Skip main navigation

Overview of Antimicrobial Resistance Action Plans in the Region

Discover the antimicrobial resistance (AMR) action plans for the Gulf, Middle East and North Africa, and the challenges which arise.

Alerted to this crisis of antimicrobial resistance, the May 2015 World Health Assembly adopted a global action plan on antimicrobial resistance, which outlines five objectives:

  1. To improve awareness and understanding of antimicrobial resistance through effective communication, education, and training
  2. To strengthen the knowledge and evidence base through surveillance and research
  3. To reduce the incidence of infection through effective sanitation, hygiene, and infection prevention measures
  4. To optimise the use of antimicrobial medicines in human and animal health
  5. To develop the economic case for sustainable investment that takes account of the needs of all countries and to increase investment in new medicines, diagnostic tools, vaccines, and other interventions

In 2018 a more recent review article looking at hospital Adoption of Antimicrobial Stewardship Programs in Gulf Cooperation Council Countries was published. It concluded that, despite the established benefits of antimicrobial stewardship programs in reducing inappropriate antimicrobial use and resistance, their adoption in Gulf Cooperation Council hospitals remains low. The article also recommended that the adoption of antimicrobial stewardship programs in hospitals in the region can be facilitated or hindered by a range of institutional and individual factors.

Six outcome measures to evaluate ASPs in GCC countries’ hospitals have been reported. These include reduction of inappropriate prescribing, reduction of healthcare-associated infections, reduction of direct antimicrobial cost, reduction of length of stay/mortality metrics, reduction of antimicrobial resistance, and reduction of broad-spectrum antibiotic use.

Another article by Nasr et al 2017 looked into the impact of antimicrobial stewardship strategies on antibiotic appropriateness and prescribing behaviours in selected countries in the Middle East. It showed that antimicrobial stewardship programs are in their infancy in the region but that work is currently being done to further develop these programs. It also showed that antimicrobial utilisation is sub-optimal in the region.

Most of the countries in the region have moved forward and currently as per the WHO website for the national action plan, 12 of 21 countries have submitted their plans. More efforts have to be done to facilitate the plan implementation phase.

This article is from the free online

Antimicrobial Stewardship for the Gulf, Middle East and North 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