Fleming Fund Implementation in Kenya: What Have We Learned About Strengthening One Health Antimicrobial Resistance Surveillance for Decision-making?
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wesangula Evelyn, Gitonga Nkatha, Tanui Emmanuel, Ndanyi Romona, Githii Susan, Muasa Bridgit Syombua, Omondi Eunice, Fèvre Eric M, Muloi Dishon M, Kassim Ali, Mwenda Josiah, Mbindyo Christine Minoo, Kamau Irungu John, Ombajo Loice Achieng, Revathi Gunturu, Chuchu Veronica, Mataka Anafi, Mouiche Moctar M M, Moodley Arshnee, Fenwick Stanley, Nanjebe Deborah, Bibangamba Lillian, Mubangizi Patrick, Leslie Toby, Crump John A, Bhutta Zulfiqar Ahmed, Walsh Tim, Macintyre Kate, Maudling Rebecca, Mugabe Solomon, Ahmad Raheelah, Shehata Lamiaa, Shorten Tim
Аннотация
METHODS: Here, we report a narrative overview of programmatic learning using 2018 as the pre-Fleming Fund baseline, drawing on national and global surveillance reports, monitoring frameworks from the Quadripartite indicators, qualitative evidence on governance, implementation and policy evolution across the One Health sectors, and Fleming Fund documentation.
RESULTS: Since 2018, AMR surveillance expanded from 2 human health sites to 30 human, animal, and environmental sites by 2025. National reports evolved to integrate AMR, antimicrobial consumption, and antimicrobial use data; routine reporting to global platforms matured; and outputs such as dashboards, reports, and policy briefs informing stewardship, Infection Prevention and Control, regulatory action, and policy decisions. External benchmarks showed improvement in AMR-related capacity, with World Health Organization Joint External Evaluation scores moving from limited to demonstrated capacity for surveillance and multisectoral coordination.
CONCLUSIONS: Kenya's experience suggests that sustainable progress depends on embedding AMR surveillance within government-led governance structures, technical systems, and coordinated partner support, but sustaining gains will require predictable financing and routine data use.