The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study.
The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study.
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DOI：
10.3390/antibiotics10030273
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发表时间：
2021-03-09
期刊：
影响因子：
--
通讯作者：
Matee MIN
中科院分区：
文献类型：
--
作者：
Frumence G;Mboera LEG;Sindato C;Katale BZ;Kimera S;Metta E;Durrance-Bagale A;Jung AS;Mshana SE;Clark TG;Rweyemamu M;Legido-Quigley H;Matee MIN
坦桑尼亚于2017年启动了第一个关于抗菌素耐药性的国家行动计划，以减轻该国的抗菌素耐药性负担，并为全球应对做出贡献。我们的目的是利用治理框架分析在坦桑尼亚实施国家行动方案的国家行动方案。对人类和动物卫生从业人员以及国家一级的政策行为者进行了深入访谈。我们采用蔡美儿的AMR治理框架来分析坦桑尼亚国家行动方案的发展和实施情况。国家行动方案的实施取得了几项成果，其中包括：(1)建立了一个多部门协调委员会，协调执行急性呼吸道感染活动；(2)建立了治理结构；(3)建立了人和动物监测点；(4)在社区中提高了对急性呼吸道感染的认识；(5)在卫生设施一级制订了指导方针，以确保对急性呼吸道感染的管理。然而，治理领域的一些方面，包括报告和反馈机制、问责制、透明度和可持续能力，没有得到有效实施。应对这些挑战应包括通过认真规划和协调以及提供充足的资源以确保可持续性，加强不同国家行动方案执行层面所涉及的不同部门之间的合作。
Tanzania launched its first National Action Plan (NAP) on antimicrobial resistance (AMR) in 2017 to reduce the burden of AMR in the country and contribute to the global response. We aimed to analyze the implementation of the NAP on AMR in Tanzania using the governance framework. In-depth interviews were conducted with human and animal health practitioners and national-level policy actors. We adapted Chua’s AMR governance framework to analyze the development and implementation of the NAP in Tanzania. Implementation of the NAP has realized several achievements, including: (i) the establishment of a functioning Multi-Sectoral Coordinating Committee for coordinating the implementation of AMR activities; (ii) existence of governance structure; (iii) establishment of human and animal surveillance sites; (iv) creation of AMR awareness in the community and (v) availability of guidelines at the health facility level to ensure AMR stewardship. However, some dimensions of the governance areas, including reporting and feedback mechanisms, accountability, transparency and sustainability of AMR plans, are not effectively implemented. Addressing these challenges should involve strengthening the collaboration of the different sectors involved at different NAP implementation levels by careful planning and coordination, and provision of adequate resources to ensure sustainability.
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DOI：
10.3390/antibiotics9120838
发表时间：
2020-11-24
期刊：
Antibiotics (Basel, Switzerland)
影响因子：
--
作者：
Kimera ZI;Frumence G;Mboera LEG;Rweyemamu M;Mshana SE;Matee MIN
通讯作者：
Matee MIN
影响因子：
5
作者：
Acharya, Krishna Prasad;Karki, Surendra;Kaphle, Krishna
通讯作者：
Kaphle, Krishna
影响因子：
4.5
作者：
Munga, Michael A;Maestad, Ottar
通讯作者：
Maestad, Ottar
影响因子：
5.5
作者：
Elton, Linzy;Thomason, Margaret J.;McHugh, Timothy D.
通讯作者：
McHugh, Timothy D.
影响因子：
2.6
作者：
Kakkar M;Chatterjee P;Chauhan AS;Grace D;Lindahl J;Beeche A;Jing F;Chotinan S
通讯作者：
Chotinan S