Antimicrobial resistance is a serious and increasing threat to global public health. Enhanced global surveillance of antimicrobial resistance requires efforts to improve data collection and analytics at all levels.

Through 2019 and 2020, eSHIFT worked alongside the Zambian National Public Health Institute (ZNPHI), the Foundation for Innovative Diagnostics (FIND) and Blue Frontier to design, develop, and release version 1.0 of the AMR One Health Surveillance Platform in Zambia. 

What we and our partners did

‘One Health’ is an approach to designing and implementing programmes, policies, legislation and research in which multiple sectors communicate and work together to achieve better public health outcomes.  To improve data collection, analysis and data quality in human, animal and environmental health laboratories, the AMR One Health Surveillance Platform in Zambia provides connected surveillance tools that track and map the emergence of resistance, form the basis of national surveillance programmes, and enable the Zambian government to make data-driven decisions.  The Platform ensures burden-free implementation for health workers, no new data silos, and long-term sustainability. Additionally, the One Health Surveillance Platform enables each sector (human, animal, environment.) to have a cross-sectoral view of resistance patterns while also enabling a collated, comprehensive view of One Health surveillance data at a national level.

Platform features and capabilities

This digital health platform is designed to provide a one-stop service for connecting diverse input data sources, to multiple destination endpoints, using interoperability. The platform includes data warehousing and data reporting capabilities as well as providing a method for integration with the users chosen ‘participating systems’. The platform has been optimised for use in LMIC’s and is fully configurable. By building upon and integrating the existing systems and guidance from WHO and the Fleming Fund, eSHIFT envisions an AMR surveillance system that can directly improve AMR’s global understanding and accelerate change.

The platform has a modular design which allows the end user to pick and choose which components are most suitable for their environment. By implementing a so called ‘service orientated architecture’ the platform provides a method for rapidly prototyping technology solutions that best suit the needs of the user. This standardized software stack that can be implemented in multiple settings to facilitate effective data collection.

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