Evidence map›Paper›PMID 40046067›Full record

ArticleJAC-antimicrobial resistance2025

National consumption of antimicrobials in Tanzania: 2020-2022.

Siana Mapunjo, Romuald Mbwasi, Emmanuel Alphonce Nkiligi, Aneth Wilbroad, Emiliana Nyafungo Francis, Kelvin Msovela, Talhiya Yahya, Rose Mpembeni, Emmanuel Masunga, Kelvin Nkungu and 3 more

Abstract read
In one paragraph

Article in JAC-antimicrobial resistance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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.

Siana MapunjoNational Institute for Medical Research, 3 Barack Obama Drive, P.O. Box 9653, Dar es Salaam 11101, Tanzania.
Romuald MbwasiSchool of Pharmacy and Pharmaceutical Sciences, St. John's University of Tanzania, Kikuyu Ave, Dodoma, Tanzania.
Emmanuel Alphonce NkiligiDirectorate of Human Medicines and Veterinary, Tanzania Medicines and Medical Devices Authority, P.O. Box 1253, Dodoma, Tanzania.
Aneth WilbroadPharmaceutical Services Unit, Ministry of Health, Wizara ya Afya, S.L.P 743, Dodoma, Tanzania.
Emiliana Nyafungo FrancisPharmaceutical Services Unit, Ministry of Health, Wizara ya Afya, S.L.P 743, Dodoma, Tanzania.
Kelvin MsovelaPharmacy Department, Makambako Town Council, District Hospital, P.O. Box 405, Njombe, Tanzania.
Talhiya YahyaUSAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Management Sciences for Health, Cnr. Samora Avenue/Mirambo Street, Diamond Plaza, Dar es Salaam, Tanzania.
Rose MpembeniMuhimbili University of Health and Allied Sciences, School of Public Health and Social Sciences, P.O. Box 65015, Dar es Salaam, Tanzania.
Emmanuel MasungaDirectorate of Human Medicines and Veterinary, Tanzania Medicines and Medical Devices Authority, P.O. Box 1253, Dodoma, Tanzania.
Kelvin NkunguMedical Stores Department, Directorate of Procurement, P.O. BOX 9081, Off Nyerere Road, Keko Mwanga, Dar es Salaam, Tanzania.
Samir SaitotiPharmacology Department, University of Dodoma, Kikuyu Avenue, Tanzania.
Edgar LusayaUSAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Management Sciences for Health, Cnr. Samora Avenue/Mirambo Street, Diamond Plaza, Dar es Salaam, Tanzania.
Niranjan KonduriUSAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Management Sciences for Health, 4201 N. Fairfax Dr., Suite 500, Arlington, VA, USA.ORCID https://orcid.org/0000-0002-6828-1182

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Global Leaders Group on Antimicrobial Resistance (AMR) beckoned nations to share surveillance data on antimicrobial consumption (AMC) and AMR while promoting access to essential antimicrobials in countries with the highest burden of AMR. Objectives: To analyse findings of the national-level AMC (years 2020-2022), building on our prior work (2017-2019), and to assess any emerging trends. Methods: Data were obtained from the Tanzania Medicines and Medical Devices Authority, Tanzania Medical Stores Department, and from local manufacturers. Results: The average defined daily dose (DDD) per 1000 inhabitants (DID) was 38.27 ± 5.17. Compared to 2020, macrolides had a nearly 3-fold increase in 2021 and 2022 driven by azithromycin (4.85 ± 2.85 DID), mainly associated with inappropriate use during the COVID-19 pandemic. In 2020, private-sector consumption accounted for 75.73% of the total, which increased to 84.02% in 2021 and then slightly decreased to 66.82% in 2022. The Access category antimicrobials met the World Health Organization target of 60% national consumption, while the Watch category has shown a steady increase in 2021 and 2022. Conclusion: The continued increase in AMC in the private sector calls for urgent antimicrobial stewardship targets, including routine reporting by the Access, Watch and Reserve categories.

Identifiers

PMID40046067
PMCPMC11879584

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.