Strengthening AMR surveillance: stories of national progress in Africa and Asia

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Stories of change from Malawi, Nepal, Timor-Leste and Kenya, illustrating some of the tangible differences taking place in countries supported by the Fleming Fund.

AMR surveillance systems are crucial for identifying the scale of resistance across the animal and human health sectors and developing suitable interventions for optimising antimicrobial use.

This report highlights how improved surveillance systems can have wide-ranging effects in some of the countries where the impacts of AMR are felt the most.

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It presents stories of national change including:

- Malawi’s remarkable progress in developing a fully functioning national AMR surveillance system, from a starting point of almost nothing less than a decade ago.

- The significant range of policy and regulatory initiatives that Nepal have introduced in recent years, signalling the country’s strengthened political commitment to securing its people and economy against the threat of AMR.

- In Timor-Leste, the positive effects on health system strengthening beyond surveillance as a result of activities to strengthen laboratory capacity.

- Strengthened One Health governance in Kenya to act on AMR.

The report was commissioned by the Fleming Fund as part of a long-term collaboration with Itad, the Fund’s evaluation partner. It includes a Foreword by Professor Dame Sally Davies, UK Special Envoy on Antimicrobial Resistance.

By showcasing these achievements, the report authors aim to not only celebrate progress, but also to inspire further action and commitment to tackling AMR globally.

The report will be used to inform global debate and action on AMR, including discussions at the second United Nations General Assembly High-level Meeting on AMR in New York.

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