and promoting awareness through culturally appropriate interventions, including school-based programmes, media campaigns, and involvement of community leaders. Innovative approaches such as digital health tools, behavioural science interventions, and intersectoral collaboration further strengthen AMR education and advocacy.
Conclusion
Combating antimicrobial resistance requires a multisectoral approach involving healthcare professionals, students, and communities. Strengthening education, stewardship programmes, behavioural change strategies, and innovative communication tools is essential to preserve antimicrobial effectiveness and improve global health outcomes.
References
1. Hsia Y, Lee BR, Versporten A, Yang Y, Bielicki J, Jackson C, et al. Use of the WHO Access, Watch, and Reserve classification to define patterns of hospital antibiotic use (AWaRe): an analysis of paediatric survey data from 56 countries. Lancet Glob Health. 2019;7(7):e861–e871. doi:10.1016/S2214-109X(19)30071-3.
2. Baraz A, Chowers M, Nevo D, Obolski U. The time-varying association between previous antibiotic use and antibiotic resistance. Clin Microbiol Infect. 2022. doi:10.1016/j.cmi.2022.10.021.
3. Poudel AN, Zhu S, Cooper N, Little P, Tarrant C, Hickman M, et al. The economic burden of antibiotic resistance: a systematic review and meta-analysis. PLoS One. 2023;18(5):e0285170. doi:10.1371/journal.pone.0285170.
4. Haenssgen M, Xayavong T, Charoenboon N, Warapikuptanun P, Khine ZY. The consequences of AMR education and awareness raising: outputs, outcomes, and behavioural impacts of an antibiotic-related educational activity in Lao PDR. Antibiotics (Basel). 2018;7(4):95. doi:10.3390/antibiotics7040095.
5. Atalay YA, Abebe Gelaw K. Prevalence of knowledge, attitudes, and practices regarding antimicrobial resistance in Africa: a systematic review and meta-analysis. Front Microbiol. 2024;15:1345145. doi:10.3389/fmicb.2024.1345145.
6. Castro-Sánchez E, Garelick H, Pérez-Gracia MT, Aminov R. Editorial: the role of education in raising awareness towards antimicrobial resistance (AMR). Front Microbiol. 2024;15:1444502. doi:10.3389/fmicb.2024.1444502.
7. Almutairi KS, Okmi EA, Alnofaiei SS, Alshamari WK, Almutairi SH, Alsuwailem SI, et al. The effects of health education on awareness of antimicrobial resistance among high school students in Riyadh, Saudi Arabia during 2023: a quasi-experimental study. Cureus. 2023;15(7):e41639. doi:10.7759/cureus.41639.
8. World Health Organization. Empowering students to become powerful change agents against antimicrobial resistance in Nigeria [Internet]. Brazzaville: WHO Regional Office for Africa; 2019. Available from: https://www.afro.who.int/news/empowering-students-become-powerful-change-agents-against-antimicrobial-resistance-nigeria. Accessed 2026 May 25.
9. Fuller W, Kapona O, Aboderin AO, Adeyemo AT, Olatunbosun OI, Gahimbare L, et al. Education and awareness on antimicrobial resistance in the WHO African Region: a systematic review. Antibiotics (Basel). 2023;12(11):1613. doi:10.3390/antibiotics12111613.
10. Mudenda S, Malama S, Munyeme M, Hang'ombe BM, Mainda G, Kapona O, et al. Awareness of antimicrobial resistance and associated factors among layer poultry farmers in Zambia: implications for surveillance and antimicrobial stewardship programmes. Antibiotics (Basel). 2022;11(3):383. doi:10.3390/antibiotics11030383.
11. World Health Organization. Raising community awareness of antimicrobial resistance and enabling behavioural change [Internet]. Geneva: World Health Organization; 2024. Available from: https://www.who.int/europe/activities/raising-community-awareness-of-antimicrobial-resistance. Accessed 2026 May 25.
12. Wiley KC, Villamizar HJ. Antibiotic resistance policy and the stewardship role of the nurse. Policy Polit Nurs Pract. 2019;20(1):8–17. doi:10.1177/1527154418819251.
13. Fuhrmeister ER, Larson JR, Kleinschmit AJ, Kirby JE, Pickering AJ, Bascom-Slack CA. Combating antimicrobial resistance through student-driven research and environmental surveillance. Front Microbiol. 2021;12:577821. doi:10.3389/fmicb.2021.577821.
14. World Health Organization. Antibiotic resistance: multi-country public awareness survey [Internet]. Geneva: World Health Organization; 2015. Available from: https://iris.who.int/bitstream/handle/10665/194460/9789241509817_eng.pdf. Accessed 2026 May 25.
15. Ozoemena EL, Iweama CN, Agbaje OS, Umoke PCI, Ene OC, Ofili PC, et al. Effects of a health education intervention on hypertension-related knowledge, prevention and self-care practices in Nigerian retirees: a quasi-experimental study. Arch Public Health. 2019;77(1):1–13. doi:10.1186/s13690-019-0349-x.
16. Kandeel A, Palms DL, Afifi S, Kandeel Y, Etman A, Hicks LA, et al. An educational intervention to promote appropriate antibiotic use for acute respiratory infections in a district in Egypt: pilot study. BMC Public Health. 2019;19(Suppl 3):1–11. doi:10.1186/s12889-019-6779-0.
17. Rabbani SA, Sridhar SB, Abazer D, Ahmed HS, Usman HA, Mahtab A, et al. Impact of community-based educational intervention on antibiotic use and resistance awareness among people living in Ras Al Khaimah, United Arab Emirates. J Pharm Health Serv Res. 2020;11(3):197–204. doi:10.1111/jphs.12347.
18. Godman B, Egwuenu A, Wesangula E, Schellack N, Kalungia AC, Tiroyakgosi C, et al. Tackling antimicrobial resistance across sub-Saharan Africa: current challenges and implications for the future. Expert Opin Drug Saf. 2022;21(8):1089–1111. doi:10.1080/14740338.2022.2106368.
19. Sono TM, Yeika EV, Cook A, Kalungia A, Opanga S, Acolatse J, et al. Current rates of purchasing antibiotics without a prescription across sub-Saharan Africa: rationale and potential programmes to reduce inappropriate dispensing and resistance. Expert Rev Anti Infect Ther. 2023;21(10):1025–1055. doi:10.1080/14787210.2023.2259106.
20. Mudenda S, Chabalenge B, Daka V, Jere E, Sefah IA, Wesangula E, et al. Knowledge, awareness and practices of healthcare workers regarding antimicrobial use, resistance and stewardship in Zambia: a multi-facility cross-sectional study. JAC Antimicrob Resist. 2024;6(3):dlae076. doi:10.1093/jacamr/dlae076.
21. Global Alliance for Infection in Surgery. Knowledge, awareness, and collaboration in combating antimicrobial resistance [Internet]. 2019. Available from: https://infectionsinsurgery.org/knowledge-awareness-and-collaboration-in-combating-antimicrobial-resistance/. Accessed 2026 May 25.
22. Shrestha J, Zahra F, Cannady J. Antimicrobial stewardship [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK572068/. Accessed 2026 May 25.
23. Palavecino EL, Williamson JC, Ohl CA. Collaborative antimicrobial stewardship. Infect Dis Clin North Am. 2020;34(1):51–65. doi:10.1016/j.idc.2019.10.006.
24. Kasujja H, Kajumbula H, Tusiimire J, Waswa JP, Nanyonga SM, Kiggundu R, et al. Engaging healthcare students in innovative approaches for antimicrobial resistance containment. J Public Health Afr. 2024;15(1):8. Available from: https://publichealthinafrica.org/index.php/jphia/article/view/645/711. Accessed 2026 May 25.
25. Appiah B, Asamoah-Akuoko L, Samman E, Koduah A, Kretchy IA, Ludu JY, et al. The impact of antimicrobial resistance awareness interventions involving schoolchildren, development of an animation, and parent engagement: a pilot study. Antimicrob Resist Infect Control. 2022;11(1):1–11. doi:10.1186/s13756-022-01062-6.
26. Launer D. Can medical students do anything useful to support the antimicrobial resistance agenda? JAC Antimicrob Resist. 2022;4(6):dlac110. doi:10.1093/jacamr/dlac110.
27. Shamim N, Rogers S, Atwaru J, Andrew MK, Shiellah B, Kennedy P, et al. Antimicrobial resistance and rational prescription practices: knowledge, perceptions and confidence of health profession interns in Uganda. JAC Antimicrob Resist. 2023;5(5):dlad105. doi:10.1093/jacamr/dlad105.
28. Munir S, Zaheer M. The role of extra-curricular activities in increasing student engagement. Asian Assoc Open Univ J. 2021;16(3):241–254. doi:10.1108/AAOUJ-08-2021-0080.
29. Solís RP. Theatre and education: creative and innovative experience in vocational education and training. In: International Conference and Research Workshop on Vocational Education and Training—New Challenges?; 2016. Available from: https://www.researchgate.net/publication/314090700_Theatre_and_Education_Creative_and_Innovative_Experience_in_Vocational_Education_Training. Accessed 2026 May 25.
30. Tarín-Pelló A, Marco-Crespo E, Suay-García B, Galiana-Roselló C, Bueso-Bordils JI, Pérez-Gracia MT. Innovative gamification and outreach tools to raise awareness about antimicrobial resistance. Front Microbiol. 2022;13:977319. doi:10.3389/fmicb.2022.977319.
31. Chetty NDS, Handayani L, Sahabudin NAB, Ali Z, Hamzah N, Kasim S. Learning styles and teaching styles determine students' academic performances. Int J Eval Res Educ. 2019;8(4):610–615. doi:10.11591/ijere.v8i4.20345.
32. Traboco L, Pandian H, Nikiphorou E, Gupta L. Designing infographics: visual representations for enhancing education, communication, and scientific research. J Korean Med Sci. 2022;37(27):e214. doi:10.3346/jkms.2022.37.e214.
33. Chan AKM, Nickson CP, Rudolph JW, Lee A, Joynt GM. Social media for rapid knowledge dissemination: early experience from the COVID-19 pandemic. Anaesthesia. 2020;75(12):1579–1582. doi:10.1111/anae.15057.
34. Otaigbe II, Elikwu CJ. Drivers of inappropriate antibiotic use in low- and middle-income countries. JAC Antimicrob Resist. 2023;5(3):dlad062. doi:10.1093/jacamr/dlad062.
35. Aziato L, Omenyo CN. Initiation of traditional birth attendants and their traditional and spiritual practices during pregnancy and childbirth in Ghana. BMC Pregnancy Childbirth. 2018;18(1):64. doi:10.1186/s12884-018-1691-7.
36. Agoyi M, Ojo R, Afolabi T, Ogunyemi O, Adejumobi S, Awoniyi A. Role of community-based birth attendants in reduction of maternal and child mortality [Internet]. London: IntechOpen; 2022. Available from: https://www.intechopen.com/chapters/80204. Accessed 2026 May 25.
37. Aslam B, Asghar R, Muzammil S, Shafique M, Siddique AB, Khurshid M, et al. AMR and sustainable development goals: at a crossroads. Global Health. 2024;20(1):1–13. doi:10.1186/s12992-024-01046-8.
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