Evidence map›Paper›PMID 33803077›Full record

ArticleAntibiotics (Basel, Switzerland)2021

The Governance and Implementation of the National Action Plan on Antimicrobial Resistance in Tanzania: A Qualitative Study.

Gasto Frumence, Leonard E G Mboera, Calvin Sindato, Bugwesa Z Katale, Sharadhuli Kimera, Emmy Metta, Anna Durrance-Bagale, Anne-Sophie Jung, Stephen E Mshana, Taane G Clark and 3 more

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Gasto FrumenceMuhimbili University of Health and Allied Sciences, Dar es Salaam 65001, Tanzania.ORCID 0000-0003-4605-9457
Leonard E G MboeraEastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), Morogoro 3019, Tanzania.
Calvin SindatoEastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), Morogoro 3019, Tanzania.
Bugwesa Z KataleEastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), Morogoro 3019, Tanzania.
Sharadhuli KimeraEastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), Morogoro 3019, Tanzania.
Emmy MettaMuhimbili University of Health and Allied Sciences, Dar es Salaam 65001, Tanzania.
Anna Durrance-BagaleLondon School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Anne-Sophie JungLondon School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Stephen E MshanaEastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), Morogoro 3019, Tanzania.
Taane G ClarkLondon School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.ORCID 0000-0001-8985-9265
Mark RweyemamuEastern and Southern Africa Centers of Excellence for Infectious Diseases of Humans and Animals (SACIDS-ACE), Morogoro 3019, Tanzania.
Helena Legido-QuigleyLondon School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.ORCID 0000-0003-4113-4542
Mecky I N MateeMuhimbili University of Health and Allied Sciences, Dar es Salaam 65001, Tanzania.
Southern African Centre for Infectious Disease Surveillance · TZUniversity of London · GBMuhimbili University of Health and Allied Sciences · TZCatholic University of Health and Allied Sciences · TZTanzania Commission for Science and Technology · TZ

Funding

Medical Research Council MR/S012796/1
6 · The paper itself

Abstract

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.

Indexed as

antibioticsantimicrobial resistancegovernanceimplementation planTanzania

Identifiers

PMID33803077
PMCPMC7998560
OpenAlexW3135061765

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.