2022-10-30-世界卫生组织-Antimicrobial_resistance_TrACSS_Zimbabwe_2022_country_profile_10页_294kb

Antimicrobial Resistance (AMR) and TrACSS Overview

Antimicrobial resistance is a global health threat causing significant mortality and undermining efforts to achieve Sustainable Development Goals. Zimbabwe participated in the sixth iteration of the Tracking AMR Country Self-Assessment Survey (TrACSS), which monitors the implementation of AMR National Action Plans (NAPs). With a global response rate of 86%, the TrACSS provides an overview of national capacities and progress. Globally, AMR implementation has been uneven, particularly in critical areas like surveillance and restriction of antimicrobial use.

TrACSS Indicators and Zimbabwe's Performance

Zimbabwe's performance in key sectors was evaluated across multiple indicators with TrACSS rating levels (A to E):

• Human Health: Most capacity (e.g., training education, surveillance) rated at C or B, indicating limited to developed implementation. Challenges include inadequate monitoring of antimicrobial consumption and insufficient IPC interventions.

• Animal Health: Sectors show ratings of B to C for training and education in terrestrial and aquatic animal health. Surveillance systems for AMR in live animals are partially developed, with room for improvement in biosecurity practices and laboratory integration.

• Food and Agriculture: Capacities are rated low (A to C) for monitoring, surveillance, and enabling good practices to reduce antimicrobial use. Limited progress in integrating laboratories into food safety surveillance.

• Environment: Zimbabwe lacks comprehensive risk assessments for antimicrobial residues in the environment and has no continuous monitoring system for water quality, with legislation gaps, though use of AMR data for policy is improving.

In 2018-2022, Zimbabwe's capacity showed incremental progress in multisector coordination but lagged in environmental monitoring. Many indicators remain at lower levels, indicating limited national implementation across sectors.

Key Messages and Recommendations

Zimbabwe faces challenges in funding, human resources, and technical capacity for AMR efforts. Reports highlight inconsistent political commitment, poor data utilization, and limited awareness campaigns. Recommendations include strengthening multisectoral AMR mechanisms, enhancing data-based decision-making, ensuring legal frameworks for antimicrobial prescriptions, expanding nationwide surveillance, boosting infection prevention, and increasing public and youth awareness to combat AMR proactively. Continuous monitoring via TrACSS is crucial for tracking progress.