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Knowledge, attitude and practices on antimicrobial resistance among medical students in Africa: a systematic review

Happy Asiimwe1, Justine Kulu2, Allan Bosis3

  • 1Faculty of Medicine, Gulu University, Gulu, Uganda asiimwehappy529@gmail.com.

BMJ Open
|July 28, 2026
PubMed
Abstract

Insights

This systematic review synthesizes knowledge, attitudes, and practices (KAP) on antimicrobial resistance (AMR) among African medical students. Findings will inform strategies to combat AMR, a major global health challenge.

Area of Science:

  • Medical Education
  • Public Health
  • Infectious Diseases

Background:

  • Antimicrobial resistance (AMR) is a critical global health issue, causing over 1.27 million deaths in 2019.
  • Medical students' knowledge, attitudes, and practices (KAP) regarding AMR are crucial for future AMR containment efforts.
  • A consolidated synthesis of AMR KAP among medical students in Africa is currently lacking.

Purpose of the Study:

  • To systematically review and synthesize existing data on the knowledge, attitudes, and practices (KAP) concerning antimicrobial resistance (AMR) among medical students across Africa.
  • To identify gaps and trends in AMR-related KAP within this demographic to inform targeted interventions.

Main Methods:

  • A systematic review methodology will be employed, searching databases like PubMed, SCOPUS, CINAHL, Google Scholar, and AJOL.
  • Studies published between 2015 and 2025, encompassing both quantitative and qualitative research, will be included.
  • Data will be analyzed using narrative synthesis, with potential for meta-analysis if data permits. Risk of bias will be assessed using the CASP checklist.

Main Results:

  • This section is to be populated upon completion of the review and data analysis.
  • Anticipated results will detail the current state of AMR knowledge, attitudes, and practices among African medical students.
  • The findings will highlight regional variations and common themes in AMR KAP.

Conclusions:

  • This systematic review will provide a comprehensive overview of AMR KAP among African medical students.
  • The synthesized findings are expected to guide the development of educational strategies and interventions to improve AMR stewardship.
  • Ultimately, this research aims to contribute to the global effort to combat antimicrobial resistance.
Keywords:
AntibioticsAttitudeKnowledge

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