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Practical Pharmacist-Led Interventions to Improve Antimicrobial Stewardship in Ghana, Tanzania, Uganda and Zambia

Authors :
Peter Benedict
Alison Cockburn
Scott Barrett
Diane Ashiru-Oredope
Luke Alutuli
Ronald Onegwa
Rose Kanturegye
Joseph Brayson
Eva Muro
Mariyam Mirfenderesky
Fiona Rees
Reem Santos
Asiwome Aggor
Aubrey Chichonyi Kalungia
Darius Obeng Essah
Enock Chikatula
Israel Abebrese Sefah
Musa Sekikubo
David Chimbizgani Banda
Joyce Mahungu
Daniel Ankrah
Frances Kerr
Daniel Kwame Afriyie
Sefah, Israel Abebrese [0000-0001-6963-0519]
Afriyie, Daniel [0000-0001-8859-3565]
Ankrah, Daniel [0000-0002-2447-1830]
Muro, Eva [0000-0003-3770-9497]
Kalungia, Aubrey Chichonyi [0000-0003-2554-1236]
Ashiru-Oredope, Diane [0000-0001-9579-2028]
Apollo - University of Cambridge Repository
Sefah [0000-0001-6963-0519]
Ankrah [0000-0002-2447-1830]
Muro [0000-0003-3770-9497]
Kalungia [0000-0003-2554-1236]
Ashiru-Oredope [0000-0001-9579-2028]
Source :
Pharmacy: Journal of Pharmacy Education and Practice, Pharmacy, Volume 9, Issue 3, Pharmacy, Vol 9, Iss 124, p 124 (2021)
Publication Year :
2021
Publisher :
MDPI, 2021.

Abstract

The World Health Organisation (WHO) and others have identified, as a priority, the need to improve antimicrobial stewardship (AMS) interventions as part of the effort to tackle antimicrobial resistance (AMR). An international health partnership model, the Commonwealth Partnerships for Antimicrobial Stewardship (CwPAMS) programme, was established between selected countries in Africa (Ghana, Tanzania, Zambia and Uganda) and the UK to support AMS. This was funded by UK aid under the Fleming Fund and managed by the Commonwealth Pharmacists Association (CPA) and Tropical Health and Education Trust (THET). The primary aims were to develop local AMS teams and generate antimicrobial consumption surveillance data, quality improvement initiatives, infection prevention and control (IPC) and education/training to reduce AMR. Education and training were key components in achieving this, with pharmacists taking a lead role in developing and leading AMS interventions. Pharmacist-led interventions in Ghana improved access to national antimicrobial prescribing guidelines via the CwPAMS mobile app and improved compliance with policy from 18% to 70% initially for patients with pneumonia in one outpatient clinic. Capacity development on AMS and IPC were achieved in both Tanzania and Zambia, and a train-the-trainer model on the local production of alcohol hand rub in Uganda and Zambia. The model of pharmacy health partnerships has been identified as a model with great potential to be used in other low and middle income countries (LMICs) to support tackling AMR.

Details

Language :
English
ISSN :
22264787
Volume :
9
Issue :
3
Database :
OpenAIRE
Journal :
Pharmacy: Journal of Pharmacy Education and Practice
Accession number :
edsair.doi.dedup.....04f7743425ac9259a532eef7e9dc96e8