National Action Plan on Antimicrobial Resistance (NAP-AMR) 2023 -2028.

The National Action Plan on Antimicrobial Resistance spans five years, from 2023 to 2028, and operates within a one-health framework. Aligned with the Global Action Plan on AMR, this sectoral document pursues the continued implementation of five strategic objectives, augmented by the addition of a sixth objective centered on governance. Emphasizing the interconnectedness of addressing AMR with the achievement of Sustainable Development Goals (SDGs), the plan recognizes the pivotal role of combatting AMR in realizing health, poverty reduction, food security, and economic growth goals. In response, the Tanzanian government is actively tackling AMR through the execution of the National Action Plan on Antimicrobial Resistance. The NAP-AMR integrates the following six strategic objectives (1) strenghten coordination, collaboration and governance for NAP on AMR implementation; (2) create awareness and understanding of antimicrobial resistance through effective information, education and communication; (3) strengthen the knowledge and evidence base through surveillance and research; (4) reduce the incidence of infection through effective sanitation, hygiene, infection prevention, and on-farm biosecurity; (5) optimize the use of antimicrobial medicines in human and animal health; (6) develop the economic case for sustainable investment that takes into account the needs to increase investment in new medicines, diagnostic tools, vaccines and other interventions.
The strategic objectives outlined require specific interventions: (1) Effective governance is vital for successful multisectoral coordination in tackling AMR. This involves a One Health approach, extending coordination from national to sub-national levels for comprehensive execution; (2) Tailoring information to Tanzanian audiences is essential, necessitating targeted public communication programs, AMR knowledge management, and education initiatives addressing sex and gender impacts; (3) Surveillance, crucial for AMR, is facilitated by Tanzania's 2018 National Antimicrobial Resistance Surveillance Framework, emphasizing standardized data collection, laboratory capacity, and research; (4) Infection prevention through water supply, sanitation, vaccines, and hygiene is highlighted in NAP-AMR 2023-2028, emphasizing control measures, personnel training, and vaccination programs; (5) Addressing antimicrobial use's role in AMR requires strengthened AMS programs, monitoring systems, and substandard medical product surveillance; (6) Given the economic impact of AMR, essential for Sustainable Development Goals, investments and a collaborative plan are vital, especially in low-income countries with high infectious disease burdens.
The document stipulates the Governance structure of the NAP-AMR which includes the establishment of the National AMR Coordinating Committee, the Technical Working Groups, the Secretariat and the AMR Focal Point governed by clear roles and responsibilities as stipulated in the respective terms of references.