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

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