Public Knowledge and Awareness of Antimicrobial Resistance Prevention in Rural Tabanan, Bali:  A Cross-Sectional Study

Ni Putu Novi Puspita Sari; I Gusti Ayu Rai Widowati; I Putu Gede Adi Purwa Hita; Ida Ayu Manik Partha Sutema

doi:10.37311/jsscr.v8i1.33786

Public Knowledge and Awareness of Antimicrobial Resistance Prevention in Rural Tabanan, Bali: A Cross-Sectional Study

Ni Putu Novi Puspita Sari, I Gusti Ayu Rai Widowati, I Putu Gede Adi Purwa Hita, Ida Ayu Manik Partha Sutema

Abstract

Due to inappropriate usage of antibiotics, Indonesia has high rates of antimicrobial resistance (AMR), a significant worldwide health concern. Understanding public knowledge and awareness is crucial in mitigating AMR, particularly in rural communities. This study aimed to assess the knowledge and awareness of rural community members in Tengkudak Village, Tabanan, regarding antibiotic use and AMR prevention. A community-based cross-sectional study was conducted from November to December of 2024. A total of 124 respondents were recruited using a consecutive non-random sampling. Data were collected using a validated questionnaire consisting of two sections: knowledge and awareness. Knowledge was assessed using 10 dichotomus items based on the Guttman scale covering antibiotic acquisition, use, storage, and disposal, while awareness was measured using 7 items on a Likert scale rekated to antibiotics and AMR. Descriptive statistics were used to summarize respondent characteristics and outcome variables. The association between knowledge and awareness levels was analyzed using Spearman’s rank correlation coefficient, with a two-sided significance level set at α = 0.05. Of the respondents, 58 (46.8%) demonstrated good knowledge, and 86 (69.4%) showed good awareness regarding antibiotics and AMR. Despite this, improper disposal practices were common, with 80.6% of participants reporting that expired or damaged antibiotics were discarded in household trash. A statistically significant moderate positive correlation was observed between knowledge and awareness levels (ρ = 0.558, p<0.001). Knowledge and awareness of antibiotic use and AMR prevention in the rural population are significantly correlated. To increase the responsible use of antibiotics, educational initiatives are crucial, particularly with regard to safe storage and appropriate disposal procedures.

Keywords

Antimicrobial Resistance; Health Behavior; Community Pharmacy; Rural area

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DOI: https://doi.org/10.37311/jsscr.v8i1.33786

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