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CwPAMS 1.5 Brighton-Lusaka Health Link Partnership

The partnership focused on Developing optimal antimicrobial stewardship (AMS) capacity and practice in rural and peri-urban healthcare settings in Zambia

The project was delivered by staff from the University Hospitals Sussex NHS Foundation Trust; Brighton and Sussex Medical School in the UK and the University of Zambia and University Teaching Hospital in Zambia.

 

 

Lead partners of the CwPAMS 1.5 Brighton-Lusaka Health Link Partnership consisted of:

 

University of Sussex; and

Hospital Pharmacy Association Zambia

 

The partnership focused on Developing optimal antimicrobial stewardship (AMS) capacity and practice in rural and peri-urban healthcare settings in Zambia.

A Hub and Spoke Model (HSM) was used across sectors to augment peripheral services/practices by centralizing key resources. Their project goal was to assess the feasibility of whether the use of HSM could enhance Antimicrobial Stewardship (AMS) practice improvement across public hospitals.

 

Methodology

  • Multi-method design
  • Hub Hospital: University Teaching Hospital (UTH) established AMS
    capacity – AMS Charts
  • Spoke Hospitals (Pilot sites) included:
    – Kabwe Central Hospital (Central Provinces)
    – Kitwe Central Teaching Hospital (Copperbelt Province)

Phase 1

Phase 2

Phase 3

Baseline antimicrobial utilisation (GPPS) and AMS practice assessment (CDC checklist) in spoke hospitals

AMS and Infection Prevention and Control (IPC) training & team capacity building of multidisciplinary healthcare workers (HCWs), experience sharing and mentoring visits by Hub, iterative peer learning cycles (‘Plan-Do-Study-Act’) at spoke hospitals by Hub mentors

 

Monitoring and follow-up assessment of interventions in spoke hospitals

Key Achievements:

  • A catalysed self-sustaining model was rolled out to develop provincial AMS hubs at Kabwe and Kitwe hospitals
  • Multidisciplinary AMS teams were established and operationalised in spoke hospitals
  • Improved knowledge and practice of AMS and IPC in spoke hospitals (Pre-test = 74%; post-test average score = 84%)
  • Alignment of AMS priorities in spoke hospitals e.g. rational antibiotic use, adherence to guidelines, inter-professional and inter-institutional collaboration
  • Hand rub production units, including upskilling of staff to locally produce alcohol-based hand rub for IPC
  • Point prevalence survey (PPS) data reporting, feedback, and dissemination
  • 5 PPS reports generated: (Pre and Post PPS)
    Kitwe 2, Kabwe 2 and Chipata 1
  • Presented at the Pharmaceutical Society of Zambia Scientific Conference –June, 2022
  • Successful stakeholders’ engagement and meeting
  • Antimicrobial drug chart developed
  • Established a 6th handrub manufacturing unit in Kabwe

Training Materials Outcomes:

  1. Antimicrobial Stewardship Training for HealthCare Workers in Zambia
  2. Standard Operating Procedure Handbook for Hand rub Production and Hand Hygiene in the Hospital

Training successes:

  • Conducted AMS Training: 3 Hospitals AMS Committees
    Chipata Central Hospital- April 2022
    Kitwe Central Hospital –March 2022
    Kabwe Central Hospital – February 2022
  • Total Trained 42 AMS Multidisciplinary Members
  • Average score Pre-Test 74% and Post-Test 84%

Video Playlist

2 Videos

NIHR Global Health: Clean hands save lives - a UK-Zambia partnership

3:42

Antimicrobial Stewardship Zambia

7:07

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