Surveillance Data Use Through the Fleming Fund: Informing Action on Antimicrobial Resistance in Low- and Middle-Income Countries.

@article{drake2026surveillance,
  title = {{Surveillance Data Use Through the Fleming Fund: Informing Action on Antimicrobial Resistance in Low- and Middle-Income Countries.}},
  author = {Archie Drake and Alesia Ofori and Amy Rahmadanti and Ankur Gupta-Wright and Areeya Disratthakit and Ayodele Majekodunmi and Benjamin Kissi Sasu and N Claire Gordon and Claudia Parry and Collins Mitambo and Deborah Nanjebe and Desrina Sitompul and Didem Torumkuney and Evelyn Wesangula and Freddy Eric Kitutu and Heidi Hopkins and Jacob Wildfire and Japheth A Opintan and Jennifer Armitage and Joseph Sam Kanu and Kate Macintyre and Kriti Khurana and Lamiaa Shehata and Manish Pathak and Megha Raj Banjara and Milena von Und Zur Mühlen and Muhammad Taimoor Kayani and Muhammad Usman Zaheer and Mwapu Ndahi and Nandini Shetty and Nicholas Feasey and Nigel French and Nimesh Poudyal and Nure Alam Siddiky and Paul Turner and Pem Chuki and Qadeer Ahsan and Rebecca Maudling and Ritu Amatya and Satyajit Sarkar and Syed Abbas and Tamalee Roberts and Tauqeer Mustafa and Tim Shorten and Titha Dzowela and Toby Leslie and Tochi Okwor and Yu Nandar Aung},
  journal = {Clinical infectious diseases : an official publication of the Infectious Diseases Society of America},
  year = {2026},
  month = oct,
  doi = {10.1093/cid/ciag520},
  url = {https://europepmc.org/article/MED/42895836},
  note = {CC BY},
}

TY  - JOUR
TI  - Surveillance Data Use Through the Fleming Fund: Informing Action on Antimicrobial Resistance in Low- and Middle-Income Countries.
AU  - Archie Drake
AU  - Alesia Ofori
AU  - Amy Rahmadanti
AU  - Ankur Gupta-Wright
AU  - Areeya Disratthakit
AU  - Ayodele Majekodunmi
AU  - Benjamin Kissi Sasu
AU  - N Claire Gordon
AU  - Claudia Parry
AU  - Collins Mitambo
AU  - Deborah Nanjebe
AU  - Desrina Sitompul
AU  - Didem Torumkuney
AU  - Evelyn Wesangula
AU  - Freddy Eric Kitutu
AU  - Heidi Hopkins
AU  - Jacob Wildfire
AU  - Japheth A Opintan
AU  - Jennifer Armitage
AU  - Joseph Sam Kanu
AU  - Kate Macintyre
AU  - Kriti Khurana
AU  - Lamiaa Shehata
AU  - Manish Pathak
AU  - Megha Raj Banjara
AU  - Milena von Und Zur Mühlen
AU  - Muhammad Taimoor Kayani
AU  - Muhammad Usman Zaheer
AU  - Mwapu Ndahi
AU  - Nandini Shetty
AU  - Nicholas Feasey
AU  - Nigel French
AU  - Nimesh Poudyal
AU  - Nure Alam Siddiky
AU  - Paul Turner
AU  - Pem Chuki
AU  - Qadeer Ahsan
AU  - Rebecca Maudling
AU  - Ritu Amatya
AU  - Satyajit Sarkar
AU  - Syed Abbas
AU  - Tamalee Roberts
AU  - Tauqeer Mustafa
AU  - Tim Shorten
AU  - Titha Dzowela
AU  - Toby Leslie
AU  - Tochi Okwor
AU  - Yu Nandar Aung
PY  - 2026
DA  - 2026/10/01
JO  - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
DO  - 10.1093/cid/ciag520
UR  - https://europepmc.org/article/MED/42895836
AB  - Background  Drawing on the Fleming Fund's work to strengthen antimicrobial resistance (AMR) surveillance across Africa and Asia during 2018-2026, this article provides one of the first syntheses of AMR surveillance data use in low- and middle-income countries.Methods  A participatory synthesis for narrative review was conducted to summarize experience across administrative levels (facility, subnational, national, and regional).Results  Data use was most evident at the facility level, in human health systems where resistance patterns, antimicrobial use, and clinical data increasingly informed antimicrobial stewardship, infection prevention and control, and other quality improvement initiatives. Data use in other sectors required different approaches. At the national level, Fleming Fund investments were associated with revisions of treatment guidelines, updates of essential medicines lists, and regulatory measures, primarily through improved governance and policy communities. Regional platforms supported member country data use at the national level. Subnational data use was undertaken in countries with decentralized health systems. Across levels, data use pathways driven by local priorities helped surveillance inform action.Conclusions  Fleming Fund experience suggests that surveillance is more likely to inform action when data use is built into system design. Continued investment will be needed if AMR surveillance is to improve policy and practice in low- and middle-income countries.
SN  - 1058-4838
SN  - 1537-6591
ER  -