2019 – Antimicrobial Stewardship

At the beginning of 2019 we were awarded a grant from the Fleming Fund to work with KCMC to develop Antimicrobial Stewardship (AMS). The trust was the only NHS organisation to be selected by the Tanzanian Ministry of Health to work with Tanzania on this important project.

There is a global antimicrobial resistance crisis resulting from overprescribing of antimicrobial medicines and non-compliance with treatment courses, incorrect prescriptions with incorrect dosages, poor infection prevention and control and poor sanitation.


AMS is critical to effectively treat infections, protect patients and combat antibiotic resistance, bringing all systems and partners together to educate and encourage prescribers to follow evidence-based prescribing. In Tanzania, antibiotics can often be over-prescribed in community and pharmacy settings, so this project seeks to improve antibiotic prescribing practice and raise greater awareness among the public about AMR, which hopefully will lead to more appropriate use.


Led by pharmacy leads from the trust and KCMC, this successful programme has seen us roll out training on AMS at KCMC, as well as district hospitals and rural dispensaries, and undertake a number of other key activities including research, upgrading laboratory facilities, developing effective policies and protocols and supporting the development of the microbiologist and an AMS Group at the hospital.


The team held a successful workshop during Antibiotic Awareness Week in November 2019 which was incredibly impactful in encouraging changes to public behaviour in terms of infection prevention and antibiotic use.


Through their incredible contributions to this project, two of the trust’s pharmacists, Scott Barrett and Joseph Brayson, have subsequently been awarded a Fellowship by the Chief Pharmaceutical Officer.