Demonstrating impact: Fleming Fund insights into global AMR surveillance
Insights from the TrACSS Country Self-Assessment Survey Publication
This publication was produced by the Fleming Fund evaluation team, ITAD, evidencing the impact of the Fleming Fund programme. Through rigorous data analysis, the paper provides compelling insights into the effectiveness of the programme’s initiatives and clearly demonstrates the value of investing in antimicrobial resistance (AMR) surveillance.
The paper highlights the significant role of the Fleming Fund in strengthening global AMR surveillance systems across human and animal health sectors. Through analysis of data from the Tracking AMR Country Self-Assessment Survey (TrACSS), the paper highlights real improvements in partner countries, including strengthened surveillance capacity, better use of data in decision-making, and positive institutional changes. There is significant evidence indicating that advances in surveillance are being effectively translated into broader impacts on policy, programme, and regulatory frameworks.
The authors state: “[…] This study provides concrete, quantitative comparative evidence of Fleming Fund impacts in terms of wider country systems. Using the TrACSS data enables quantitative estimates of programme results, based on comparisons with other countries.
“Country reporting through TrACSS in 2019 and 2024 indicates that the UK Fleming Fund has not only strengthened HH and AH surveillance systems in partner countries but has likely also achieved concrete institutional changes around the use of relevant data in administrative decision-making processes.
“The data also shows indications of emergent positive change on other Fleming Fund objectives, including possible translation of surveillance system gains and other interventions into effects in terms of policy, programmes and regulation.”
Building on the findings of this paper, the independent evaluator for the Fleming Fund will conduct a comprehensive summative evaluation, alongside additional learning products. These materials will be available on DevTracker and through The Global Health Network following the closure of the programme.
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From Events, Act Now: 'Protect Our Present, Secure Our Future' – WAAW 2025 , Date: 18/11/2025
To mark this year’s World Antimicrobial Awareness Week (WAAW) theme, we ask some of our partners what the Fleming Fund has meant to them.
A plaque on the side of the Saint Mary’s Hospital in Paddington, London, UK, commemorates the discovery of penicillin, the first antibiotic, in 1928. Fungal spores, blown by the wind, landed on Sir Alexander Fleming's Petri dishes killing the bacteria he was growing leading to a revolution in medicine.