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Antimicrobial resistance (AMR) Project in Ghana


Antimicrobial resistance (AMR) is a major public health threat in Ghana.

It is estimated that over 70% of bacterial isolates from hospitals in Ghana are resistant to commonly used antibiotics.

The continued use of antibiotics in both humans and animals, in many cases inappropriately, contributes to the high resistance levels. The AMR phenomenon could have far-reaching social, health and economic consequences on several sectors including human health, agriculture, aquaculture, as well as the environment.

The Government of Ghana Response

The Government of Ghana recognizes the threat posed by amr and has a national action plan on AMR.

The plan is aimed at reducing the burden of AMR in Ghana through a number of strategies, including:

  • Promoting the rational use of antibiotics
  • Improving infection prevention and control practices in healthcare settings
  • Strengthening surveillance of AMR
  • Investing in research and development of new antibiotics and other AMR interventions

Key Achievements

Country Grant 1a


Refurbished 11 reference and sentinel laboratories.


Provided and installed essential equipment.


Trained laboratory staff on use and daily routines of equipment installed.


Supplied initial reagents and consumables.

Children (0-14): <50%  vs Adults> 70%.
Pregnant women in SSA contribute 50% of people not receiving ARTs.
Gender disparities: Men 78% vs Women 80%.

AMR Transition Grant

The Fleming Fund Response

In response to the AMR global threat, the Fleming Fund (FF) has supported Ghana since 2018 in the form of three country grants (CG1, CG1a and Transition grant), 12 Fellowships, and central and local procurement of equipment, reagents, and consumables.

The aim of the Fleming Fund’s Programme of country, regional and fellowship grants, managed by Mott MacDonald, is to improve the ability of Fleming Fund countries to diagnose drug resistant bacteria, and generate data and strengthen surveillance to inform policy and practice at national and international levels.


The role of Aurum Institute Ghana in
AMR Response

The Aurum Institute Ghana (AIG), a country grantee of the FF has received and managed two country grants in response to the AMR threat in Ghana.

Under the Country Grant 1a (CG1a) in 2021, AIG was responsible for building infrastructure for AMR surveillance.

Through the grant, eleven human and animal sentinel laboratories were renovated, equipment installed, staff trained, and initial reagents and consumables supplied.

AIG is currently implementing the FF AMR-Transition Grant which focuses on strengthening governance structures, improving laboratory capacity to conduct AMR surveillance, building relationships with key stakeholders, and maintaining the momentum gained under CG1 and CG1a.

Future Plans

AIG will continue its role as the country grantee in Phase II of the FF country grant between 2024 and 2025. AIG, in Phase II will;

Support implementation of quality assured national surveillance programmes for AMR/U/C and burden using a One Health approach and in line with FF principles and National Action Plans.


Work towards data and evidence use in policy and practice in human health, animal health and food production, food safety, and the environment.


Coordinate activities with other FF Regional and Specials grant and with Government and other stakeholders.


Promote sustainability, primarily through resource mobilization.

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