scholarly journals The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study

Antibiotics ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 273
Author(s):  
Gasto Frumence ◽  
Leonard E. G. Mboera ◽  
Calvin Sindato ◽  
Bugwesa Z. Katale ◽  
Sharadhuli Kimera ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Action Plan ◽  
Animal Health ◽  
National Level ◽  
Governance Structure ◽  
National Action Plan ◽  
Governance Framework ◽  
Health Practitioners ◽  
Facility Level ◽  
Depth Interviews

Tanzania launched its first National Action Plan (NAP) on antimicrobial resistance (AMR) in 2017 to reduce the burden of AMR in the country and contribute to the global response. We aimed to analyze the implementation of the NAP on AMR in Tanzania using the governance framework. In-depth interviews were conducted with human and animal health practitioners and national-level policy actors. We adapted Chua’s AMR governance framework to analyze the development and implementation of the NAP in Tanzania. Implementation of the NAP has realized several achievements, including: (i) the establishment of a functioning Multi-Sectoral Coordinating Committee for coordinating the implementation of AMR activities; (ii) existence of governance structure; (iii) establishment of human and animal surveillance sites; (iv) creation of AMR awareness in the community and (v) availability of guidelines at the health facility level to ensure AMR stewardship. However, some dimensions of the governance areas, including reporting and feedback mechanisms, accountability, transparency and sustainability of AMR plans, are not effectively implemented. Addressing these challenges should involve strengthening the collaboration of the different sectors involved at different NAP implementation levels by careful planning and coordination, and provision of adequate resources to ensure sustainability.

Control of antimicrobial resistance in Cameroon: Feasibility of implementing the National Action Plan

2021 ◽  
Author(s):  
Elvis Tajoache Amin ◽  
Omeichu Amadeus Agwenam ◽  
Shu Divine Mamboneh ◽  
Ekukole Serge Ekome ◽  
Njumkeng Charles ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Action Plan ◽  
National Action Plan

scholarly journals Strengthening implementation of antimicrobial resistance national action plans

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Anderson ◽  
K Schulze ◽  
A Cassini ◽  
D Plauchoras ◽  
E Mossialos
Keyword(s):  
Antimicrobial Resistance ◽  
Policy Design ◽  
Animal Health ◽  
Monitoring And Evaluation ◽  
Basic Structure ◽  
Infection Prevention And Control ◽  
Action Plans ◽  
Governance Framework ◽  
Food And Agriculture ◽  
Food And Agriculture Organization

Abstract Antimicrobial resistance is one of the major challenges of our time. Countries use national action plans as a mechanism to build engagement among stakeholders and coordinate a range of actions across human, animal, and environmental health. However, implementation of recommended policies such as stewardship of antimicrobials, infection prevention and control, and stimulating research and development of novel antimicrobials and alternatives remains inconsistent. Improving the quality of governance within antimicrobial resistance national action plans is an essential step to improving implementation. To date, no systematic approach to governance of national action plans on AMR exists. To address this issue, we aimed to develop the first governance framework to offer guidance for both the development and assessment of national action plans on AMR. We reviewed health system governance framework reviews to inform the basic structure of our framework, international guidance documents from WHO, the Food and Agriculture Organization, the World Organisation for Animal Health, and the European Commission, and sought the input of 25 experts from international organisations, government ministries, policy institutes, and academic institutions to develop and refine our framework. The framework consists of 18 domains with 52 indicators that are contained within three governance areas: policy design, implementation tools, and monitoring and evaluation. Countries must engage with a cyclical process of continuous design, implementation, monitoring and evaluation to achieve these aims.

Monitoring the community use of antibiotics in Italy within the National Action Plan on antimicrobial resistance

2020 ◽  
Author(s):  
Agnese Cangini ◽  
Filomena Fortinguerra ◽  
Aurora Di Filippo ◽  
Andrea Pierantozzi ◽  
Roberto Da Cas ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Action Plan ◽  
National Action Plan

scholarly journals Tackling antimicrobial resistance 2019–2024 – The UK's five-year national action plan

2019 ◽  
Vol 101 (4) ◽  
pp. 426-427 ◽  
Author(s):  
M. Courtenay ◽  
E. Castro-Sanchez ◽  
M. Fitzpatrick ◽  
R. Gallagher ◽  
R. Lim ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Action Plan ◽  
National Action Plan

scholarly journals Building the European Antimicrobial Resistance Surveillance network in veterinary medicine (EARS-Vet)

2021 ◽  
Vol 26 (4) ◽  
Author(s):  
Rodolphe Mader ◽  
Peter Damborg ◽  
Jean-Philippe Amat ◽  
Björn Bengtsson ◽  
Clémence Bourély ◽  
...  
Keyword(s):  
Veterinary Medicine ◽  
Antimicrobial Resistance ◽  
Antimicrobial Stewardship ◽  
One Health ◽  
Action Plan ◽  
Animal Health ◽  
World Health ◽  
European Economic Area ◽  
Surveillance Network ◽  
Antimicrobial Resistance Surveillance

Antimicrobial resistance (AMR) should be tackled through a One Health approach, as stated in the World Health Organization Global Action Plan on AMR. We describe the landscape of AMR surveillance in the European Union/European Economic Area (EU/EEA) and underline a gap regarding veterinary medicine. Current AMR surveillance efforts are of limited help to veterinary practitioners and policymakers seeking to improve antimicrobial stewardship in animal health. We propose to establish the European Antimicrobial Resistance Surveillance network in Veterinary medicine (EARS-Vet) to report on the AMR situation, follow AMR trends and detect emerging AMR in selected bacterial pathogens of animals. This information could be useful to advise policymakers, explore efficacy of interventions, support antimicrobial stewardship initiatives, (re-)evaluate marketing authorisations of antimicrobials, generate epidemiological cut-off values, assess risk of zoonotic AMR transmission and evaluate the burden of AMR in animal health. EARS-Vet could be integrated with other AMR monitoring systems in the animal and medical sectors to ensure a One Health approach. Herein, we present a strategy to establish EARS-Vet as a network of national surveillance systems and highlight challenges of data harmonisation and bias. Strong political commitment at national and EU/EEA levels is required for the success of EARS-Vet.

scholarly journals National action plan of the Islamic Republic of Iran for combating antimicrobial resistance during 2016 – 2021

2018 ◽  
Vol 32 (1) ◽  
pp. 475-479 ◽  
Author(s):  
Ghobad Moradi ◽  
Mohammad Mehdi Gouya ◽  
Babak Eshrati ◽  
Minoo Mohraz ◽  
Leila Molaei ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Action Plan ◽  
Islamic Republic ◽  
National Action Plan ◽  
Islamic Republic Of Iran
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