Data on antimicrobial use in livestock: Lessons from Uganda.

In 2016, the General Assembly of the United Nations recognised inappropriate Antimicrobial Use (AMU) in livestock as one of the leading causes of increasing Antimicrobial Resistance (AMR). This is happening at a time when livestock production is expected to increase dramatically particularly in Africa, in response to the large rise in aggregate demand due to population growth, urbanisation and increasing income levels. Therefore, understanding the characteristics and appropriateness of AMU in livestock in this region is of utmost importance, yet data is seldom available. We propose to collect information on AMU in livestock by including related questions in nationally representative agricultural surveys that are carried out regularly (annually or every 2-3 years) by National Statistical Offices. This approach, with its limitation though, is a viable and cost-effective way to gather essential information on AMU in livestock farming. The Uganda Bureau of Statistics (UBOS) in collaboration with the Food and Agriculture Organization of the United Nations (FAO) piloted the introduction of key AMU questions in the Annual Agricultural Survey (AAS), gathering data from 6 thousand agricultural households nation-wide. Results show that AMU is considerable among livestock keeping households (35%), who use antibiotics not only for curative treatment (~58%) but also for disease prevention (~44%) and growth promotion (~5%). Data from the AAS also allows users to explore linkages between antibiotics use, livestock production practices (e.g. herd composition and size, feeding, breeding techniques, etc.) and other household / farm characteristics (e.g. location, education, household size, etc.), thereby effectively informing policy decisions.