Antibiotic Use and Resistance in Zambia's Aquaculture Sector: Assessing Knowledge, Attitudes, and Practices Among Fish Farmers

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 resistance (AMR). This study assessed the knowledge, attitudes, and practices (KAP) of fish farmers regarding AMU and AMR across 25 districts in Zambias ten provinces. Data were collected from fish farmers using a structured questionnaire distributed via district fisheries officers and analyzed through descriptive and inferential statistics, including logistic regression. The results revealed significant gaps in knowledge, with only 17.4% of farmers classified as knowledgeable about AMU and AMR. Attitude assessments showed that 60.5% exhibited positive attitudes toward responsible AMU practices, while the remaining 39.5% displayed negative perceptions. In terms of practices, 76.5% adhered to good practices, including consulting veterinary professionals and responsible antibiotic use, whereas 23.5% engaged in poor practices. Key factors influencing KAP outcomes included age, farming experience, and annual production capacity. Farmers aged 30-39 years and those with 1-5 years of experience demonstrated significantly more positive attitudes (p < 0.05), while those with higher production capacities (501-1000 kg) exhibited better practices (p < 0.001). The findings highlight critical knowledge gaps and inconsistent practices regarding AMU and AMR among Zambian fish farmers. Targeted interventions, including education programs, enhanced access to veterinary services, and strengthened regulatory frameworks, are essential to promote responsible AMU, mitigate AMR risks, and ensure the sustainability of aquaculture in Zambia.