Antimicrobial Resistance (AMR) Framework Design, Surveillance & Stewardship Implementation
ASAL-Adaptive AMS Systems Strengthening — Wajir County, Kenya
A pioneering Antimicrobial Stewardship (AMS) framework designed specifically for ASAL health systems, focusing on mapping structural barriers, improving prescribing behavior, and building the first contextual AMR evidence base in Wajir County.
Project Background
Antimicrobial resistance in ASAL regions such as Wajir presents a critical and under-documented public health threat. Diagnostic limitations, unmonitored antibiotic use, and absence of structured stewardship systems have historically prevented evidence-based prescribing.
No prior systematic mapping of resistance patterns or AMS implementation barriers had been conducted in the county, leaving health authorities without a foundation for rational antibiotic policy development.
This intervention focused not only on AMR surveillance, but on understanding the systemic, cultural, and structural barriers preventing effective antimicrobial stewardship in ASAL health systems.
Project Statistics
4
Hospital Departments Engaged
100%
Inpatient Units Covered
8+
AMS Barrier Categories Identified
1
ASAL AMS Framework Created
Project Objectives
Map AMS Barriers
Identify structural, cultural, and systemic barriers to antimicrobial stewardship.
Generate Evidence Base
Establish first ASAL-specific AMS indicator framework for Wajir County.
Improve Prescribing Practices
Provide clinician feedback and improve rational antibiotic use.
Design AMS Framework
Develop contextual stewardship guidelines for ASAL health systems.
Key Activities
- Mapping diagnostic–prescriber gap in ASAL hospital setting
- Identification of AMS structural barriers using WHO AMS framework
- Development of AMS barrier taxonomy for ASAL contexts
- Continuous Medical Education (CME) for clinicians
- Feedback on AWaRe antibiotic classification adherence
- Creation of prescribing job aids and clinical algorithms
- Dissemination of stewardship tools at ward level
- Development of ASAL-specific AMR framework
Leadership Role
Position
AMS Framework Lead / Surveillance & Training Lead
Partner
Wajir County Health Management Team
Designed ASAL-specific AMS indicator framework
Led clinician training and CME sessions
Developed AMS barrier taxonomy and tools
Disseminated stewardship tools across hospital wards
AMS Implementation Barrier Distribution
Major Achievements & AMS Impact
First ASAL AMS Framework
Created the first structured AMS indicator framework for a Kenyan ASAL hospital.
Barrier Taxonomy Developed
Produced first ASAL-specific AMS barrier mapping aligned with WHO and GLASS.
Clinician Engagement
Delivered CME sessions across all inpatient departments.
Stewardship Tools
Developed prescribing tools, posters, and algorithms for ward-level use.
@2026 One Health Antimicrobial Resistance Network (OHAAN). All rights reserved.