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Implementing and maintaining an effective AMS requires a dedicated multidisciplinary team
and involves ongoing communication and collaboration among multiple disciplines and
departments. The AMS team should be appointed by the Hospital Director.

The role of the Hospital Director is critical in ensuring the success of the Antimicrobial
Stewardship Program initiatives by:
• ensuring AMS becomes strategic goal of the organisation
• communicating on why change is needed to staff and other leaders of
Departments
• allocating adequate resources in terms of manpower and time for dedicated
AMS team activities
• reviewing progress by the team, identifying barriers and providing advice
• assigning high-performing staff to the team and resourcing them adequately
• endorsing the AMS team and the activities

Primary Care

The Antimicrobial Stewardship Programme (AMS) in Primary Care shall be implemented at
both District and Health Clinic levels and is within the purview of the District Infection and
Antibiotic Control Committee (DIACC). The committee at the district level should be appointed
by the District Health Officer.

All Health Clinics with Family Medicine Specialists (FMS) or Medical Officers In Charge
(MOIC) and pharmacists shall have an AMS team at the clinic level. Members of the AMS
team at the clinic level shall be appointed by FMS/MOIC. Implementing and maintaining an
effective AMS requires a dedicated multidisciplinary team and involves ongoing
communication and collaboration among team members.

Functional structure of AMS at districts and health clinics

District Infection and Antibiotic Control Districts
Committee (DIACC)* APPENDIX 1

Health Clinic Infection and Antibiotic Health
Control Team* Clinics

Antimicrobial Infection Control
Stewardship Team Team

* Responsible in Infection Control and the implementation of AMS

Second Edition 2022 | Protocol on Antimicrobial Stewardship (AMS) Programme in Healthcare Facilities 17