I cannot agree more with Neil's comment on this intractable global concern: that antibiotics resistance is increasing yet only few new generation of antibiotics to counter the consequences (my paraphrase). In addition to the points raised (repeated) by him, I add that part on the multifaceted approach should as a matter of urgency include convincing (educating) policy makers to make policy driven by study evidence of benefit. Policy should be drawn by 'what works' e.g. where polypharmacy a major factor in the causation of antibiotic resistance is prevented or reduced or even eliminated by a Programme which improves diagnosis and treatment accuracy rates, and promotes results based task shifting, policy makers should be expected to scale up such a Programme.
Making information available to all - policy makers, providers, and users is critical especially when such information is from research, more so locally conducted research.
HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: www.hriwestafrica.com Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.
Email: jneana AT yahoo.co.uk