Supporting the National Action Plan for Antimicrobial Resistance (SNAP-AMR) in Tanzania

Lead Research Organisation:

University of Glasgow, Scotland (PIs: Prof. Ruth Zadoks and Prof. Shona Hilton)

Partner Institutions Executing the Project:

• CUHAS/Bugando Medical Centre (CUHAS/BMC): Prof. Stephen E. Mshana and Prof. Jeremiah Seni
• Kilimanjaro Christian Medical Centre/Kilimanjaro Clinical Research Institute (KCMC/KCRI): Prof. Blandina Mmbaga
• Nelson Mandela Africa Institute of Science and Technology (NM-AIST): Prof. Gabrielli Shirima
• The National Focal Point on AMR – Ministry of Health: Pharm. Siana Mapunjo

Project Details:

• Funded Value: £3,190,383
• Funded Period: April 2018 – March 2023
• Project Sites & Scope: Mwanza, Arusha, and Kilimanjaro regions in selected health care facilities, communities, and the animal sector. The project deployed a One-Health approach.
• Funder: Medical Research Council (MRC), UK
• Status: Completed, leading to the ongoing ARRIVe Project at CUHAS, Bugando Medical Centre, and Magu District Hospital.

Project Summary:

The SNAP-AMR Project provided insights into biological, social, and cultural drivers of antimicrobial resistance (AMR) across multiple levels:

• Individual (inherent)
• Micro (community)
• Meso (institutional)
• Macro (policy)

The project prioritized evidence-based interventions to reduce AMR and consisted of five work packages aligned with Tanzania’s NAP-AMR strategic objectives (2017–2022).

Key Project Deliverables:

• Built laboratory diagnostic infrastructures and human resource capacity for stewardship and IPC actions.
• Trained: 2 PhD students (Tanzania), 2 PhD students (UK), 4 master students (Tanzania), several post-docs, and hundreds of health care workers.
• Informed NAP-AMR strategic directions and contributed to High-Level Technical Reports (2022–2025).
• Developed the SNAP-AMR Communication Campaign Toolkit for healthcare facilities and communities.
• Published over 20 research articles in peer-reviewed journals, featured on the university website.

Project Gallery

Key Publications / Books

• THE NATIONAL ACTION PLAN ON ANTIMICROBIAL RESISTANCE 2023 -2028
• SNAP-AMR Communication Campaign Toolkit