JIMMA, ETHIOPIA – MUNICH
AMR NETWORK

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PARTNERSHIPS

PARTNERSHIP BETWEEN:

Ludwig-Maximilians-Universität München (LMU) University Hospital Munich, Division of Infectious Diseases and Tropical Medicine / Germany

&

Jimma University Medical Centre / Ethiopia

Tackling antimicrobial resistance in Africa – a global problem of unknown dimensions

Bacteria and other germs adapt when they are exposed to anti-microbial treatments such as antibiotics. This results in resist- ance against the substances used and medications lose their effect. Antimicrobial resistance (AMR) can render it impossible to treat common infections and leads to substantially increased healthcare costs, prolonged treatment, disability and death. AMR is a global problem and thus needs to be tackled globally. It exists in every country.

MORE ABOUT ETHIOPIA

  • Ethiopia is the oldest independent and the second-most populous country in Africa with 114.7 million inhabitants. It is the most populous landlocked country in the world. Apart from a five-year occupation by Mussolini’s Italy, Ethiopia has never been colonised.
  • In 2018, Prime Minister Abiy Ahmed launched a campaign of political liberalisation at home and sought to end disputes with Ethiopia’s neighbours, in particular Eritrea. Parliament elected Sahle-Work Zewde as Ethiopia’s first woman president in October 2018.
  • Life expectancy at birth in Ethiopia is 63 (m) / 67 (f) years.
  • The probability of dying before the age of five is 55.2 for 1,000 live births.

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The main causes of this development are the overuse of antimicrobial medicine – especially in agriculture and animal farming – and unnecessary prescriptions for patients. Inappropriate use, wrong dosage, and lack of knowledge by medical doctors and patients alike aggravate the problem. A contributing factor is non-targeted antibiotic therapy in absence of microbiological results. The extent of AMR in low- and middle-income countries (LMIC) is largely unknown, mainly because relevant data are missing.

This is also the situation in Ethiopia, which is facing the continuous development of antibiotic resistance against available antibiotics. And, as in many LMIC, the extent of the problem is unknown for lack of data.

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Because of limited microbiological infrastructure in most parts of the country, the resistant bacteria have not been identified. Authorities also do not know which medicine is still effective. Only this information can allow medical professionals to choose the right antibiotic and the government to develop national treatment guidelines.

The Ethiopian government has recognised the need for improving this situation.

Based on this national as well as existing international commitment, the two partnering universities have decided to tackle this important public health problem and join the global efforts to stop further development of antimicrobial resistance.

Joint efforts include the establishment of a data collection system, a surveillance system, the training of laboratory personnel to identify bacteria causing clinically relevant infections and possible resistance against the available antibiotics, and training of medical doctors to handle antibiotic treatment responsibly and based on the information available. The partnership is also supporting the Ethiopian government in the development of standard treatment guidelines based on the data collected.

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eHEALTH

Our eHealth Contribution

One important problem identified is inadequate communication between the medical doctors caring for patients and the laboratories performing the required analyses. The requests for testing are paper-based and frequently get lost with the respective specimens on their way to the laboratories, or are severely delayed. The same applies to test results: These often reach the doctor late or never, making it impossible to base clinical decisions on them.

Therefore, the partnership decided to use an innovative approach and develop together with IT specialists an app-based system for communication between the laboratory and medical doctors. This will ensure timely delivery of the request and of the test result as well as the collection of valid data for subsequent analyses and the development of local evidence-based guidelines.

All tools developed consist of free and open-source software which has been adapted in teamwork with neighbouring African regions. Six HKP-supported partnerships collaborate closely because they use the same approach. This collaboration calls itself the COMBAT AMR network.

The COMBAT AMR network enables comparing and sharing as well as joint discussions on data, exchange of experiences and discussions on possible solutions. The network develops regional recommendations on AMR, and it creates substantial synergies.

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LMU KLINIKUM Logo gruen

Ludwig-Maximilians-Universität München (LMU) University Hospital Munich / Germany

LMU University Hospital Munich is a centre of high-end medicine, medical innovation and research. With its two campuses in Grosshadern and in the city center, it is one of the largest hospitals in Germany and Europe. Every year, around 500,000 patients are treated in 29 specialist clinics, twelve institutes from seven departments, and 50 interdisciplinary centers throughout Munich. The Institute of Infectious Diseases and Tropical Medicine with its International Clinical Trial Unit (iCTU) has been involved in clinical, epidemiological and biomedical research mainly in African countries for more than 25 years with a focus on HIV, tuberculosis and tropical diseases.

Contact:

Dr. Arne Kroidl
LMU University Hospital Munich
Division of Infectious Diseases and Tropical Medicine
Leopoldstraße 5
80802 Munich
akroidl@lrz.uni-muenchen.de

Current Logo of Jimma University

Jimma University Medical Centre / Ethiopia

Jimma University Medical Centre (JUMC) is one of the oldest public hospitals in the country with a bed capacity of 800. Geographically, it is located in the city of Jimma, 352 km southwest of Addis Ababa. Currently it is the only teaching and referral hospital in the southwestern part of the country, providing services for approximately 16,000 inpatients, 220,000 outpatient outpatients, 12,000 emergency cases and 4,500 deliveries in a year coming to the hospital from the catchment population of about 15 million people.

Contact:

Dr. Esayas Kebede Gudina, PhD
Jimma University Medical Center (JUMC),
P.O.Box 5058
Jimma
esakgd@gmail.com

MORE INFORMATION

ABOUT

Ludwig-Maximilians-Universität München (LMU) University Hospital Munich / Germany

LMU University Hospital Munich is a centre of high-end medicine, medical innovation and research. With its two campuses in Grosshadern and in the city center, it is one of the largest hospitals in Germany and Europe. Every year, around 500,000 patients are treated in 29 specialist clinics, twelve institutes from seven departments, and 50 interdisciplinary centers throughout Munich. The Institute of Infectious Diseases and Tropical Medicine with its International Clinical Trial Unit (iCTU) has been involved in clinical, epidemiological and biomedical research mainly in African countries for more than 25 years with a focus on HIV, tuberculosis and tropical diseases.

Contact:

Dr. Arne Kroidl
LMU University Hospital Munich
Division of Infectious Diseases and Tropical Medicine
Leopoldstraße 5
80802 Munich
akroidl@lrz.uni-muenchen.de

LMU KLINIKUM Logo gruen

Jimma University Medical Centre / Ethiopia

Jimma University Medical Centre (JUMC) is one of the oldest public hospitals in the country with a bed capacity of 800. Geographically, it is located in the city of Jimma, 352 km southwest of Addis Ababa. Currently it is the only teaching and referral hospital in the southwestern part of the country, providing services for approximately 16,000 inpatients, 220,000 outpatient outpatients, 12,000 emergency cases and 4,500 deliveries in a year coming to the hospital from the catchment population of about 15 million people.

Contact:

Dr. Esayas Kebede Gudina, PhD
Jimma University Medical Center (JUMC),
P.O.Box 5058
Jimma
esakgd@gmail.com

Current Logo of Jimma University
AMR Network
AMR NETWORK

Kumasi, Ghana – Hamburg

Asella, Ethiopia – Düsseldorf

Butare, Rwanda – Berlin

Nairobi, KenYa – Frankfurt

Kampala, Uganda – Leipzig

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