Multi-country technical assistance approach for strengthening AMR Surveillance in LMICs
Lessons from the Fleming Fund
Antimicrobial resistance (AMR) poses a major global health threat, with low- and middle-income countries in Africa and Asia carrying the greatest burden due to high infectious disease rates and limited health system capacity. Strengthening surveillance is essential to tackling this challenge.
In response, the UK government launched the Fleming Fund in 2015, combining country-level support with a multi-country technical assistance programme designed to build sustainable, evidence-driven AMR surveillance systems.
Above image: Qualifying the Workforce for AMR Surveillance (QWArS) Microbiology training in Laos, led by the African Society for Laboratory Medicine and supported by the Fleming Fund.
The Regional Grants have:
- Strengthened laboratory capacity and supported over 360 labs with quality assured surveillance systems.
- Provided advanced AMR training to over 500 professionals and embedded competencies into national workforce structures.
- Developed digital tools for AMR/antimicrobial use (AMU)/antimicrobial consumption data collection, visualisation, and management.
- Expanded genomic surveillance through regional hubs for outbreak investigation and resistance tracking.
- Advanced One Health integration, including AMU protocols in livestock and aquaculture and data-driven antimicrobial stewardship.
- Piloted innovative tools such as prescribing apps, burden of disease protocols, and economic costing models.
A new report from the Fleming Fund has been developed to distil key lessons learned from delivering multi-country technical assistance across diverse contexts. The report reflects on what is needed to sustain progress and ensure that countries remain equipped to respond to AMR threats in the years ahead. Key lessons include the importance of early alignment with National Action Plans, adaptive management, multisectoral strategies, and long-term sustainability planning.
Multi-country technical assistance approach for strengthening AMR Surveillance in LMICs: Lessons from the Fleming Fund
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Studies & Reports
From Studies & Reports, Ways of Working and Learning in AMR surveillance systems in LMICs: Findings from the scoping phase , Date: 30/11/2018
Our ability to treat life-threatening conditions is threatened by the rise of antimicrobial resistance (AMR). Tackling the effects of AMR requires international collaboration and partnership to ensure that robust AMR surveillance can provide health intelligence data to inform evidence-based interventions at local, national and international levels.
As part of World Antimicrobial Awareness Week 2022 in November last year, Head of the Fleming Fund’s Expert Advisory Group Dr Catriona Waddington joined an esteemed panel of speakers from the AMR community at the symposium, ‘The rising tide of antimicrobial resistance – a high price to pay’ hosted by Ineos Oxford Institute, Oxford Martin School.