Fleming Fund Phase II Country Grant (AMR,AMU and AMC Surveillance)
Support: Country Grantee: FHI 360
Partner: GTA
Status: On-going
Goal: The goal is to effectively manage and mitigate antimicrobial resistance (AMR) by
generating, analyzing, and disseminating high-quality data on AMR, antimicrobial use (AMU),
and antimicrobial consumption (AMC) across human health, animal health, and environmental
sectors. This data will play a critical role in strengthening national surveillance systems,
informing evidence-based policy decisions, and promoting sustainable and responsible
antimicrobial use across sectors.
Objectives: The key objectives are to generate reliable AMR, AMU, and AMC data for both
human and animal health, ensuring the data is robust enough to strengthen surveillance systems.
This will be followed by comprehensive analysis and reporting of the data, enabling the
preparation of evidence-based insights. These findings will then be shared with key stakeholders,
decision-makers, and practitioners to foster improved policies, strengthen multi-sectoral
collaboration, and promote rational antimicrobial use across human, animal, and environmental
health systems.
List of activities:
1. Conduct active AMR surveillance in poultry and cattle and disseminate final report to stakeholders
2. Provide orientation to site staff on equipment management and inventory management; Update monthly working status of microbiology equipment to ensure optimal used
3. Calibrate annual biosafety equipment for participating laboratories and maintain equipment parts (HH, AH, and food)
4. Conduct AMU PPS at 12 sites and disseminate findings
5. Conduct AMU survey in poultry and AMU pilot survey in dairy cattle and disseminate final report to stakeholders
6. Gather and report quality AMC data from human health
7. Conduct Integrated AMR surveillance and disseminate results
8. Host content on respective departmental websites with AMR/AMU/AMC information and share data through workshops and a conference
9. Conduct AMR/U/C data sharing workshops with stakeholders and practitioners across sectors (Aqua, food, env.)
10. Print/Upload treatment guideline to the mobile app for prescribers; conduct workshops with veterinary practitioners and agro vet owners to promote rational use; review AMU data from veterinary hospitals and share AMU surveillance findings for improvement in prescribing and use.