Original Article

Monitoring progress on antimicrobial resistance response in the WHO African Region: insights from the TrACSS 2021. Results for the Human Health Sector

Laetitia Gahimbare, Ambele j. Mwamelo, Yahaya A. Ahmed, Walter Fuller, Ponnu Payidara, Pravarsha Prakash, Anand Balachandran, Elizabeth L. Makubalo
Journal of Public Health in Africa | Vol 14, No 11 | a47 | DOI: https://doi.org/10.4081/jphia.2023.2392 | © 2024 Laetitia Gahimbare, Ambele j. Mwamelo, Yahaya A. Ahmed, Walter Fuller, Ponnu Payidara, Pravarsha Prakash, Anand Balachandran, Elizabeth L. Makubalo | This work is licensed under CC Attribution 4.0
Submitted: 14 March 2024 | Published: 30 November 2023

About the author(s)

Laetitia Gahimbare, Regional Office for Africa, WHO, Brazzaville, Congo
Ambele j. Mwamelo, Regional Office for Africa, WHO, Brazzaville, Congo
Yahaya A. Ahmed, Regional Office for Africa, WHO, Brazzaville, Congo
Walter Fuller, Regional Office for Africa, WHO, Brazzaville, Congo
Ponnu Payidara, Regional Office for Africa, WHO, Brazzaville, Congo
Pravarsha Prakash, Regional Office for Africa, WHO, Brazzaville, Congo
Anand Balachandran, Regional Office for Africa, WHO, Brazzaville, Congo
Elizabeth L. Makubalo, Regional Office for Africa, WHO, Brazzaville, Congo

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Abstract

Background: Antimicrobial resistance (AMR) is a major 21st Century global health challenge. The WHO African Region Member States committed to develop and implement multisectoral national action plans (NAPs) that address AMR, in line with the Global Action Plan (GAP). Objective: The aim of this paper is to present the progress of AMR response in the WHO African Region based on the annual Tracking AMR Country Self-Assessment Survey (TrACSS), with a focus on human health indicators. Methods: This was a secondary data analysis of responses from fortyone countries that participated in the 2021 TrACSS. Results: Of the 41 countries that responded to the 2021 TrACSS, 35(85%) have developed NAPs. 15 (37%) of countries have functional AMR multisector working groups. 55% (21/41) of countries are collating data nationally on AMR surveillance. Forty nine percent of countries conducted small-scale AMR awareness campaigns and 53% (21/41) covered AMR in some pre- and in-service training for human health workers. While 83% of countries reported having laws and regulations on the prescription and sale of antimicrobials, only 32% (13/41) have national systems for monitoring antimicrobial use. Twenty-three (58%, 23/41) reported having Infection Prevention and Control (IPC) programs at select health facilities. Conclusion: Countries have developed and are implementing AMR NAPs. Gaps still exist across key indicators monitored through TrACSS. Effective AMR response requires established functional multisectoral governance mechanisms in the One Health approach; political commitment, sustainable funding, and clear monitoring and reporting is critical.

Keywords

Antimicrobial resistance; Africa; Tracking AMR Country; Self-assessment Survey (TrACSS); WHO

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