Countywide Antimicrobial Stewardship Program

Makueni County, Kenya | March 2020 – Present

A countywide AMS transformation programme focused on strengthening antimicrobial stewardship systems, improving prescribing behavior, and institutionalizing surveillance across public health facilities.

Programme Background

Prior to this intervention, antimicrobial use across Makueni County was highly fragmented with weak stewardship systems and limited surveillance data to guide clinical decision-making.

There was minimal structured AMS governance, leading to inappropriate antibiotic use and inconsistent prescribing practices across facilities.

This programme established a structured AMS system across the county, integrating surveillance, training, policy development, and digital tracking systems.

Programme Statistics

14

Hospitals Covered

400+

Healthcare Workers Trained

234

Data Cycles (PPS/AMC)

7

AMS Pillars Activated

Programme Components

Establishment of AMS programs in 14 sub-county hospitals
Routine Point Prevalence Surveys (PPS)
Antimicrobial Consumption (AMC) and Use (AMU) surveillance
Development of prescribing guidelines
AMS ward rounds and clinical mentorship
Digital tracking and reporting systems

Leadership Role

AMS Coordinator – Overall leadership, policy development, implementation, and monitoring

Worked with Foundation for Innovative and New Diagnostics, County Health Department, NASIC & CASIC, and healthcare workers across all facilities.

AMS Programme Performance Dashboard

AMS Implementation Coverage

Hospital Coverage

Staff Training

Data Systems

Policy Strength

Major Achievements

14 Hospitals Operational

AMS systems fully implemented across sub-county hospitals.

Improved Prescribing

Significant improvement in antimicrobial prescribing practices.

Surveillance Systems

Established PPS, AMC and AMU monitoring frameworks.

Digital AMS Systems

Introduced structured digital antimicrobial tracking tools.