AMRhark’ay / Peruvian Soldiers for Global Health
- Provides parents of nursery and primary school children in Peru, primarily mothers, with knowledge about AMR in a culturally sensitive way through workshops led by medical students.
- Aims to tackle language barriers for Quechua and Aymara-speaking rural towns.
- Propose a mobile and web application-based intervention to address education, surveillance, and to optimize AMU at the point of outpatient clinics, hospitals, and wholesalers in SEAR.
- 3 components are part of their intervention: Preventing Resistant Infections through Monitoring, Machine Learning, and Education (PRIME): 1) Connecting care providers with the guidelines and experts; 2) augment existing laboratory and sentinel site-based surveillance for AMR in human and animal sectors; 3) Understand local risk factors for resistance outbreaks through machine learning.
- Mobile health units with antibiotic stewardship messaging to improve the training of informal private providers (IPP) in West Bengal, India.
- Multiphase implementation including situational analysis where stakeholders will be identified, and partnerships established with the MOH and IPP; training of mobile health care staff, execution of the program and M&E.
Team Pilipinas (ARMED)
- Proposes implementation of an education program in the Philippines to promote delayed prescribing in the management of respiratory tract infections.
- The target population will be patients, unregistered drug stores, and roadside vendors.
- The project aims to also broaden the coverage of health promotion for patients by translating communication materials (i.e., infographic videos and pamphlets) regarding respiratory tract infection and proper antibiotic usage to different local languages and dialects.
- Label on a medication box which includes product information, a “scratchable” calendar to help the patient keep track of the completed treatment days, and a QR code linked to relevant drug information, along with an antibiotic warning message.
- Linked smartphone app includes a patient reminder system with either alarms or an interactive avatar to support adherence.
- Collection of usage data to inform surveillance and monitoring.
The Global Health Enthusiasts (Nigeria)
- Proposes restructuring of Nigeria’s supply chain of antibiotics to reduce access to antibiotics by street drug vendors and patent proprietary medicines vendors who are not authorized to dispense these drugs over the counter.
- Proposes a Central Antibiotics Store (CAS), 1 per 6 geopolitical zones in Nigeria, where all the antibiotics produced by different drug companies will be stored and ready for sale from which network of distributors can facilitate the dispatch of this product.
- All pharmacies, OTC & hospital, must have an Antibiotics Register. Ordering for antibiotics would be strictly online through a CAS website by authorized healthcare professionals and community pharmacies which would be issued Smart Antibiotic Purchase Authorization Card (SAPA-Card), just like ATM or VISA card.
- A card for patient antibiotic-used documentation which would be kept by the patient along with other medical documents.
- One side of the card contains patient information and details of their antimicrobial prescription.
- The other side includes reference information for patients, including information about conservative management for illnesses such as upper respiratory tract infection or simple diarrhoea, and information about IPC.
Indian Alliance for AMR Control
- Healthcare interventions consisting of a set of interventions: baseline Knowledge/Attitudes/Practice assessment and focused training of selected personnel; peer-to-peer dialogue and training, formation of IPC committee and standard protcol inventory at the hospital level, as well as improved IPC.
- Training focuses on different cadres of healthcare workers, as well as communities.
Increasing Knowledge And Awareness About Antimicrobial Resistance Among Secondary Students in Kampala, Uganda
- This educational intervention aims to assess and increase the knowledge and awareness of antimicrobial resistance amongst secondary school children.
- It uses educational tools including indoor powerpoint presentations, outdoor health policy activities such as handwashing activities, writing poems and essays, qizzes and debates and plays.
- The team intends that improving knowledge amongst secondary school children will have a lasting effect on their families and communities.
- QR Medicine (proposal from Sichuan, China) would apply a unique QR code to each package of antibiotics, the scanning of which would enable track-and-trace of the product through the supply chain. At the pharmacy and hospital level, price would be entered. At the doctor level, complementary information on the doctor’s certification, evaluation of prescription and rational use of antibiotics, important notes of the drug–an electronic health record—would be captured. At the patient level, the QR code will not only provide information about the drug package, but also educational information on the drug’s use.
- Aims to assess the inappropriate and irrational use of antibiotics through the evaluation of drug distribution system, health seeking behavior & pattern of antibiotic use in patients, and antibiotic prescribing pattern of health service providers.
- Collects information about antimicrobial purchasing patterns, antibiotic usage, and prescription patterns.
- Makes use of existing government biometric ID program to facilitate monitoring, including of completion of courses of medication.