Engaging communities to address antimicrobial resistance from a One Health perspective: Results from a cluster-randomised controlled trial in rural Bangladesh

Authors: Helen Hawkings

A randomised controlled trial provides the first experimental evidence that the community dialogue approach improves community knowledge on antibiotic use and resistance in rural Bangladesh.

Antimicrobial  resistance (AMR) is an urgent public health challenge, causing more deaths annually than malaria and HIV combined. Addressing AMR requires a One Health approach, encompassing human, animal and environmental health. Results from this trial show that improvements achieved from the community dialogue approach were greater for human health knowledge than for animal or environmental topics, underscoring the need to adapt content and delivery methods in these areas. Further analysis of the data is ongoing.

This presentation was given at the 2025 Annual Meeting of the American Society of Tropical Medicine and Hygiene, held on 9-13 November in Toronto, Canada.