Essential medicines and health products

Community-Based Surveillance of Antimicrobial Use and Resistance in Resource-Constrained Settings

Report on five pilot projects


Publication details

Number of pages: 124
Publication date: 03 May 2009
Languages: English
WHO reference number: WHO/EMP/MAR/2009.2


Integrated surveillance of antimicrobial resistance and use at all levels of health care is an essential component of any programme to contain antimicrobial resistance. There is currently no standard methodology for conducting community-based surveillance in resource-constrained settings. This document describes five pilot surveillance projects that were set up in India (3 sites) and South Africa (2 sites) with the aim of developing a model for undertaking integrated community-based surveillance in resource-constrained settings and generating baseline data. The methodology used in each area aimed to collect antimicrobial resistance (AMR) and use data from the same geographical area over time, but was modified to suit the particular characteristics of each site. Lessons learned are discussed ...