Strengthening Antimicrobial Stewardship (AMS) through improving surveillance and building sustainable capacity at Ledzokuku Municipal Assembly [LEKMA] Hospital, Greater Accra, Ghana.
Goal
To establish and evaluate a functional model for AMS as a centre of excellence with an appropriate cultural shift in attitudes to AMR for potential roll-out; by strengthening systems and processes for Antimicrobial Stewardship (AMS) through improving surveillance, building sustainable capacity and capability of the workforce on antimicrobial prescribing practices in LEKMA Hospital, Ghana.


Objectives/Targets
- Establishment of a surveillance system that enables monitoring of antimicrobial prescribing, use and resistance in LEKMA Hospita.l
- 5-10% reduction in overall antimicrobial prescriptions [measured using Defined Daily Dose (DDD)] in LEKMA Hospital.
- 20-30% increase in the proportion of prescribers and dispensers demonstrating appropriate knowledge on AMR and antimicrobial prescribing practices in LEKMA Hospital.
Key project Interventions and strategies
- Establishing a baseline / benchmark, including development of tools
- Implementation of the Global Point Prevalence Survey.
- Establishing/developing governance structure for AMR and AMS
- Delivering a training package on AMR, AMS and IPC
- Establishing/developing audit / monitoring / evaluation processes
- Establishing a strong partnership based on mutual and equal partnership roles and responsibilities within agreed governance arrangements [Memorandum of Understanding].
Lead Partners
- UK Faculty of Public Health (FPH);
- Ghana Public Health Association
- Lekma Hospital, Ledzokuku Municipal, Accra
Other Stakeholders/partners in Ghana
- Pharmaceutical Society of Ghana
- Pharmacy Council, Ghana
- Regional Health Directorate, Greater Accra Region
- Municipal Health Directorate, Ledzokuku Municipal
Other UK partners
- Public Health England, North West
- PHE Field Service
- Mid Cheshire FT & East Cheshire NHS Trust
- Countess of Chester Microbiology & Pathology Services; – Infection Prevention and Control
- NHS Acute Trust, Mid Cheshire FT & East Cheshire NHS Trust.
- Community Pharmacy (Lloyds Pharmacy / McKesson UK)

