An educational intervention on organizational impact evaluation of the knowledge, attitude, and practice of community on the use of antibiotics

Abstract

Background: Antibiotics remain one of the most frequently used treatments for infections. However, their widespread misuse has fueled the emergence of resistant bacteria, posing a serious threat to global health. Objective: This study aimed to assess the community’s knowledge, attitudes, and practices (KAP) regarding antibiotic use and to determine the impact of structured educational interventions. Methodology: A prospective interventional study was conducted in a community setting in Bangalore after receiving ethical clearance from the Kshema Independent Ethics Committee. A validated 26-item questionnaire was developed, covering knowledge (10 items), attitudes (9 items), and practices (7 items). Responses were recorded using a five-point Likert scale. Participants received educational interventions through information leaflets and personalized one-on-one counselling. The same questionnaire was re-administered three months later, and pre- and post-intervention scores were compared using paired t-tests. Results: Prior to the intervention, participants demonstrated limited awareness and risky practices concerning antibiotic use. After the intervention, substantial improvements were observed across all KAP domains, with participants showing better understanding, healthier attitudes, and safer practices toward antibiotic consumption. Conclusion: Educational initiatives, particularly when delivered through leaflets and direct communication, significantly enhance public awareness and responsible use of antibiotics. Such interventions could play a crucial role in combating antibiotic resistance at the community level.