A One Health Approach to Strengthening Antimicrobial Stewardship in Wakiso District, Uganda
Antimicrobial stewardship (AMS), as one of the global strategies to promote responsible use of antimicrobials to prevent antimicrobial resistance (AMR), remains poor in many low-and middle-income countries (LMICs). We implemented a project aimed at strengthening AMS in Wakiso district, Uganda using...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-10-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/9/11/764 |
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| author | David Musoke Freddy Eric Kitutu Lawrence Mugisha Saba Amir Claire Brandish Deborah Ikhile Henry Kajumbula Ismail Musoke Kizito Grace Biyinzika Lubega Filimin Niyongabo Bee Yean Ng Jean O’Driscoll Kate Russell-Hobbs Jody Winter Linda Gibson |
| author_facet | David Musoke Freddy Eric Kitutu Lawrence Mugisha Saba Amir Claire Brandish Deborah Ikhile Henry Kajumbula Ismail Musoke Kizito Grace Biyinzika Lubega Filimin Niyongabo Bee Yean Ng Jean O’Driscoll Kate Russell-Hobbs Jody Winter Linda Gibson |
| author_sort | David Musoke |
| collection | DOAJ |
| description | Antimicrobial stewardship (AMS), as one of the global strategies to promote responsible use of antimicrobials to prevent antimicrobial resistance (AMR), remains poor in many low-and middle-income countries (LMICs). We implemented a project aimed at strengthening AMS in Wakiso district, Uganda using a One Health approach. A total of 86 health practitioners (HPs), including animal health workers, and 227 community health workers (CHWs) participated in training workshops, and over 300 pupils from primary schools were sensitized on AMR, AMS, and infection prevention and control (IPC). We further established two multidisciplinary online communities of practice (CoPs) for health professionals and students, with a current membership of 321 and 162, respectively. In addition, a Medicine and Therapeutics Committee (MTC) was set up at Entebbe Regional Referral Hospital. The project evaluation, conducted three months after training, revealed that the majority of the HPs (92.2%) and CHWs (90.3%) reported enhanced practices, including improved hand washing (57.3% and 81.0%, respectively). In addition, 51.5% of the HPs reported a reduction in the quantity of unnecessary antibiotics given per patient. This project demonstrates that AMS interventions using a One Health approach can promote understanding of the prudent use of antimicrobials and improve practices at health facilities and in communities. |
| first_indexed | 2024-03-10T15:10:36Z |
| format | Article |
| id | doaj.art-0940253ec62842238d29070e34de85cf |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-10T15:10:36Z |
| publishDate | 2020-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-0940253ec62842238d29070e34de85cf2023-11-20T19:19:37ZengMDPI AGAntibiotics2079-63822020-10-0191176410.3390/antibiotics9110764A One Health Approach to Strengthening Antimicrobial Stewardship in Wakiso District, UgandaDavid Musoke0Freddy Eric Kitutu1Lawrence Mugisha2Saba Amir3Claire Brandish4Deborah Ikhile5Henry Kajumbula6Ismail Musoke Kizito7Grace Biyinzika Lubega8Filimin Niyongabo9Bee Yean Ng10Jean O’Driscoll11Kate Russell-Hobbs12Jody Winter13Linda Gibson14Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, UgandaDepartment of Pharmacy, School of Health Sciences, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, UgandaCollege of Veterinary Medicine, Animal Resources and Biosecurity (COVAB), Makerere University, Kampala P.O. Box 7062, UgandaSchool of Animal, Rural and Environmental Sciences, Nottingham Trent University, Nottingham NG25 0QF, UKBuckinghamshire Healthcare NHS Trust, Aylesbury HP21 8AL, UKInstitute of Health and Allied Professions, School of Social Sciences, Nottingham Trent University, Nottingham NG1 4FQ, UKDepartment of Medical Microbiology, School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, UgandaEntebbe Regional Referral Hospital, Entebbe P.O. Box 29, UgandaDepartment of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, UgandaDepartment of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala P.O. Box 7072, UgandaBuckinghamshire Healthcare NHS Trust, Aylesbury HP21 8AL, UKBuckinghamshire Healthcare NHS Trust, Aylesbury HP21 8AL, UKBuckinghamshire Healthcare NHS Trust, Aylesbury HP21 8AL, UKDepartment of Biosciences, School of Science and Technology, Nottingham Trent University, Nottingham NG11 8NS, UKInstitute of Health and Allied Professions, School of Social Sciences, Nottingham Trent University, Nottingham NG1 4FQ, UKAntimicrobial stewardship (AMS), as one of the global strategies to promote responsible use of antimicrobials to prevent antimicrobial resistance (AMR), remains poor in many low-and middle-income countries (LMICs). We implemented a project aimed at strengthening AMS in Wakiso district, Uganda using a One Health approach. A total of 86 health practitioners (HPs), including animal health workers, and 227 community health workers (CHWs) participated in training workshops, and over 300 pupils from primary schools were sensitized on AMR, AMS, and infection prevention and control (IPC). We further established two multidisciplinary online communities of practice (CoPs) for health professionals and students, with a current membership of 321 and 162, respectively. In addition, a Medicine and Therapeutics Committee (MTC) was set up at Entebbe Regional Referral Hospital. The project evaluation, conducted three months after training, revealed that the majority of the HPs (92.2%) and CHWs (90.3%) reported enhanced practices, including improved hand washing (57.3% and 81.0%, respectively). In addition, 51.5% of the HPs reported a reduction in the quantity of unnecessary antibiotics given per patient. This project demonstrates that AMS interventions using a One Health approach can promote understanding of the prudent use of antimicrobials and improve practices at health facilities and in communities.https://www.mdpi.com/2079-6382/9/11/764antimicrobial resistanceantimicrobial stewardshipcommunity health workershealth practitionersinfection prevention and controlmultidisciplinary |
| spellingShingle | David Musoke Freddy Eric Kitutu Lawrence Mugisha Saba Amir Claire Brandish Deborah Ikhile Henry Kajumbula Ismail Musoke Kizito Grace Biyinzika Lubega Filimin Niyongabo Bee Yean Ng Jean O’Driscoll Kate Russell-Hobbs Jody Winter Linda Gibson A One Health Approach to Strengthening Antimicrobial Stewardship in Wakiso District, Uganda Antibiotics antimicrobial resistance antimicrobial stewardship community health workers health practitioners infection prevention and control multidisciplinary |
| title | A One Health Approach to Strengthening Antimicrobial Stewardship in Wakiso District, Uganda |
| title_full | A One Health Approach to Strengthening Antimicrobial Stewardship in Wakiso District, Uganda |
| title_fullStr | A One Health Approach to Strengthening Antimicrobial Stewardship in Wakiso District, Uganda |
| title_full_unstemmed | A One Health Approach to Strengthening Antimicrobial Stewardship in Wakiso District, Uganda |
| title_short | A One Health Approach to Strengthening Antimicrobial Stewardship in Wakiso District, Uganda |
| title_sort | one health approach to strengthening antimicrobial stewardship in wakiso district uganda |
| topic | antimicrobial resistance antimicrobial stewardship community health workers health practitioners infection prevention and control multidisciplinary |
| url | https://www.mdpi.com/2079-6382/9/11/764 |
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