The growing threat that antimicrobial resistance (AMR) poses to human and animal health and sustainable development can only be met through international and intersectoral collaboration. Experts from the Public Health Agency of Sweden and the Swedish University of Agricultural Sciences performed a field study in Mozambique in December 2019 in collaboration with Mozambican AMR experts. The purpose was to survey existing structures and needs for support regarding AMR containment and identify how these could benefit from Swedish expertise built during many years of addressing AMR.

In Mozambique, an intersectoral National Action Plan (NAP) for antibiotic resistance and use is in place, along with structures for intersectoral collaboration. However, Mozambican experts highlighted lack of resources and coordination as obstacles to NAP implementation. This report outlines prioritized activities in line with the NAP of Mozambique and a proposal for Swedish support to carry out the activities. The activities are grouped into five target areas:

  • National governance and coordination for AMR containment
  • Antibiotic access, use, and consumption
  • Antibiotic resistance, including surveillance and laboratory capacity
  • Infection prevention and disease control, biosecurity, and good animal husbandry
  • Awareness and education on antibiotic resistance and use

The analysis is applicable to other countries in similar circumstances and could form a model for Swedish support of AMR containment efforts in low income countries. The Public Health Agency of Sweden assesses that Swedish expertise could play an important role to support efforts in other countries to reduce development of AMR and curb spread, as stated in the Swedish Strategy to Combat AMR.