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CwPAMS 1.5 UK Faculty of Public Health (FPH)-Ghana Public Health Association Partnership 

Strengthening AMS by improving surveillance and building sustainable capacity and capability in Ledzokuku Krowor Municipal Assembly [LEKMA] Hospital and LEKMA polyclinic.

Lead partners of the CwPAMS 1.5 UK Faculty of Public Health (FPH)-Ghana Public Health Association Partnership consisted of:

The UK Faculty of Public Health (FPH); and
Ghana Public Health Association

The partnership focused on Strengthening Antimicrobial Stewardship through improving surveillance and building sustainable capacity and capability in Ledzokuku Krowor Municipal Assembly [LEKMA] Hospital and LEKMA polyclinic.

 

Activities during the 7-month extension included:

  • Community Pharmacist Outreach
    – 15 community Pharmacies involved
    – 48 Participants were in attendance
  • Extension of the project to LEKMA Polyclinic
  • Training in Antimicrobial Resistance (AMR) / Antimicrobial Stewardship (AMS) / Infection Prevention and Control (IPC), Laboratory Surveillance
    – Facilitated by LEKMA Hospital staff
    – 90 clinical and nonclinical staff trained
  • OPD Antibiotic Prescription audit
    – 93.8% (n=110) of all prescriptions with antibiotics had stated diagnosis,
    compared with the 16% recorded in 2019
    – Percentage of prescriptions with antibiotics that were appropriate in
    accordance with treatment guidelines increased from 12% in 2019 to 65.5%
    in 2022
  • Global Point Prevalence Survey (GPPS) for Inpatients
    – 89.5% of prescriptions were compliant with guidelines at the medical wards.
    – 68% of antibiotics used in the LEKMA hospital during the survey were
    prescribed under the Access group, and 32% from the Watch group.
    – No antibiotics in the Reserve group were used during the period.
    – LEKMA hospital has adhered to the WHO AWaRe classification, exceeding
    the minimum requirement of 60%.
  • Training of staff on Gender Equality and Social Inclusion (GESI) for the first time
  •  A 3-year strategic plan developed for sustainability
  • Backup/Delayed prescription piloted in the first project is now undertaken routinely
    in the hospital
  • These activities contributed to LEKMA Hospital being awarded best performing hospital in the Greater Accra region

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