The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study

Antibiotics

BugwesaZ. Katale¹  Sharadhuli Kimera¹  LeonardE. G. Mboera¹  StephenE. Mshana¹  Mark Rweyemamu¹  Calvin Sindato¹  Anne-Sophie Jung²  TaaneG. Clark²  Anna Durrance-Bagale²  Helena Legido-Quigley²  MeckyI. N. Matee³  Gasto Frumence³  Emmy Metta³ 

[1] Eastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), Morogoro 3019, Tanzania;London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK;Muhimbili University of Health and Allied Sciences, Dar es Salaam 65001, Tanzania;

关键词: antibiotics;    antimicrobial resistance;    implementation plan;    governance;    Tanzania;   

DOI  :  10.3390/antibiotics10030273

来源: DOAJ

【 摘 要 】

Tanzania launched its first National Action Plan (NAP) on antimicrobial resistance (AMR) in 2017 to reduce the burden of AMR in the country and contribute to the global response. We aimed to analyze the implementation of the NAP on AMR in Tanzania using the governance framework. In-depth interviews were conducted with human and animal health practitioners and national-level policy actors. We adapted Chua’s AMR governance framework to analyze the development and implementation of the NAP in Tanzania. Implementation of the NAP has realized several achievements, including: (i) the establishment of a functioning Multi-Sectoral Coordinating Committee for coordinating the implementation of AMR activities; (ii) existence of governance structure; (iii) establishment of human and animal surveillance sites; (iv) creation of AMR awareness in the community and (v) availability of guidelines at the health facility level to ensure AMR stewardship. However, some dimensions of the governance areas, including reporting and feedback mechanisms, accountability, transparency and sustainability of AMR plans, are not effectively implemented. Addressing these challenges should involve strengthening the collaboration of the different sectors involved at different NAP implementation levels by careful planning and coordination, and provision of adequate resources to ensure sustainability.

【 授权许可】

Unknown