Health workers have called for concerted efforts in curbing antimicrobial resistance (AMR) among Ugandans.

According to Chrispus Ngabirano, the Head of the Microbiology Section at Kabale Regional Referral Hospital, self-medication by patients and failure to complete prescribed doses is a major contributor to antimicrobial resistance.
“The irrational use of antibiotics before laboratory testing, limited awareness about AMR in the communities, shortage of skilled human resource to run AMR activities and inadequate equipment, have hindered promotion of a healthy population,” said Ngabirano.

Antimicrobial resistance is a global health threat where microorganisms like bacteria, fungi, viruses, and parasites develop resistance to drugs designed to kill them, making infections harder to treat and increasing the risk of disease spread, severe illness, and death

Ngabirano emphasised the need for increased public awareness and stronger regulatory measures to curb the practices.

While interacting with Members of Parliament on the Parliamentary Forum on Antimicrobial Resistance on Thursday, 27 February 2025, Ngabirano also said that limited funding is hindering the fight against antimicrobial resistance.
“The financial constraints we are facing have made it difficult for the hospital to acquire essential but expensive medical equipment, which has impacted the quality of healthcare services in this region,” he added.

The Chairperson of the Forum, Hon. Charles Ayume noted with concern, the influx of ineffective drugs on the market and lack of enforcement and regulation in ensuring adherence to AMR guidelines. 
“We must flag out medicines that are not effective. I would also like to encourage physicians to come forward and whistle blow so that we protect our people,” said Dr. Ayume.

Legislators on the forum are carrying out oversight visits to various microbiology laboratories at regional referral hospitals and animal health surveillance laboratories under district veterinary officers.

Ayume said the oversight is aimed at assessing the capacity of healthcare facilities to combat antimicrobial resistance and improve patient care.
“We shall visit facilities in Mbarara and Masaka to evaluate the challenges, engage with medical personnel and explore solutions to strengthen healthcare systems,” Dr. Ayume added.