## 



|Contents|Page|
|---|---|
|Report ofthe Trustees||
|Independent<br>Examiner's<br>Report|18|
|Statement ofFinancial Activities|19|
|Statement ofFinancial Position|20|
|Notes tothe Financial Statements|21|
|Detailed Statement of Financial Activities|28|





## 















|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|





|3.2 Commonwealth<br>Partnerships<br>forAntimicrobial<br>Stewardship<br>(CwPAMS|
|---|
|In September 2018the CPA, in partnership<br>with the Tropical<br>Health<br>and Education<br>Trust|
|(THET), received funding from the UK Department<br>ofHealth and Social Care's Fleming Fund|
|to develop<br>the<br>Commonwealth<br>Partnerships<br>for Antimicrobial<br>Stewardship<br>(CwPAMS)|
|programme.<br>This scheme isdelivered<br>via THET's very successful Health Partnerships<br>Scheme|
|(HPS). The<br>CPA<br>provides<br>key technical<br>support<br>to the<br>partnerships<br>on<br>antimicrobial|
|stewardship<br>(AMS) and clinical pharmacy.<br>The programme<br>was originally<br>due to finish<br>in|
|May 2020 but has been granted<br>an extension toJune 2021due tothe COVID19 pandemic.|
|The aims ofthe programme<br>were to strengthen<br>workforce in:|
|~<br>Antimicrobial<br>prescribing<br>(including<br>informed<br>by clinical data and using decision tools)|
|~<br>Antimicrobial<br>stewardship<br>practices (including<br>surveillance<br>ofuse)|
|~<br>Infection prevention<br>and control.|
|Prior to COVID19, CwPAMS involved<br>volunteer<br>NHS pharmacists,<br>specialist nurses, medics|
|and<br>health<br>psychologists<br>travelling<br>to participating<br>Commonwealth<br>nations to work<br>in|
|partnership<br>with<br>local health<br>workers,<br>sharing<br>expertise<br>and jointly tackling the growing|
|challenge<br>of AMR. Originally,<br>12 partnerships<br>were awarded<br>grants<br>across 4 countries:|
|Ghana, Tanzania,<br>Uganda<br>and Zambia,<br>with the intention<br>of sharing<br>skills and knowledge,|
|and toco-create innovation<br>in AMS. Participating<br>teams from the NHS undertook 1-2 annual|
|placements<br>of 1-2 weeks at hospital<br>sites<br>in Commonwealth<br>countries.<br>Between<br>visits,|
|teams kept in touch through<br>online mentoring<br>arrangements.<br>This programme<br>ofwork has|
|the aim of supporting<br>countries<br>to deliver<br>on their<br>national<br>AMR action<br>plans through|
|facilitating better stewardship<br>ofantimicrobials<br>and infection prevention<br>control processes.|
|By Q3, 5096 of objectives were achieved,<br>and the original<br>programme<br>achieved<br>all of its|
|planned objectives.|
|Intermediate<br>outcomes include:|
|OUTCOME 1:LMIC healthcare<br>institutions<br>and workforce improved<br>practice related to AMS|
|1500LMIC healthcare<br>workers trained,<br>including 253 pharmacists<br>in AMS —up-skilling|
|8 role creation across projects|
|Monitoring of behavioural<br>change has been conducted<br>(full results pending)|
|Improved<br>prescribing<br>practice and collaboration<br>between<br>prescribers<br>&lab —expected|
|in all by end ofprogramme|
|OUTCOME 2:AMS strategies,<br>guidelines<br>and tools in place and being used|
|Antimicrobial<br>Stewardship<br>checklist 8 behavioural<br>tools|
|15new or revised documents<br>relating to AMS and AntibioticAbx<br>prescribing<br>practices|
|(zero before)|
|CwPAMS<br>app<br>(including<br>national<br>treatment<br>guidelines,<br>WHO<br>guidelines,<br>IPC 8|
|surveillance)|
|Medicines &Therapeutics<br>Committees|
|AMS champions|
|Global Point Prevalence<br>Surveys (GPPS) in 10hospitals<br>(previously<br>only 1)e.g. Korle Bu|
|2000+ bed PPS (pooled national<br>results<br>being used to guide national<br>strategy,<br>as well|
|as local intervention).|



