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

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...

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Autores principales: Frumence, Gasto, Mboera, Leonard E. G., Sindato, Calvin, Katale, Bugwesa Z., Kimera, Sharadhuli, Metta, Emmy, Durrance-Bagale, Anna, Jung, Anne-Sophie, Mshana, Stephen E., Clark, Taane G., Rweyemamu, Mark, Legido-Quigley, Helena, Matee, Mecky I. N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7998560/
https://www.ncbi.nlm.nih.gov/pubmed/33803077
http://dx.doi.org/10.3390/antibiotics10030273
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author Frumence, Gasto
Mboera, Leonard E. G.
Sindato, Calvin
Katale, Bugwesa Z.
Kimera, Sharadhuli
Metta, Emmy
Durrance-Bagale, Anna
Jung, Anne-Sophie
Mshana, Stephen E.
Clark, Taane G.
Rweyemamu, Mark
Legido-Quigley, Helena
Matee, Mecky I. N.
author_facet Frumence, Gasto
Mboera, Leonard E. G.
Sindato, Calvin
Katale, Bugwesa Z.
Kimera, Sharadhuli
Metta, Emmy
Durrance-Bagale, Anna
Jung, Anne-Sophie
Mshana, Stephen E.
Clark, Taane G.
Rweyemamu, Mark
Legido-Quigley, Helena
Matee, Mecky I. N.
author_sort Frumence, Gasto
collection PubMed
description 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.
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spelling pubmed-79985602021-03-28 The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study Frumence, Gasto Mboera, Leonard E. G. Sindato, Calvin Katale, Bugwesa Z. Kimera, Sharadhuli Metta, Emmy Durrance-Bagale, Anna Jung, Anne-Sophie Mshana, Stephen E. Clark, Taane G. Rweyemamu, Mark Legido-Quigley, Helena Matee, Mecky I. N. Antibiotics (Basel) Article 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. MDPI 2021-03-09 /pmc/articles/PMC7998560/ /pubmed/33803077 http://dx.doi.org/10.3390/antibiotics10030273 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Frumence, Gasto
Mboera, Leonard E. G.
Sindato, Calvin
Katale, Bugwesa Z.
Kimera, Sharadhuli
Metta, Emmy
Durrance-Bagale, Anna
Jung, Anne-Sophie
Mshana, Stephen E.
Clark, Taane G.
Rweyemamu, Mark
Legido-Quigley, Helena
Matee, Mecky I. N.
The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study
title The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study
title_full The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study
title_fullStr The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study
title_full_unstemmed The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study
title_short The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study
title_sort governance and implementation of the national action plan on antimicrobial resistance in tanzania: a qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7998560/
https://www.ncbi.nlm.nih.gov/pubmed/33803077
http://dx.doi.org/10.3390/antibiotics10030273
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