Tackling antimicrobial resistance in Kenya: Policy and innovation for transformative change

Abstract

Objective: Antimicrobial resistance (AMR) is a global health crisis that threatens to undermine the achievement of Sustainable  Development Goal 3, which calls for promoting the health and well-being of all people. AMR prevention and healthcare innovation are  essential to Kenya's healthcare system. This study examined the incorporation of transformative elements in interventions that facilitate  the implementation of Antimicrobial Stewardship (AMS) in Kenya's decentralised healthcare system.

Materials and Methods: The authors conducted a systematic review of technical documents to identify six transformative elements of AMR interventions: directionality, societal goals, impact on the healthcare system, learning versus reflection, conflict resolution and  consensus building, and inclusiveness.

Results: Kenya's healthcare regulations are strategically in line with its constitution, national development goals, and international  commitments. A multidisciplinary approach is guaranteed by the coordination of initiatives across ministries, research institutes,  academia, and civil society through several inter-agency committees. The development of healthcare networks and the integration of  traditional medicine into conventional healthcare are two factors that support innovative practices.

Conclusion: Kenya's healthcare  system has made significant progress in  implementing AMR prevention and healthcare innovation policies and programs. Active  stakeholder participation, particularly from marginalized communities, promotes inclusivity and system-wide impact. However, challenges remain, including resource allocation, policy coordination, and innovation barriers. Continuous learning, reflection, and  adaptation are essential for successful AMR stewardship and dispute resolution caused by restrictive regulations.