Athena Institute, Faculty of Science, Vrije Universiteit Amsterdam , Amsterdam, The Netherlands.
Africa Centres for Disease Control and Prevention, African Union Commission , Addis Ababa, Ethiopia.
Glob Health Action. 2021 Jan 1;14(1):1868055. doi: 10.1080/16549716.2020.1868055.
: Antimicrobial resistance (AMR) is a growing public health threat in Africa. AMR prevention and control requires coordination across multiple sectors of government and civil society partners. : To assess the current role, needs, and capacities of CSOs working in AMR in Africa. : We conducted an online survey of 35 CSOs working in 37 countries across Africa. The survey asked about priorities for AMR, current AMR-specific activities, monitoring practices, training needs, and preferences for sharing information on AMR. Further data were gathered on the main roles of the organisations, the length of time engaged in and budget spent on AMR-related activities, and their involvement in the development and implementation of National Action Plans (NAPs). Results were assessed against The Africa Centres for Disease Control and Prevention (Africa CDC) Framework for Antimicrobial Resistance (2018-2023). : CSOs with AMR-related activities are working in all four areas of Africa CDC's Framework: improving surveillance, delaying emergence, limiting transmission, and mitigating harm from infections caused by AMR microorganisms. Engagement with the four objectives is mainly through advocacy, followed by accountability and service delivery. There were limited monitoring activities reported by CSOs, with only seven (20%) providing an example metric used to monitor their activities related to AMR, and 27 (80%) CSOs reporting having no AMR-related strategy. Half the CSOs reported engaging with the development and implementation of NAPs; however, only three CSOs are aligning their work with these national strategies. : CSOs across Africa are supporting AMR prevention and control, however, there is potential for more engagement. Africa CDC and other government agencies should support the training of CSOs in strategies to control AMR. Tailored training programmes can build knowledge of AMR, capacity for monitoring processes, and facilitate further identification of CSOs' contribution to the AMR Framework and alignment with NAPs and regional strategies.
抗微生物药物耐药性（AMR）是非洲日益严重的公共卫生威胁。预防和控制 AMR 需要政府和民间社会合作伙伴的多个部门进行协调。
为了评估在非洲从事 AMR 工作的民间社会组织的当前作用、需求和能力。
我们对非洲 37 个国家的 35 个民间社会组织进行了在线调查。该调查询问了 AMR 的优先事项、当前的 AMR 特定活动、监测做法、培训需求以及分享 AMR 信息的偏好。还收集了关于组织主要角色、从事与 AMR 相关活动的时间长短和预算投入，以及它们参与制定和实施国家行动计划（NAP）的更多数据。结果根据非洲疾病控制和预防中心（Africa CDC）的抗微生物药物耐药性框架（2018-2023 年）进行了评估。
从事 AMR 相关活动的民间社会组织在 Africa CDC 框架的四个领域开展工作：提高监测、延缓出现、限制传播和减轻 AMR 微生物引起的感染造成的危害。对四个目标的参与主要是通过宣传，其次是问责制和服务提供。民间社会组织报告的监测活动有限，只有 7 个（20%）提供了用于监测其与 AMR 相关活动的示例指标，27 个（80%）民间社会组织报告没有与 AMR 相关的战略。一半的民间社会组织报告参与了 NAP 的制定和实施；然而，只有三个民间社会组织在将其工作与这些国家战略保持一致。
非洲各地的民间社会组织都在支持 AMR 的预防和控制，但仍有更多的参与机会。Africa CDC 和其他政府机构应支持民间社会组织培训控制 AMR 的战略。量身定制的培训计划可以提高对抗微生物药物耐药性的认识，增强监测流程的能力，并有助于进一步确定民间社会组织对抗微生物药物耐药性框架的贡献以及与国家行动计划和区域战略的一致性。
