Ongoing Projects

Ongoing Projects

Ongoing Projects

Egypt

Lead Quadripartite organization: WHO

Project dates: January 2026 – December 2028 (36 months)

Overview:

Despite meaningful progress, critical gaps persist in fully operationalizing and sustaining joint AMR responses across sectors. The project strengthens the backbone of Egypt’s AMR containment efforts: enhancing national capacity, ensuring multisectoral engagement and enabling evidence-based action. The AMR MPTF programme supports four interconnected outcomes—governance, surveillance, stewardship, and financing.

Key activities include:

  • Strengthening AMR policy frameworks and enhancing M&E to track progress and impact of policies across different sectors while supporting the phased implementation of the AMR Operational Plan for Human Health; addressing gaps in monitoring environmental drivers of AMR and support the identification of priority areas for strengthening relevant legislative and regulatory frameworks.
  • Operationalizing the multisectoral AMR technical working group (TWG) under the Supreme Coordination Committee and strengthening cross-sector partnerships between government agencies, private sector and NGOs to support the development and implementation of AMR solutions.
  • Expanding and harmonizing AMR and AMU surveillance across human, animal, and environmental sectors, to improve integrated data collection and analysis and support evidence-informed  policy making and strengthened regulatory action; mapping existing surveillance systems, conducting training sessions for key stakeholders, establishing systems for human, animal and environmental sectors at both national and subnational levels to ensure regular monitoring, data analysis and dissemination of antimicrobial consumption trends and spread in the environment; strengthening residue monitoring in the livestock food chain and supporting implementation of related food safety standards.

Ghana

Lead Quadripartite organization: WHO

Project dates: January 2026 – December 2028 (36 months) phase 2 grant

Overview:  An end-term review of the National Action Plan in 2022 reported over 50% implementation progress, particularly in surveillance and infection control, but persistent gaps remain in sustainable financing, implementation capacity, awareness, and AMU data availability. The project seeks to consolidate progress and build on the AMR MPTF Phase 1 achievements by strengthening governance, expanding surveillance, promoting stewardship, and embedding AMR awareness across all sectors.

Key activities include:

  • Scaling up integrated AMR/AMU surveillance and monitoring in human health, crop value chains, livestock, and wastewater, surface water and soil.
  • Carrying out biosecurity certification on poultry, piggery, and aquaculture farms and implementation of RENOFARM principles and enhanced use of vaccines for animal diseases to reduce antimicrobial use in livestock and fish.
  • Strengthening IPC and AMS programs and training in healthcare facilities; conducting farmer field schools in poultry and aquaculture to reduce reliance on antimicrobials; compiling best practice on pesticide use; and developing and monitoring adherence to essential medicines list and treatment guidelines for the animal health sector.
  • Delivering cross‑sectoral awareness campaigns and training for professionals and communities, especially on understanding the environmental dimensions of AMR.

Honduras

Lead Quadripartite organization: WHO

Project dates: January 2026 –January 2028 (24 months)

Overview: The country has established the foundations of a multisectoral One Health response to AMR through a coordination mechanism and a national action plan, but implementation remains constrained by limited governance capacity, financing, and cross-sector collaboration. The AMR MPTF project prioritizes integrating AMR risks into national planning and budgeting, strengthening surveillance systems, promoting rational antimicrobial use and safe disposal, and enhancing multisectoral coordination

Key activities include:

  • Strengthening national capacity to design and implement AMR policy and regulatory frameworks by assessing and updating the NAP, develop a One Health financial and governance framework, review and strengthen multisectoral AMR‑related regulations, and draft regulatory instruments and technical standards for wastewater management, biosecurity in livestock production, and integrated AMR surveillance.
  • Reinforcing national systems for generating, analyzing, and interpreting AMR/AMU data by upgrading interoperable laboratory information systems (WHONET–LIMS), supporting the strengthening of traceability and registry systems for antimicrobials and veterinary products, enhancing surveillance across human, animal, aquaculture and environmental sectors, and building technical capacity through training, diagnostics assessments, and public‑private data‑sharing mechanisms.
  • Improving the design and delivery of AMR awareness, behaviour‑change, and educational initiatives by implementing multisectoral campaigns; training technical personnel, animal health officers, and agricultural producers; expanding RENOFARM‑based continuing education; and integrating AMR content into university curricula across health, veterinary, environmental, and agronomy disciplines.

 

Kenya

Lead Quadripartite organization: WOAH

Project dates: January 2026 – December 2028 (36 months) phase 2 grant

Overview: Kenya has made significant strides in combating AMR through a One Health approach with strong governance systems in place. The project scales up Kenya’s previous successes to sustain the gains, prioritise completion of phase 1 priorities and address identified gaps. The planned AMR interventions will further strengthen governance, expand surveillance, and improve stewardship and biosecurity across human, animal, and environmental sectors.

Key activities include:

  • Strengthening national and subnational capacity to design and implement AMR policy frameworks by reinforcing multisectoral governance and coordination; scaling up IPC and AMS quality‑improvement approaches; integrating AMR/AMU priorities into county and national plans; generating and disseminating multisectoral surveillance reports; building environmental, regulatory, and waste‑management capacities; and taking stock of existing regulations, research and innovations on alternatives to antimicrobial therapies for animal diseases.
  • Strengthening national IPC and biosecurity systems by developing training materials and expanding TOT programs for veterinarians and paraprofessionals; establishing harmonized vaccination strategies and a national vaccine‑sourcing approach; and promoting preventive animal‑health practices that reduce disease burden and reliance on antimicrobials.
  • Strengthening systems for optimized antimicrobial use by operationalizing and disseminating consumptionmonitoring tool; enhancing veterinary medicines regulation through finalized postmarket surveillance and pharmacovigilance plans; improving quality analysis of veterinary products; and  supporting legal measures to restrict growthpromotion use and safeguard critically important antimicrobials.
  • Strengthening national capacity for AMR awareness and behaviour change by implementing coordinated multisectoral awareness campaigns; developing and validating the One Health AMR communication strategy; expanding virtual and field‑based training platforms; delivering farmer and professional outreach programs using RENOFARM and biosecurity guidelines; integrating environmental AMR dimensions into higher‑education curricula; and producing and disseminating AMR/AMU reports and learning materials across sectors.

Kyrgyz Republic

Lead Quadripartite organization: FAO

Project dates: January 2026 – December 2028 (36 months)

Overview: With the current NAP concluding in 2025, the AMR MPTF project comes at a critical moment to support institutional readiness and evidence generation for developing the next multisectoral NAP in Kyrgyzstan. The AMR MPTF project will help address critical gaps identified during the previous NAP implementation, including weak environmental integration, limited intersectoral governance, and insufficient laboratory and veterinary capacity. The project will support the revision and operationalization of the NAP, ensuring stronger coordination, monitoring, and sustainable financing across human, animal, and environmental health sectors. By building sustainable structures, strengthening national ownership, and complementing ongoing initiatives, the project will help establish a strong foundation for Kyrgyzstan’s future AMR response.

Key activities include:

  • Establishing a functional national AMR/AMU surveillance system across human and animal health, food and environment sectors; strengthening laboratory capacity at the Ministry of Agriculture for veterinary surveillance; implementing environmental monitoring through the Ministry of Natural Resources; formalizing governance mechanisms with regular AMR Multisectoral Coordination Committee meetings
  • Updating and rolling out national guidelines for prudent AMU in human and veterinary care; strengthening traceability of veterinary drugs and food products; and training healthcare and veterinary professionals on antimicrobial stewardship. The training packages and national guidelines will be standardized across sectors, with follow-up mentoring to ensure adoption at facility and farm level.
  • Developing gender-sensitive, multisectoral campaigns on AMR risks and responsible AMU targeting healthcare workers, farmers, veterinarians, women caregivers, and the public; developing sector-specific behaviour change communication materials; and conducting cross-sectoral capacity-building workshops, engagement of the veterinary universities and professional associations in behaviour change initiatives and targeted AMR professional education.

Lebanon

Lead Quadripartite organization: WHO

Project dates: February 2026 – January 2028 (24 months)

Overview: The compounded poly-crisis and multidimensional poverty in Lebanon has had its toll on the country’s infrastructure, public services and capacity of the government to address critical national public health issues.  AMR is well-documented in Lebanon and recognized as a critical public health concern. There is an urgent need to build the capacity of all relevant sectors, in rational use of antibiotics and adapted solutions for waste management. It is imperative to monitor AMR through surveillance mechanisms and provide evidence for cost-effective and applicable policies at national level. The project supports Lebanon’s health, agriculture, and environmental system challenges by strengthening AMR surveillance, stewardship, and One Health coordination amid ongoing economic and governance challenges.

Key activities include:

  • Establishing a multisectoral AMR sentinel surveillance network for hospitals and livestock systems; conducting environmental AMR scoping studies and integrated assessment of Lebanon’s AMR laboratory and surveillance capacities.
  • Developing a national integrated AMR/AMU surveillance dashboard and integration with InFARM for data collection, analysis, and reporting to feed into national and global AMR databases.
  • Supporting the coordination and staffing for the National AMR Committee and its One Health technical working groups.
  • Conducting sensitization meetings for policymakers and parliamentarians and joint awareness-raising campaigns and trainings for healthcare providers, veterinarians, and environmental professionals.
  • Developing a costed five‑year National AMR Action Plan aligned with One Health principles.
  • Updating and harmonizing national guidelines for antimicrobial use and stewardship; updating guidelines and prescribing protocols for animal health; promoting good production practices, alternatives to antibiotics, and improved animal husbandry as part of One Health AMR mitigation.

Nepal

Lead Quadripartite organization: FAO

Project dates: January 2026 – December 2028 (36 months)

Overview: Nepal has a high prevalence of infectious and communicable diseases including respiratory infections, tuberculosis and typhoid. The spread of AMR makes the treatment of such infections even more challenging. AMR has also developed in the livestock sector due to improper use of antimicrobials, lack of biosecurity measures and regulatory mechanisms. Environmental surveillance for AMR is limited and recent testing (2022) has shown resistant genes present in wastewater in the Kathmandu valley. AMR is recognized as an important health security threat in Nepal. The project advances Nepal’s recently endorsed AMR NAP (February 2024) by strengthening surveillance, improving antimicrobial use practices, and expanding One Health coordination across human, animal, food, and environmental sectors.

Key activities include:

  • Improving multisectoral coordination and facilitating joint analysis of surveillance data from animal, human, food and environment sector on key pathogens; assessing the implementation status of AMR NAP activities in the food and agriculture sectors in 2027 to identify key priority areas for inclusion in the NAP revision to ensure equitable representation of the food and agriculture sectors.
  • Strengthening of Laboratory Information Management System (LIMS) and in-country capacity of Veterinary and Food Laboratories; improving testing and data quality to strengthen AMR/AMU surveillance through GLASS, ANIMUSE, producing an assessment of laboratory networks in food and agriculture sectors using ATLASS, and conducting environmental AMR mapping and science‑policy dialogues.
  • Conducting joint training workshops for bacterial identification, antimicrobial susceptibility testing (AST), and data harmonization including all sectors and strengthening capacity for surveillance of healthcare associated infections due to drug resistant pathogens;
  • Enhancing biosafety and biosecurity systems through improved policies, guidelines, and standard protocols in environment, livestock and fisheries and food sector and supporting RENOFARM implementation and farm‑level AMU reduction strategies by classifying farms and incentivizing farmers; introducing a pharmacovigilance system for Nepal.
  • Delivering multisectoral awareness campaigns and communication strategies and developing training resources including a distance education course on the use and disposal of antimicrobials.
  • Conducting assessment of the AMR-related regulations in the country using OHLAT.

Philippines

Lead Quadripartite organization: WHO

Project dates: January 2026 – December 2028 (36 months)

Overview:  AMR poses a serious and growing threat to health, food security, and the environment in the Philippines. The Philippines faces persistent challenges in ensuring rational antimicrobial use across sectors, maintaining effective surveillance, and building sustained behavior change. The project scales up stewardship, surveillance, and behaviour‑change interventions to support the Philippines’ 3rd National Action Plan on AMR and strengthen One Health integration across sectors.

Key activities include:

  • Expanding AMR and AMU surveillance in hospitals, farms, aquaculture, and environmental hotspots.
  • Updating National Antibiotic Guidelines and Essential Medicines List to promote rational procurement, prescribing and effective monitoring of antibiotic use for human health; developing a system to monitor and gather data on prescribing, dispensing, and use of veterinary antimicrobials and developing the National Antibiotic Guidelines, including Antimicrobial Stewardship Program, tailored for animal health.
  • Initiating the aggregation of evidence and mapping of relevant stakeholders on the proper disposal of antimicrobials, supporting environmental AMR monitoring in hotspots, waste management; organizing science‑policy exchanges and developing a community of practice on the environmental dimensions of AMR.
  • Implementing integrated AMR/AMU data platforms and cross‑sector review workshops; strengthening field level AMU data gathering and ANIMUSE reporting at farm level in poultry and aquaculture sectors.
  • Delivering national awareness campaigns and One Health communication strategies targeting professionals such as healthcare professionals, veterinarians, feed millers, farmers, fisherfolk; conducting workshops to engage the private sector in AMR; facilitating the evaluation, revision or development of training and education materials; organizing science journalism and cross-sector storytelling training to increase responsible AMR reporting and reduce misinformation.

Sri Lanka

Lead Quadripartite organization: FAO

Project dates: March 2026 – February 2029 (36 months)

Overview: Sri Lanka has demonstrated strong commitment to addressing AMR through its National Strategic Plan (NSP) for Combating AMR 2023-2028 and Costed National Action Plan (NAP) emphasizing multisectoral collaboration across human health, animal health, and the environment. Critical gaps remain in surveillance systems, data integration, governance and coordination between sectors, including the need for updated regulation and new awareness campaigns. The key challenge for the implementation of NSP AMR is financial limitations. The AMR MPTF project strengthens Sri Lanka’s AMR governance, surveillance, and stewardship systems while integrating environmental dimensions and supporting the next NAP revision.

Key activities include:

  • Conducting a multisectoral political economy analysis of AMR stakeholders in food and agriculture sectors; developing and implementing an engagement plan with key identified stakeholders.
  • Conducting an analysis of stakeholders working on the environmental dimensions of AMR and map research efforts; supporting improved guidance and frameworks on disposal of antimicrobials and monitoring of waste and wastewater
  • Conducting mapping of antimicrobial supply chain in the animal health sector including supporting monitoring systems related to veterinary medicine quality assurance; assessing national capacities for monitoring antimicrobial residues in foods of animal origin.
  • Implementing RENOFARM 5G assessments and stakeholder engagement in selected livestock production systems to classify farms and incentivize farmers toward progressive improvements to reduce the need for antimicrobials.
  • Updating national AMR policies such as antibiotic prescription and stewardship guidelines, stewardship guidelines, and regulatory frameworks; conducting a review of legal framework on Sri Lanka with specific emphasis on antimicrobials and inform future policy considerations; and providing recommendations for updating of the National Strategic Plan (NSP) for Combating AMR in the next revision scheduled (2028).
  • Establishing a national veterinary AMR laboratory network and link with global community of practice; initiating a dialogue with private sector for AMR/AMU data sharing with government agencies; developing multisectoral communication strategies and delivering One Health awareness campaigns, and KAP survey in priority food and agriculture sectors to understand barriers to behavior change; reviewing the Medical, Veterinary, Animal Husbandry & Fisheries and Environmental Science Curricula to provide recommendations on curricula updates and conducting multisectoral professional training, including AMU/AMC data collection workshops to improve quality of data.

Zimbabwe

Lead Quadripartite organization: WHO

Project dates: January 2026 – December 2028 (36 months) phase 2 grant

Overview: Zimbabwe took a major step forward in its efforts to combat antimicrobial resistance (AMR) with the launch of its second National Action Plan on AMR (NAP 2024–2028) on 20 February 2025. The updated NAP comes at a critical time, as drug resistance complications continue to be reported. High levels of resistance have been observed in common infections, largely driven by the misuse and overuse of antimicrobials. widespread use of antibiotics in food-producing animals, often without veterinary oversight, has further exacerbated resistance. Environmental contributors include contamination from waste and inadequate biosecurity practices, which facilitate the spread of resistant pathogens.  The AMR MPTF project builds on Zimbabwe’s NAP 2.0 by strengthening surveillance, stewardship, environmental monitoring, and behaviour change to reduce AMR risks across sectors.

Key activities include:

  • Strengthening and scaling surveillance of Healthcare Associated Infections (HAI) and AMR by: refining patient electronic data collection forms for neonatal sepsis, surgical site infections, and catheter-associated urinary tract infections to capture all variables accurately and in real-time; configuring IPC and AMS audit tools, hand hygiene compliance observation forms and daily resources availability checklists into the electronic platform; implementing supervised HAI case-finding period in hospitals, supported by robust laboratory capacity; developing dashboard for the hospitals and rollout to healthcare facilities.
  • Promoting good husbandry practices and prudent antibiotic use in agrifood systems by scaling up Farmer Field School interventions to at least four additional districts, including developing and validating a RENOFARM sustainability roadmap with national stakeholders.
  • Developing and disseminating veterinary treatment guidelines and training frontline veterinary personnel on rational antimicrobial use.
  • Integrating national agrifood sector laboratories into INFARM and strengthening INFARM reporting; mapping AMR Risks Along Food Value Chains;
  • Conducting comprehensive genetic profiling of Theileria sp. strains for advancement of vaccine development; implementing rigorous quality control and batch testing protocols ensuring compliance with Good Manufacturing Practices; providing support to obtain regulatory approval and facilitate lot release to ensure vaccine quality, safety, and efficacy.
  • Strengthen national regulatory and surveillance capacity for detecting and mitigating substandard and falsified (SF) veterinary medicines across Zimbabwe’s supply chain; training inspectors and enforcement professionals to reinforce compliance; conducting awareness sessions targeting farmers and the public.
  • Developing environmental AMR guidelines through multi-sectoral stakeholder engagement; conducting training, and implementing cross‑sector awareness campaigns and training for One Health stakeholders, regulators, and operators on the implementation and use of new guidelines.
  • Rolling out AMR awareness to promote behaviour change through Communities of Practice (COPs), ECHO sessions, and public community-level engagements; presenting project results (MPTF phase 1 and 2) through scientific conference presentations and peer reviewed publications to disseminate data and promote evidence-based decision-making.