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Co-creating antimicrobial resistance (AMR) literacy in Zimbabwean higher education institutions

A participatory, qualitative study following the one health approach

Bibliographic Data

ID21785707
AuthorsMartin Mickelsson (0000-0003-0410-5654, Uppsala University, corresponding author), Emma Oljans (0009-0009-8995-3038, Uppsala University)
Year2026
Volume21
Issue1
Pages2694867-2694867
Publication date2026-12-31
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/17441692.2026.2694867
PMID42363961
OpenAlexW7166348115
LanguageEN
References cited71

Antimicrobial resistance (AMR) is a global health challenge that encompasses social, economic, and ecological risks, and the relationship between human, animal, and environmental health is emerging as a key factor. Addressing AMR means developing capacities across health sectors, with training of health practitioners through higher education institutions (HEIs) essential for strengthening one's health literacy. This paper explores how Zimbabwean University lecturers and students co-create an understanding of AMR, contributing to the development of AMR literacy. A participatory qualitative study using research workshops was conducted at two Zimbabwean HEIs, engaging 60 interdisciplinary participants in vignette-based discussions of AMR. Using thematic analysis, three key themes were identified: (1) reflective engagement with antimicrobial use impacting environmental, human, and animal health; (2) preventive actions to protect environmental, human, and animal health; and (3) holistic health promotion grounded in social and ecological care. AMR literacy is outlined as interdisciplinary and context-dependent, encompassing biomedical understanding, critical ethical reflections, and pluralistic reasoning, enabling context-relevant approaches and decision-making. This study contributes to global health research by highlighting the potential of participatory and contextually sensitive educational approaches to address AMR. Operationalising AMR literacy could support cross-sectoral collaboration among health practitioners, strengthening global health efforts to address sustainable health challenges

Citizen journalism · Global health · Health education · Health literacy · Health promotion · Participatory action research · Public health · Qualitative research · Thematic analysis · Antibiotic Use and Resistance · Pharmaceutical and Antibiotic Environmental Impacts · Zoonotic diseases and public health

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