Our programme design is centred around supporting and building national surveillance systems in priority low-and middle-income countries.
The largest part of our funding, is allocated to our portfolio of Country and Regional Grants and Fellowships, supported by world class technical expertise from the International Reference Centre. The country grants implement surveillance priorities from National Action Plans, mostly through laboratory strengthening and capacity building. Regional Grants support country-level investments by helping to standardise data sharing, surveillance protocols and quality assurance mechanisms.
The Fellowship Scheme supports the professional development of technical experts leading on AMR or AMU surveillance and policy within priority national institutions through mentorship and training, providing further support to National Action Plan implementation. The scheme supports fellows working in beneficiary institutions including national reference laboratories, hospitals and ministries in Fleming Fund countries.
Another part of our portfolio is invested in developing the enabling environment for national surveillance to take place. This includes developing governance frameworks at the country level and ensuring global agreement for the tools and systems required for the job. We work closely with the Tripartite, the World Health Organization, the Food and Agriculture Organization and the World Organisation for Animal Health to support national governments to develop National Action Plans and promote a One Health approach to AMR by engaging multiple ministries and sectors.
The Fleming Fund supports the development and roll out of critical surveillance guidance, protocols and tools and supports the production of annual global reports on the consumption and use of antimicrobials in humans and animals. Additionally, we work with the WHO and FIND to establish global surveillance networks and research innovative detection methods for substandard and falsified antimicrobial medicines.
A smaller amount of the portfolio is focused on improving AMR awareness and data use, including with policymakers. The Fleming Fund’s focus is on producing data for action and both global and national public advocacy are needed. These programmes focus on the use of data generated to increase awareness amongst key decision makers.
Commonwealth Partnerships for Antimicrobial Stewardship, for example, raises awareness of antimicrobial stewardship through health partnerships, while the South Centre raises awareness of AMR among civil society organisations. GRAM’s Global Burden of Disease and ODI’s Economic Fellowship Scheme enables greater use of data by consolidating all AMR data available globally and enabling countries to conduct economic analysis of relevant AMR data.
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