Skip main navigation

The State of Stewardship in Africa

The state of Antimicrobial Stewardship in Africa
Klebsiella bacteria stained pink under the microscope
© CMUL/LUTH, ICAN & BSAC

In 2001 the WHO published “WHO global strategy on containment of antimicrobial resistance”, which aimed to enable countries to implement policies in response to antimicrobial resistance.

In 2005 it was noted that global progress was slow with the following issues:

  • Lack of commitment and data
  • Unassured drug quality and irrational use
  • Poor prevention and control of infections
  • Research languishing

In 2011 the WHO responded by producing the The World Health Organization’s policy package to combat antimicrobial resistance:

  • Commit to a comprehensive, financed national plan with accountability and civil society engagement
  • Strengthen surveillance and laboratory capacity
  • Ensure uninterrupted access to essential medicines of assured quality
  • Regulate and promote rational use of medicines, including in animal husbandry, and ensure proper patient care
  • Enhance infection prevention and control
  • Foster innovations and research and development for new tools

In 2016 an analysis by Essack et al investigated whether countries in the WHO African region had implemented the WHO Policy Package. The findings were that only 2 countries had national AMR plans, 7 had overarching national infection prevention and control (IPC) policies, 44 had essential medicines lists and 43 had national medicines policies and treatment guidelines intimating rational use.

You can read this paper in full below.

© CMUL/LUTH, ICAN & BSAC
This article is from the free online

Antimicrobial Stewardship for Africa

Created by
FutureLearn - Learning For Life

Our purpose is to transform access to education.

We offer a diverse selection of courses from leading universities and cultural institutions from around the world. These are delivered one step at a time, and are accessible on mobile, tablet and desktop, so you can fit learning around your life.

We believe learning should be an enjoyable, social experience, so our courses offer the opportunity to discuss what you’re learning with others as you go, helping you make fresh discoveries and form new ideas.
You can unlock new opportunities with unlimited access to hundreds of online short courses for a year by subscribing to our Unlimited package. Build your knowledge with top universities and organisations.

Learn more about how FutureLearn is transforming access to education