Babuya Jonathan, Waruingi Daniel, Mungujakisa Douglas, Ahimbisibwe Osmas, Kako Victoria Ruth, Aporu Faith, Mugume Emmanuel, Nyamupachitu Julian, Kiyimba Kenedy
Faculty of Health Sciences, Busitema University, Mbale, Uganda.
Zihi Institute, Nairobi, Kenya.
PLoS One. 2025 Feb 6;20(2):e0314250. doi: 10.1371/journal.pone.0314250. eCollection 2025.
Learning beyond the classroom is important for holistic engagement in antimicrobial resistance(AMR) mitigation. Extracurricular interventions can catalyze multidisciplinary engagement and inspire innovative solutions. This study aimed to determine the knowledge, attitudes, and motivations influencing medical students' engagement in AMR Club initiatives at Busitema University, Uganda.
This was a descriptive cross-sectional study conducted at Busitema University among undergraduate students pursuing Bachelors of Medicine and Surgery, Bachelor of Science in Nursing, and Bachelor of Science in Anesthesia and Critical care. Data collection was performed using a semi-structured, pre-tested questionnaire and administered to the participants The Bloom's cut-off method was used to analyse the knowledge of the participants, while bivariate analysis was conducted using the chi square test. Multivariable logistic regression analysis was used to identify factors independently associated with students' engagement in AMR club activities.
Of the 193 study participants, 71.5%(n) demonstrated sufficient knowledge about antimicrobial resistance (AMR), as determined using Bloom's cutoff categories (≥60% classified as sufficient, <60% as insufficient), with an average knowledge score of 68.18% (SD ±16.12). Additionally, 90% of participants acknowledged the significance of incorporating AMR topics into their curriculum, while 87.5% emphasized the need for AMR training using a One Health approach. The major motivations for students to engage in extracurricular activities addressing AMR were peer influence (n = 42), university support (n = 35), and inspiration drawn from peer mentors' work (n = 35).
The students demonstrated a high level of knowledge and positive attitudes towards AMR but highlighted the need for further in-depth training. Participation in extra-curricular activities such as involvement in an AMR Club, was found to significantly influence students' engagement in AMR related interventions.
课堂之外的学习对于全面参与抗菌药物耐药性（AMR）缓解工作至关重要。课外干预措施可以促进多学科参与并激发创新解决方案。本研究旨在确定影响乌干达布西泰马大学医学院学生参与AMR俱乐部倡议的知识、态度和动机。
这是一项描述性横断面研究，在布西泰马大学对攻读医学和外科学士学位、护理学理学学士学位以及麻醉与重症监护理学学士学位的本科生进行。数据收集使用经过预测试的半结构化问卷，并发放给参与者。采用布鲁姆截断法分析参与者的知识，同时使用卡方检验进行双变量分析。多变量逻辑回归分析用于确定与学生参与AMR俱乐部活动独立相关的因素。
在193名研究参与者中，71.5%（n）表现出对抗菌药物耐药性（AMR）有足够的知识，这是根据布鲁姆截断类别确定的（≥60%分类为足够，<60%为不足），平均知识得分68.18%（标准差±16.12）。此外，90%的参与者承认将AMR主题纳入课程的重要性，而87.5%强调需要采用“同一健康”方法进行AMR培训。学生参与解决AMR问题的课外活动的主要动机是同伴影响（n = 42）、大学支持（n = 35）以及从同伴导师的工作中获得的启发（n = 35）。
学生对抗菌药物耐药性表现出高水平的知识和积极态度，但强调需要进一步深入培训。发现参与课外活动，如加入AMR俱乐部，会显著影响学生参与与AMR相关的干预措施。
