Health system interventions and responses to anti-microbial resistance
A scoping review of evidence from 15 African countries
Bibliographic Data
| ID | 19594763 |
|---|---|
| Authors | Jacob Albin Korem Alhassan (0000-0002-5370-0612, University of Saskatchewan), Clement Kamil Abdallah (0000-0003-3643-1462, University of Saskatchewan) |
| Editors | Vrinda Nampoothiri (0000-0002-8656-8769) |
| Year | 2024 |
| Volume | 4 |
| Issue | 9 |
| Pages | e0003688 |
| Publication date | 2024-09-18 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | PLOS Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2767-3375 • E-ISSN: 2767-3375 |
| Publisher | Public Library of Science (PLoS) (PUBLISHER) |
| DOI | 10.1371/journal.pgph.0003688 |
| PMID | 39292696 |
| OpenAlex | W4402595813 |
| Language | EN |
| References cited | 54 |
The global rise in antimicrobial resistance (AMR) is claiming the lives of more than 1.2 million people each year. According to the World Health Organization (WHO) this global health crisis is particularly acute in Africa, largely due to fragile and underfunded health systems. Efforts to combat this public health threat have led to the implementation of health system interventions worldwide aimed at managing and containing the spread of AMR. However, the literature on the real time impacts and the barriers that hinder the implementation of these interventions in the African context is limited. The objective of this scoping review was to identify AMR interventions in African health systems, their impact, and the challenges of the implementation. Drawing on Muka and colleague’s 24 step approach for scoping reviews, two major public health databases (PubMed and Global Health) were searched for articles in accordance with the PRISMA guidelines resulting in 4,783 records. Screening and retrieval of articles was done using Rayyan software based on specified inclusion criteria and 36 articles included in the final list. These articles were synthesized after extracting specific data on AMR interventions and their impact on African health systems. The review identified four broad impacts of AMR interventions including 1. Reduction in antibiotics use, 2. Increased adherence to guidelines and protocols, 3. Enhanced laboratory-based AMR surveillance, 4. Development of antimicrobial stewardship (AMS) Action Plans and Teams. However, challenges such as poor laboratory infrastructure, logistical challenges, poor financial commitment and inadequate education and training were identified as challenges impeding the successful implementation of AMR interventions in Africa. Our findings reveal a range of successful AMR interventions in African health systems although infrastructural and financial challenges remain. Better standardization and reporting of AMR diagnosis while leveraging the available information is needed to improve the optimization of treatment guidelines across Africa
Biology · Political science · Psychological intervention · Antibiotic Use and Resistance · Global Maternal and Child Health · Medicine · Nursing · Patient Satisfaction in Healthcare · Psychology · Ecology
Global burden of bacterial antimicrobial resistance in 2019
Assessment of Implementation of Antimicrobial Resistance Surveillance and Antimicrobial Stewardship Programs in Tanzanian Health Facilities a Year After Launch of the National Action Plan
Challenges in Implementing Antimicrobial Stewardship Programmes at Secondary Level Hospitals in India
Evaluating hospital performance in antibiotic stewardship to guide action at national and local levels in a lower-middle income setting
Antimicrobial resistance control efforts in Africa
Reconciling imperatives
Large-scale implementation of electronic Integrated Management of Childhood Illness (eIMCI) at the primary care level in Burkina Faso
Is ‘Health for All’ synonymous with ‘antibiotics for all’
| Citation velocity | historical |
|---|---|
| Highly cited | No |