Data for Change
Point Prevalence Survey (PPS) and Continuous Quality Improvement (CQI)
Generating Data with PPS and CQI
To facilitate the generation of data on antimicrobial practices and encourage its usage for action, we rolled out a two-fold project, to support the conduction of a Point Prevalence Survey and Continuous Quality Improvement in five countries supported by the Fleming Fund: Malawi, Nepal, Nigeria, Timor Leste, and Zimbabwe.
At least 5 hospitals were engaged in each of the countries as listed below:
Benefits of a Point Prevalence Survey (PPS)
With support from our in-country networks including National Pharmacy Associations and In-country Fleming Fund grantees, we identified and engaged in-country stakeholders including ministry of health officials and multidisciplinary clinical teams to create awareness and conduct PPS with consideration of the specific in-country needs and recommendations.
Working with technical experts from the University of Antwerp, we developed practical Tools and Resources to support PPS training and rollout at in-country hospitals.
A suite of resources for clinical teams around surveying antimicrobial usage in their health facilities, and how implementing GPPS can provide data-driven insights.
Through the leadership of the empowered site champions and data collectors, PPS was introduced and rolled out at 26 hospital sites with over: 10,700 in-patient beds, 10,000 healthcare staff, and 12 million patient population served.
The video resources below are aimed at health facilities with in-patient beds:
Playlist
Playlist:
1. How to conduct the Global Point Prevalence Survey (G-PPS) – watch video
2. From data collection to the development of AMS interventions through the use of the feedback report – watch video
3. Similarities and differences between Global and WHO PPS – watch video
4. WHO PPS – watch video
5. What next after PPS? – watch video
6. GPPS: An honest Account – watch video
7. Introduction training to PPS: a case of the SPARC programme – watch video
Impact of PPS across five countries

CQI for AMS is an ongoing process to support constant improvement in quality of antimicrobial prescribing practices. We promoted usage of the data on antimicrobial practices for action. Data obtained from the 26 PPS sites was discussed by multidisciplinary teams at the respective sites, to identify gaps and suggest interventions that could lead to behaviour change and thus improvement in prescribing practices..
We worked with a team psychologists from the Change Exchange and engaged 30 multidisciplinary in-country stakeholders to create awareness and design practical training resources and tools to support the promotion of behaviour change in AMS.
Five ICCs and 26 site champions were empowered with knowledge and skills for using the developed behaviour change resources and tools via virtual and in-person training meetings.
The site champions invited and worked with 385 multidisciplinary teams including pharmacists, medical doctors, microbiologists and nurses at their respective sites to discuss PPS results and designed plans to support creation of change in prescribing practices and contribute towards the National Action Plans.
- Continued training and rollout of PPS and CQI across Timor-Leste sites in 2023
- We continue to support CQI and behaviour change implementation as requested by sites
- Building the Community of Practice and shared learning resources
- Scoping for Phase 2 of the SPARC programme
Impact of CQI across five countries

Next steps for PPS and CQI
- Continued training and rollout of PPS and CQI across Timor-Leste sites in 2023
- We continue to support CQI and behaviour change implementation as requested by sites
- Building the Community of Practice and shared learning resources
- Scoping for Phase 2 of the SPARC programme

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