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Antibiotic Stewardship and Conservancy Implementation in Malawi Rajhab Sawasawa Mkakosya DVM, PhD UNIMA PI Senior Lecturer in Microbiology & Ac3ng Head of Pathology for College of Medicine; UNIMA Overview Phase 1: Situational Analysis


  1. Antibiotic Stewardship and Conservancy Implementation in Malawi Rajhab Sawasawa Mkakosya DVM, PhD UNIMA PI Senior Lecturer in Microbiology & Ac3ng Head of Pathology for College of Medicine; UNIMA

  2. Overview • Phase 1: Situational Analysis • Phase 2: Curriculum Development • Phase 3: Human Capital Development • Gender • Relevance to Local, National and Regional Needs • Success Stories AMR seminar (2016 Oslo) UNIMA 2

  3. Phase 1: Situa-onal Analysis: Imp mpleme menta-on • Students recruited to carry out research in many aspects of AMS/AMR • Some students will investigate AMR • Constituted a multisector committee of AMR • More Research Masters students to be recruited this year AMR seminar (2016 Oslo) UNIMA 3

  4. Phase 1: Situa-o Phase 1: Situa-onal A nal Analy nalysis: Suc sis: Successes & Challeng esses & Challenges es Successes Challenges • 6/11 PG students females • Only 11/15 students continuing • Students happy in their studies • Low co supervision activities • 9/11 students got approval from the • Delayed ethical approval local IBR AMR seminar (2016 Oslo) UNIMA 4

  5. Phase 2: Curriculum Development: Implementation • Curriculum developed and presented to senate for approval • Advertisement for students recruitment to be in the national newspapers the week 29 th August- 4 th September 2016 AMR seminar (2016 Oslo) UNIMA 5

  6. Phase 2: Curriculum Development: Successes & Challenges Successes Challenges • Document presented to senate • Irregular senate meetings • Assurances from both the vice and • Time to implement Pro vice chancellor to expedite the Preparing UNIMA staff for online approval process of the document teaching centre Oct 14 • Commitment from the COM administration AMR seminar (2016 Oslo) UNIMA 6

  7. Phase 3: Human Capital Development: Implementation • 9 MSc and 2 PhD students recruited Malawians Trained in AMR Testing Feb 2016 • Students to serve as honorary members of staff • Workshop on AMR equipped lab tech from MoH and UNIMA • UNIMA members enjoy position of honorary membership to UKZN • The IT staff trained on moodle and ready to implement AMR seminar (2016 Oslo) UNIMA 7

  8. Phase 3: Human Capital Development – Successes & Challenges Successes Challenges • Some members are already UNIMA • Slow response from students to staff tender the required documents • Though not formerly some students • Some students misunderstanding of deployed by UNIMA honorary membership • Commitment of HoDs to recruit • Materials for online masters delivery honorary staff not yet loaded • 7/9 students got ethical clearance • 2/2 PhD got ethical clearance AMR seminar (2016 Oslo) UNIMA 8

  9. Gender: Implementation • Head hunt for women to register for the Masters program so that the number of women will increase • Support the outreach programs for the women in Science groups • Funds permitting buy airtime from both the local radio and tv station to have a weekly/monthly program on Science education to the girl child • Collaborate with other gender oriented initiatives in the country Empowering the girl child Dec 2015 AMR seminar (2016 Oslo) UNIMA 9

  10. Gender: Achievements & Challenges Achievements Challenges • Formed the Women in Science • Need to have a national wide groups (Lilongwe and Blantyre) committee; not yet done • Conducted sensitization campaigns • Members apathy in meetings in schools • Limited resources to carry out • Many women interested planned activities • Over engagement of active members AMR seminar (2016 Oslo) UNIMA 10

  11. Relevance to Local, National and Regional Needs • Production of mass PG qualified personnel who in turn will be employable at UNIMA • Training of Health personnel for knowledgeable health practices • Conducted workshop on AMR • Trained students on statistics • Introduction of online MSc program + Masters by Research • Inform the populous on the dangers of antimicrobial abuse and misuse AMR seminar (2016 Oslo) UNIMA 11

  12. Success Stories • The women in science is a success story • Modern equipment to the national reference laboratory • Members of COM are now honorary members of staff for UKZN • Members appreciate the academic input from the collaborating partners • Poster presentation during the 2016 NORHED meeting in Oslo • Active involvement in AMR national policy formation • Online MSc curriculum presented to senate for review • Research Masters to be recruited in October 2016 AMR seminar (2016 Oslo) UNIMA 12

  13. Lab Equipment to UNIMA Blood culture incubator -85 freezer Biosafety cabinet AMR seminar (2016 Oslo) UNIMA 13

  14. Lab Equipment to UNIMA cont’ Heating block, voltex, thermocycler,gel Autoclave reader, AMR seminar (2016 Oslo) UNIMA 14

  15. ACKNOWLEGEMENT • NORHED • UKZN • UiT AMR seminar (2016 Oslo) UNIMA 15

  16. THANK YOU

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