Bibliographic Details
| Title: |
Identifying and addressing challenges to antimicrobial use surveillance in the human health sector in low- and middle-income countries: experiences and lessons learned from Tanzania and Uganda |
| Authors: |
Reuben Kiggundu, Edgar Lusaya, Jeremiah Seni, J. P. Waswa, Francis Kakooza, Dinah Tjipura, Kate Kikule, Cecilia Muiva, Mohan P. Joshi, Andy Stergachis, Freddy Eric Kitutu, Niranjan Konduri |
| Source: |
Antimicrobial Resistance and Infection Control, Vol 12, Iss 1, Pp 1-8 (2023) |
| Publisher Information: |
BMC, 2023. |
| Publication Year: |
2023 |
| Collection: |
LCC:Infectious and parasitic diseases |
| Subject Terms: |
Antimicrobial resistance, Antimicrobial use surveillance, Capacity building, Health system, Africa, Global health security, Infectious and parasitic diseases, RC109-216 |
| More Details: |
Abstract Background Antimicrobial resistance (AMR) is a global health security threat and is associated with increased morbidity and mortality. One of the key drivers of AMR is the inappropriate use of antibiotics. A key component of improving antibiotic use is conducting antimicrobial use (AMU) surveillance. Methods USAID Medicines Technologies and Pharmaceutical Services Program has supported the implementation of antimicrobial stewardship activities, including setting up systems for AMU surveillance in Tanzania and Uganda. Results from both countries have been previously published. However, additional implementation experience and lessons learned from addressing challenges to AMU surveillance have not been previously published and are the subject of this narrative article. Results The team identified challenges including poor quality data, low digitalization of tools, and inadequate resources including both financial and human resources. To address these gaps, the Program has supported the use of continuous quality improvement approaches addressing gaps in skills, providing tools, and developing guidelines to fill policy gaps in AMU surveillance. Recommendations to fill these gaps, based on the Potter and Brough systematic capacity building model have been proposed. Conclusions Strengthening AMU surveillance through using a capacity-building approach will fill gaps and strengthen efforts for AMR control in both countries. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2047-2994 |
| Relation: |
https://doaj.org/toc/2047-2994 |
| DOI: |
10.1186/s13756-023-01213-3 |
| Access URL: |
https://doaj.org/article/d7c02c21af3f4a9299f1fed7461757fb |
| Accession Number: |
edsdoj.7c02c21af3f4a9299f1fed7461757fb |
| Database: |
Directory of Open Access Journals |
