country is now highly visible and tangible to health-care
professionals and the public alike. With outbreaks of MDRbacteria
closing wards and causing high morbidity and
mortality, a strong response as part of the WHO Global
Action Plan is required. The adoption of the Antimicrobial
Resistance National Strategy Framework is the first step in
this response, and can be seen as a blueprint for other
middle-income countries. Furthermore, many of the
interventions described here are applicable across health
resource settings.
Acknowledgments
The authors would like to acknowledge members of the
National Department of Health (Anban Pillay, Gavin Steel,
Khadija Jamooldien, Janine Munasamy, Stephanie Berrada,
and Kim Faure) and members of SAASP (Adrian Brink,
Andrew Whitelaw, Mark Nicol, and Moritz van Vuuren) who
helped formulate the Strategy Framework, as well as
members of the National Institute for Communicable
Diseases (Nelesh Govender, Anne von Gottberg, Ananta
Nanoo, and Nazir Ismail) for their input into this document.
Finally, we would like to thank the Honourable Minister of
Health, Dr Aaron Motsoaledi for his support and
commitment to fight against AMR in South Africa. l
Professor Marc Mendelson is Professor of Infectious Diseases
and Head of Division of Infectious Diseases & HIV Medicine at
the University of Cape Town, Groote Schuur Hospital. He is
President of the Federation of Infectious Diseases Societies of
Southern Africa (FIDSSA) and co-chair of the South African
Antibiotic Stewardship Programme (SAASP). He has co-led
development of the South African AMR Strategy Framework
with the Department of Health and is the South African lead for
AMR (Prevent-1) on the Global Health Security Agenda.
Dr Malebona Precious Matsoso was appointed Director General
of the National Department of Health of South Africa in June
2010. She was previously the Director of Public Health,
Innovation and Intellectual Property programme at the World
Health Organization (WHO), responsible for the
implementation of the Global Strategy and Plan of Action on
Public Health, Innovation and Intellectual Property. She also
served as Director of Technical Cooperation for Essential Drugs
and Traditional Medicine for the WHO. She served on several
advisory panels locally and internationally. She was a member
of the National Research Ethics Council in South Africa, the
WHO Ethics Review Committee. Prior to her international
assignments, she was the Registrar of Medicines of the
Medicines Control Council in South Africa, served on the
Secretariat of the Southern African Development Community
(SADC) harmonization initiative. She is currently a member of
the Executive Board of the World Health Organization
MONITORING, SURVEILLANCE AND NATIONAL PLANS
AMR CONTROL 2015 61
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