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March 29, 2026Antimicrobial Resistance and Infection ControlOpen Access

Impact of WHO AWaRe Antibiotic Handbook training on antibiotics prescribing knowledge among private primary care providers: a vignette-based, prep–post pilot study in Patna, India

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Authors

PTPoshan ThapaPSPrachi ShuklaCJChandrashekhar Joshi

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Overview

Pilot study evaluates antibiotic prescribing knowledge in private primary care providers, suggesting improvements post-training.

Key Points

  • This research aimed to evaluate the impact of WHO AWaRe Antibiotic Handbook training on antibiotic prescribing knowledge among private primary care providers in Patna, India.
  • Conducted a pre–post pilot study with 145 private primary care providers.
  • Provided training by an infectious disease physician on the WHO AWaRe Handbook.
  • Assessed antibiotic prescribing knowledge using clinical vignettes for four conditions.
  • Analyzed changes in prescribing knowledge using McNemar's test.
  • Significant improvement in antibiotic prescribing knowledge for acute diarrhea and UTI (p = 0.0003 and p = 0.0113, respectively).
  • Greater reductions in knowledge noted among informal primary care providers compared to formal ones.
  • 75% of providers reported the training as moderately or very useful.

Cite This Study

Thapa et al. (2026) studied this question.

synapsesocial.com/papers/69c8c324de0f0f753b39dcd5https://doi.org/10.1186/s13756-026-01735-6
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