Module 4

Periodic National
Assessment Tool

Topic 01

Introduction
Hi! Let’s look at the WHO Periodic
National Assessment Tool, which
aims to help countries identify
their AMS preparedness, develop
a stepwise implementation plan
and monitor progress over time.
The tool may be used as an
annual/quarterly activity or
integrated into a larger and
existing review of the national
AMR response.
Responses may be gathered from
desk reviews, individual or group
interviews, focus group
discussions among policy-makers.
A verifier section has been
provided to serve as a guide.
The intended users are national
and/or regional health authorities
responsible for the implementation
of national policies on integrated
AMS activities in human health
and other partners supporting
national and regional AMS efforts.
Module 4
Periodic National
Assessment Tool

Topic 02

Walkthrough
 Periodic National Assessment Tool
Getting started: The tool begins with basic details.

The country and

the national health
authority
 Periodic National Assessment Tool
Getting started: The tool begins with basic details.

Details about the

respondent
 Periodic National Assessment Tool
Getting started: The tool begins with basic details.

Dates
 Periodic National Assessment Tool
Getting started: The tool begins with basic details.

Mode of
assessment
Periodic National Assessment Tool
Sections within the tool

The assessments
are conducted
periodically to
monitor progress
over time.
Periodic National Assessment Tool

The set of integrated

AMS activities is built
on 5 pillars.
Periodic National Assessment Tool

The 5 pillars
encompass 12 key
activities.
Periodic National Assessment Tool

Each activity can be

assessed by a series
of questions.
Periodic National Assessment Tool

Respondents need
to provide answers
to each question
for a given period.
Periodic National Assessment Tool

No – the core element is not in place and is not a priority.

No, but a priority – the core element is a priority but there
is no plan in place to initiate it.
Planned but not started – the core element is planned
but no action has taken place.
Partially implemented – the core element is in place,
but it is only partially implemented requiring further
strengthening.
Fully implemented – the core element is in place and is
fully implemented without requiring strengthening but
needing to be sustained.
Periodic National Assessment Tool

Verifiers act as
a guide to the
respondents.
Periodic National Assessment Tool
Now, let’s look at the Pillar 1.

Pillar 1 deals with establishing and

developing national coordination
mechanisms for AMS, as well as
developing guidelines.
Periodic National Assessment Tool
Now, let’s look at Pillar 1.

The first set of integrated AMS

activities is the establishment
of a national coordinating
mechanism.
Periodic National Assessment Tool
Now, let’s look at the Pillar 1.

There are 10 key questions

that assess a nation’s
progress in this area.
Periodic National Assessment Tool
Pillar 1

The second set of AMS activities

includes the development of national
treatment and stewardship guidelines,
standards and implementation tools.
Periodic National Assessment Tool
Pillar 1

There are 6 key questions

that assess the progress
in this area.
Periodic National Assessment Tool
Pillar 2

Pillar 2 aims to ensure

access to and regulation
of antimicrobials.
Periodic National Assessment Tool
Pillar 2

The third set of activities deals with

improving access to essential,
quality-assured, safe, effective and
affordable antimicrobials.
Periodic National Assessment Tool
Pillar 2

There are 6 key questions

that assess the progress
in this area.
Periodic National Assessment Tool
Pillar 2

The fourth set of activities aims to regulate

social triggers and remuneration
policies that promote responsible
antimicrobial prescription and
dispensing behaviours.
Periodic National Assessment Tool
Pillar 2

There is 1 key question

that assesses the
progress in this area.
Periodic National Assessment Tool
Pillar 2

The fifth set of activities covers

legislation and regulations related
to responsible and appropriate use
and disposal of antimicrobials.
Periodic National Assessment Tool
Pillar 2

There are 4 key questions

that assess the progress
in this area.
Periodic National Assessment Tool
Pillar 3

Pillar 3 deals with the

improvement of awareness,
education and training
about AMS.
Periodic National Assessment Tool
Pillar 3

The sixth set of integrated AMS

activities aims to improve
awareness and engagement to
support behavioural change of
antimicrobials use.
Periodic National Assessment Tool
Pillar 3

There are 5 key questions

that assess the progress
in this area.
Periodic National Assessment Tool
Pillar 3

The seventh set of activities aims to

strengthen health worker capacity through
the provision of tailored education and
training packages according to health
worker roles and functions.
Periodic National Assessment Tool
Pillar 3

There are 3 key questions

that assess the progress
in this area.
Periodic National Assessment Tool
Pillar 4

Pillar 4 is focused on
strengthening water, sanitation
and hygiene and infection
prevention and control.
Periodic National Assessment Tool
Pillar 4

The eighth set of activities aims

to enhance WASH in health
facilities and communities.
Periodic National Assessment Tool
Pillar 4

There are 2 key questions

that assess the progress
in this area.
Periodic National Assessment Tool
Pillar 4

The ninth set of activities deals with

implementing IPC core components
in health facilities.
Periodic National Assessment Tool
Pillar 4

There are 2 key questions

that assess the progress
in this area.
Periodic National Assessment Tool
Pillar 5

Pillar 5 focuses on
surveillance, monitoring
and evaluation.
Periodic National Assessment Tool
Pillar 5

The tenth set of activities is

focused on surveillance of
antimicrobial use and
consumption.
Periodic National Assessment Tool
Pillar 5

There are 2 key questions

that assess the progress
in this area.
Periodic National Assessment Tool
Pillar 5

The eleventh set of

integrated AMS activities
covers surveillance of AMR.
Periodic National Assessment Tool
Pillar 5

There is one question that

assesses progress in this
area.
Periodic National Assessment Tool
Pillar 5

The twelfth set of integrated

AMS activities covers
monitoring and evaluation of
AMS activities.
Periodic National Assessment Tool
Pillar 5

There are 2 questions that

assess progress in this area.
That completes the walkthrough
of the periodic national
assessment tool. Filling out the
sections in this tool will help
countries identify their AMS
preparedness and develop and
monitor AMS programmes.