Table 4.

Key recommendations and implemented changes in the WHO AMS toolkit

Study Participants’ Recommendations	Specific Changes to Toolkit	Toolkit Reference
Easy-to-follow directions in terms of which chapters were most relevant for specific audiences	Key target audience was added	Top of first page of all chapters
Additional information on how to prioritize AMS activities (short-, medium-, and long-term) and guidance on stratification of interventions and assessment procedures based on local resources. Guidance in prioritizing AMS activities based on available resources, establishing stronger linkages between existing programs, e.g., IPC and AMS, and instituting the roles and responsibilities of members of AMS committees.	Key steps in establishing a national AMS program to enable facility AMS;	Ch. 1, Page 3, Box 1
	Key steps to establishing a health care facility AMS program;	Ch. 1 Page 4, Box 2
	Indicators from the Tripartite M&E framework for the Global Action Plan on AMR relevant to AMS programs;	Ch. 2, Page 10, Table 3
	Preparation for developing and implementing an AMS program in a health care facility;	Ch. 4, Page 18, Table 5
	Sample AMS review form.	Page 67, Annex IV
Definition of the role and function of an AMS champion. Definition of roles within AMS interventions for various types of health providers (e.g., physician, nurse, and microbiologist).	Sample terms of reference national AMS technical working group;	Page 63, Annex I
	Sample terms of reference health care facility AMS committee;	Page 64, Annex II
	Sample terms of reference health care facility AMS team.	Page 66, Annex III
Information or resource links that can guide countries in the development of AMS and AMR antibiotic prescribing guidelines in regions without hospitals and physicians.	Snapshot of GLASS;	Ch. 4, Page 29, Box 7
	Sample pre-authorization/restricted prescribing form;	Page 68, Annex V
	Sample medical chart;	Page 69, Annex VI
	Sample bug–drug chart;	Page 70, Annex VII
	Sample cumulative antibiogram for Gram-negative bacteria;	Page 71, Annex VIII
Training information to support effective AMS and IPC committees in terms of leadership skills, division of staff roles and responsibilities, reporting and feedback systems, and interdisciplinary communication.	Core components of IPC and the link to AMS;	Ch. 4, Page 23, Box 4
	Step-by-step guide for setting up an AMC surveillance program at the facility level;	Ch. 4, Page 25, Box 5
	Step-by-step guide for setting up a health care facility PPS;	Ch. 4, Page 26, Box 6
	The quality improvement model in more detail;	Ch. 5, Page 34, Figure 15
	Core steps for implementing an educational program.	Ch. 7, Page 60, Box 9