In Tanzania, MTaPS is working with the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC); the President’s Office Regional Administration and Local Government; and other national stakeholders to safeguard the health of its populations by containing the spread of antimicrobial resistance (AMR) and improving the quality of health care.
Toward this goal, MTaPS works to build country capacity and strengthen systems in support of three USAID GHSA/AMR objectives:
- Optimize the use of antimicrobials
- Strengthen infection prevention and control (IPC) practices
- Promote multisectoral coordination on AMR
MTaPS focuses on the following technical areas:
Optimizing use of antimicrobial medicines
MTaPS is supporting the ministry to enforce regulations on the prescription and control of antimicrobials and to develop a communication strategy to raise health providers’ and the general public’s awareness of AMR and discourage the inappropriate use of antibiotics. Other important activities include training and improving supervision to increase compliance with AMS guidelines and improving health professionals’ capacity to conduct antimicrobial utilization surveys.
Strengthening infection prevention and control
Hospital-acquired infection is a growing problem in Tanzania. In collaboration with the MOHCDGEC and other partners, MTaPS is supporting the dissemination and implementation of updated MOHCDGEC IPC guidelines in four regions of Tanzania and working intensively to support six heath care facilities. These guidelines are an important tool for mitigating the spread of infections in health care facilities. Other areas of support include:
Training: Reforming pre-service curricula and developing and working with trainers, local training institutions, and professional councils to implement an in-service eLearning program on IPC.
Quality improvement: Continuous quality improvement (CQI) is a cornerstone of the Tanzania Healthcare Quality Improvement Framework, which MTaPS will support by capacitating health care facilities to use MOHCDGEC-approved CQI tools and methods for improving IPC practices.
Supportive supervision: Strengthening supportive supervision at all levels to increase compliance with IPC guidelines and standards.
Promoting multisectoral coordination on AMR
Multisectoral coordination is at the core of the World Health Organization’s One Health approach, which promotes the responsible and prudent use of antimicrobials across animal, human, and other sectors to reduce the emergence and spread of resistant bacteria. MTaPS Tanzania is working with MOHCDGEC structures and secretariats to encourage and support coordination of AMR activities within and across all sectors.
Efforts include helping to strengthen multisectoral coordination committees and working groups; engaging experts across sectors to finalize and implement guidelines (e.g., on antimicrobial stewardship); and setting up mechanisms for monitoring implementation of the national action plan on AMR.