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008			240611b |||||||| |||| 00| 0 eng d
040			_cddc
041			_aEnglish
100			_qReuben Kiggundu
245			_aIdentifying and addressing challenges to antimicrobial use surveillance in the human health sector in low- and middle-income countries _bexperiences and lessons learned from Tanzania and Uganda
260			_aMwanza, Tanzania : _bCatholic University of Health and Allied Sciences [CUHAS-Bugando] :
300			_aPages 01-08
300			_aIncludes References
490			_v Antimicrobial Resistance & Infection Control 12, 9 (2023).
520			_aAbstract : Background : Antimicrobial resistance (AMR) is a global health security threat and is associated with increased morbidity and mortality. One of the key drivers of AMR is the inappropriate use of antibiotics. A key component of improving antibiotic use is conducting antimicrobial use (AMU) surveillance. Methods : USAID Medicines Technologies and Pharmaceutical Services Program has supported the implementation of antimicrobial stewardship activities, including setting up systems for AMU surveillance in Tanzania and Uganda. Results from both countries have been previously published. However, additional implementation experience and lessons learned from addressing challenges to AMU surveillance have not been previously published and are the subject of this narrative article. Results : The team identified challenges including poor quality data, low digitalization of tools, and inadequate resources including both financial and human resources. To address these gaps, the Program has supported the use of continuous quality improvement approaches addressing gaps in skills, providing tools, and developing guidelines to fill policy gaps in AMU surveillance. Recommendations to fill these gaps, based on the Potter and Brough systematic capacity building model have been proposed. Conclusions : Strengthening AMU surveillance through using a capacity-building approach will fill gaps and strengthen efforts for AMR control in both countries.
600			_xAntimicrobial resistance
600			_x Antimicrobial use surveillance
600			_xCapacity building
600			_xHealth system
600			_xAfrica
600			_xGlobal health security
600			_xPoint prevalence survey
600			_x Tanzania
600			_xUganda
700			_q Edgar Lusaya
700			_qJeremiah Seni
700			_qJ. P. Waswa
700			_q Francis Kakooza
700			_qDinah Tjipura
700			_qKate Kikule
700			_qCecilia Muiva
700			_qMohan P. Joshi
700			_qAndy Stergachis
700			_qFreddy Eric Kitutu
700			_qNiranjan Konduri
856			_u https://doi.org/10.1186/s13756-023-01213-3 _yhttps://doi.org/10.1186/s13756-023-01213-3
942			_2ddc _cVM _n0
999			_c28066 _d28066