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August 19, 2026Expert Review of Anti-infective Therapy

Antimicrobial stewardship implementation in Western Uganda: a narrative policy and implementation review

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Authors

EAEsther Ugo AlumBGBashar Haruna GulumbeFEFriday Ogbu Edeh

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Overview

Narrative review reveals fragmented antimicrobial stewardship strategies in resource-limited health systems, highlighting the need for structured minimum implementation packages.

Key Points

  • Synthesize evidence and policy frameworks on antimicrobial resistance and antimicrobial stewardship implementation in Western Uganda to design a practical, low-resource stewardship model.
  • Searched PubMed, World Health Organization repositories, and Ugandan Ministry of Health databases for policy and implementation evidence on antimicrobial resistance and stewardship.
  • Synthesized data from regional prescribing studies, national hospital point-prevalence surveys, and broader low- and middle-income country implementation literature.
  • Identified pervasive inappropriate antibiotic prescribing and fragmented implementation of routine antimicrobial stewardship across healthcare facilities.
  • Proposed a minimum implementation framework incorporating facility-level accountability, Uganda Clinical Guideline and AWaRe-informed prescribing support, prescription review, laboratory feedback, pharmacy engagement, and district supervision.

Cite This Study

Alum et al. (2026) studied this question.

synapsesocial.com/papers/6a8563ae03308d306e2d70a5https://doi.org/10.1080/14787210.2026.2720593
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