National Action Plan on Antimicrobial Resistance: stakeholder analysis of implementation in Ghana

Jimah, Tamara; Ogunseitan, Oladele A.

doi:10.29392/001c.13695

Cited by 13 publications

(18 citation statements)

References 34 publications

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“…For most of the other countries however, at best fragmented information on specific implementation activities in diverse formats has been found (see additional file for links to information found for each country). For example, an AMR surveillance implementation report in Ethiopia (available for 2018 but not 2019); scientific assessments of aspects of NAP implementation in Ghana [ 40 ] and Tanzania [ 41 ]); articles by health ministries or institutes on AMR activities, e.g. in Kenya and Zambia; and updates in the epidemiological bulletin in Nigeria; and an agenda for an Online Workshop on Implementation Status and Reprioritization of Zimbabwe’s One Health Antimicrobial Resistance National Action Plan.…”

Section: Resultsmentioning

confidence: 99%

“…This is somewhat in contrast to the information that has been found about implementation of the plan in recent years, which suggest that response “E” would be warranted. Ghana, for which a study has identified financing as a major hurdle for NAP implementation [ 40 ], and less information on implementation has been found here, has selected the most advanced response option “E”, indicating that funding sources have been identified, the NAP is being implemented and monitoring and evaluation in place. The multiple components of the response options make them ambiguous and difficult to compare across countries.…”

Section: Discussionmentioning

confidence: 99%

“…But the authors emphasize that formulation of policies is not equal to implementation [ 59 , 60 ]. For example, despite its great level of detail and completeness, the implementation of the NAP in Ghana is lagging [ 40 ] and in Tanzania an analysis found limited implementation of the NAP despite its launch 3 years prior “with all the necessary emphasis and a promise to act fast and efficiently” [ 41 ]. Mirfin Mpundu, director of the Africa chapter of the AMR network ReAct, summarized: “The problem is […] that African countries are not yet implementing to the full scale that is proportionate to the challenge we face.…”

Section: Discussionmentioning

confidence: 99%

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Assessing transparency and accountability of national action plans on antimicrobial resistance in 15 African countries

Harant

2022

Antimicrob Resist Infect Control

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Background Antimicrobial resistance (AMR) poses an increasing public health threat to low- and lower-middle income countries. Recent studies found that in fact poor governance and transparency correlate more strongly with AMR than factors such as antibiotic use. While many African countries now have national action plans (NAPs) on AMR, it is unclear whether information is publicly available on their implementation, surveillance and financing. Methods Here, the transparency of information related to AMR national action plans in 15 African countries is assessed, based on a governance framework for AMR action plans. Public availability is assessed for AMR documents, progress reports, AMR surveillance data, budget allocations, as well as bodies and persons responsible for implementation of NAPs. Government websites and search engines were perused using search terms related to the studied criteria and countries. Results Results show that most countries have a national action plan publicly available. AMR surveillance data was available for a few countries, but systematic progress reports and funding allocations were absent in all but one country. Information on a body mandated to coordinate NAP implementation was available for most countries, but their functionality remain unclear. Most countries have nominated at least one person responsible for AMR nationally. In general, information was often fragmented and frequently available on external, non-government websites. It appears that commitments on AMR made in the often comprehensive NAPs are rarely met in a timely manner, exhibiting rather weak accountability for AMR results. The article provides concrete policy recommendations on how transparency and accountability may be improved with little effort. Conclusions Making information available can enable stakeholders such as civil society to demand accountability for results and lead to much needed specific actions on curbing AMR in countries.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Assessing transparency and accountability of national action plans on antimicrobial resistance in 15 African countries

Harant

2022

Antimicrob Resist Infect Control

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“…High prevalence of methicillin-resistant Staphylococcus aureus (MRSA) has also been documented [ 3 ]. Ghana’s national action plan outlines strategies for implementing stewardship to include monitoring and surveillance, education, training and provision of guidelines [ 4 ]. Reports from Ghana have highlighted gaps in optimal antimicrobial use, even in hospitals [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Awareness and Practice with Antimicrobial Stewardship Programmes among Healthcare Providers in a Ghanaian Tertiary Hospital

et al. 2021

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Antimicrobial resistance (AMR) is a significant problem in global health today, particularly in low- and middle-income countries (LMICs) where antimicrobial stewardship programmes are yet to be successfully implemented. We established a partnership between AMR pharmacists from a UK NHS hospital and in Ho Teaching Hospital with the aim of enhancing antimicrobial stewardship knowledge and practice among healthcare providers through an educational intervention. We employed a mixed-method approach that included an initial survey on knowledge and awareness before and after training, followed by qualitative interviews with healthcare providers conducted six months after delivery of training. This study was carried out in two phases in Ho Teaching Hospital with healthcare professionals, including pharmacists, medical doctors, nurses and medical laboratory scientists. Ethical approval was obtained prior to data collection. In the first phase, we surveyed 50 healthcare providers, including nurses (33%), pharmacists (29%) and biomedical scientists (23%). Of these, 58% of participants had engaged in continuous professional development on AMR/AMS, and above 95% demonstrated good knowledge on the general use of antibiotics. A total of 18 participants, which included four medical doctors, five pharmacists, four nurses, two midwives and three biomedical scientists, were interviewed in the second phase and demonstrated greater awareness of AMS practices, particularly the role of education for patients, as well as healthcare professionals. We found that knowledge and practice with AMS was markedly improved six months after the training session. There is limited practice of AMS in LMICs; however, through AMR-focused training, we demonstrated improved AMS skills and practice among healthcare providers in Ho Teaching Hospital. There is a need for continuous AMR training sessions for healthcare professionals in resource-limited settings.

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“…3 Ghana's national action plan outlines strategies for implementing stewardship to include monitoring and surveillance, education and training and provision of guidelines. 4 Reports from Ghana have highlighted gaps in optimal antimicrobial use even in hospital. 5 There is need to optimise antibiotic prescribing practices and strengthen monitoring, surveillance and documentation of antibiotics use and related processes.…”

mentioning

confidence: 99%

Knowledge awareness and practice with antimicrobial stewardship programmes among healthcare providers in a Ghanaian Tertiary Hospital

Kpokiri

Ladva

Dodoo

et al. 2021

Preprint

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Antimicrobial resistance (AMR) is a significant problem in global health today, particularly in Low- and Middle-Income Countries (LMICs) where antimicrobial stewardship programmes are yet to be successfully implemented. We established a partnership between AMR pharmacists leads from a UK NHS hospital and in Ho Teaching Hospital with the aim to by enhance antimicrobial stewardship knowledge and practice among healthcare providers through an educational intervention. We employed a mixed method approach including an initial before and after training survey on knowledge and awareness, followed by qualitative interviews with healthcare providers conducted six months after delivery of training. This study was carried out in Ho teaching hospital with 18 healthcare professionals including pharmacists, medical doctors, nurses and medical laboratory scientists. Ethical approval was obtained prior to data collection. In the first phase, we surveyed 50 health care providers including nurses (33%), pharmacists (29%) and biomedical scientists (23%). Of these, 58% of participants had engaged in continuous professional development on AMR/AMS, and above 95% demonstrated good knowledge on the general use of antibiotics. A total of 18 participants, which included 4 medical doctors, 5 pharmacists, 4 nurses, 2 midwives and 3 biomedical scientists, were interviewed in the second stage and demonstrated greater awareness of AMS practices, particularly the role of education for patients as well as healthcare professionals. We found that knowledge and practice with AMS was markedly improved six months after the training session. There is limited practice of AMS in LMICs, however through AMR focused training we demonstrate improved AMS skills and practice among health care providers in Ho Teaching hospital. There is need for continuous AMR training sessions for health care professionals in resource limited settings.

show abstract

National Action Plan on Antimicrobial Resistance: stakeholder analysis of implementation in Ghana

Cited by 13 publications

References 34 publications

Assessing transparency and accountability of national action plans on antimicrobial resistance in 15 African countries

Assessing transparency and accountability of national action plans on antimicrobial resistance in 15 African countries

Knowledge, Awareness and Practice with Antimicrobial Stewardship Programmes among Healthcare Providers in a Ghanaian Tertiary Hospital

Knowledge awareness and practice with antimicrobial stewardship programmes among healthcare providers in a Ghanaian Tertiary Hospital

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