Health system inequalities in East Africa drive antimicrobial resistance

By Alicia Davis, Lecturer in Global Health, Institute of Health and Wellbeing/School of Social and Political Sciences, University of Glasgow
Blandina Mmbaga, Lecturer, Kilimanjaro Christian Medical University College, Tumaini University Makumira
Stephen Mshana, Professor of Clinical Microbiology and Consultant Clinical Microbiologist, Catholic University of Health and Allied Sciences
Tiziana Lembo, Senior Lecturer (Institute of Biodiversity Animal Health & Comparative Medicine) Associate (School of Veterinary Medicine), University of Glasgow

The COVID pandemic has exposed long-standing structural fault lines in societies – especially in health systems. These same inequalities also drive another major global health concern: antimicrobial resistance.

The World Health Organization defines antimicrobial resistance as the process by which microbes change over time and no longer respond to medicines. This makes infections harder to treat. It also increases the risk of disease spread, severe illness and death. Resistance of bacteria to antibiotics is especially worrying.

Global deaths from antimicrobial resistance…

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