A WHO PRACTICAL TOOLKIT
WHO/MVP/EMP/IAU/2019.14 ©World Health Organization 2019. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO licence
Antimicrobial Stewardship (AMS) programmes in health-care facilities in low- and middle-income countries
ANTIMICROBIAL STEWARDSHIP
1.
• NAP on AMR with AMS as a priority
• AWaRe classification integrated in NEML
• National AMR surveillance system
Identify
National core elements:
• AMS team or champions
• Targets for improving antibiotic use
• Quality improvement model
4. Perform
AMS interventions:
• Assess structural, process and outcome indicators
5. Assess
AMS interventions:
• Strengthen AMS competencies
• Educational workshops and networks
• E-learning
6. Facilitate
Education and training:
2.
• AMS identified as a priority
• Standard treatment guidelines
• AMS committee
Identify
Health-care facility core elements:
3.
• SWOT analysis
• AMS action plan
• AMS governance structure
Plan
AMS programme