Practical Recommendations for Artificial Intelligence and Machine Learning in Antimicrobial Stewardship for Africa

ABSTRACT The challenge of antimicrobial resistance (AMR) represents one of the most pressing global health crises, particularly, in resource‐constrained settings like Africa. In this paper, we explore artificial intelligence (AI) and machine learning (ML) potential in transforming the potential for...

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Main Authors: Tafadzwa Dzinamarira, Elliot Mbunge, Claire Steiner, Enos Moyo, Adewale Akinjeji, Kaunda Yamba, Loveday Mwila, Claude Mambo Muvunyi
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:Applied AI Letters
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Online Access:https://doi.org/10.1002/ail2.123
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author Tafadzwa Dzinamarira
Elliot Mbunge
Claire Steiner
Enos Moyo
Adewale Akinjeji
Kaunda Yamba
Loveday Mwila
Claude Mambo Muvunyi
author_facet Tafadzwa Dzinamarira
Elliot Mbunge
Claire Steiner
Enos Moyo
Adewale Akinjeji
Kaunda Yamba
Loveday Mwila
Claude Mambo Muvunyi
author_sort Tafadzwa Dzinamarira
collection DOAJ
description ABSTRACT The challenge of antimicrobial resistance (AMR) represents one of the most pressing global health crises, particularly, in resource‐constrained settings like Africa. In this paper, we explore artificial intelligence (AI) and machine learning (ML) potential in transforming the potential for antimicrobial stewardship (AMS) to improve precision, efficiency, and effectiveness of antibiotic use. The deployment of AI‐driven solutions presents unprecedented opportunities for optimizing treatment regimens, predicting resistance patterns, and improving clinical workflows. However, successfully integrating these technologies into Africa's health systems faces considerable obstacles, including limited human capacity and expertise, widespread public distrust, insufficient funding, inadequate infrastructure, fragmented data sources, and weak regulatory and policy enforcement. To harness the full potential of AI and ML in AMS, there is a need to first address these foundational barriers. Capacity‐building initiatives are essential to equip healthcare professionals with the skills needed to leverage AI technologies effectively. Public trust must be cultivated through community engagement and transparent communication about the benefits and limitations of AI. Furthermore, technological solutions should be tailored to the unique constraints of resource‐limited settings, with a focus on developing low‐computational, explainable models that can operate with minimal infrastructure. Financial investment is critical to scaling successful pilot projects and integrating them into national health systems. Effective policy development is equally essential to establishing regulatory frameworks that ensure data security, algorithmic fairness, and ethical AI use. This comprehensive approach will not only improve the deployment of AI systems but also address the underlying issues that exacerbate AMR, such as unauthorized antibiotic sales and inadequate enforcement of guidelines. To effectively and sustainably combat AMR, a concerted effort involving governments, health organizations, communities, and technology developers is essential. Through collaborations and sharing a common goal, we can build resilient and effective AMS programs in Africa.
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spelling doaj-art-11a2f5912a604ab7a320c8f0ab227a0e2025-08-20T03:46:58ZengWileyApplied AI Letters2689-55952025-04-0162n/an/a10.1002/ail2.123Practical Recommendations for Artificial Intelligence and Machine Learning in Antimicrobial Stewardship for AfricaTafadzwa Dzinamarira0Elliot Mbunge1Claire Steiner2Enos Moyo3Adewale Akinjeji4Kaunda Yamba5Loveday Mwila6Claude Mambo Muvunyi7ICAP in Zambia Lusaka ZambiaDepartment of Applied Information Systems University of Johannesburg Johannesburg South AfricaICAP in Zambia Lusaka ZambiaDepartment of Public Health Medicine University of KwaZulu Natal Durban South AfricaDepartment of Global Public Health Karolinska Institute SwedenDepartment of Pathology & Microbiology Laboratory University Teaching Hospitals Lusaka ZambiaWestern Province Provincial Health Office Ministry of Health Mongu ZambiaRwanda Biomedical Centre Kigali RwandaABSTRACT The challenge of antimicrobial resistance (AMR) represents one of the most pressing global health crises, particularly, in resource‐constrained settings like Africa. In this paper, we explore artificial intelligence (AI) and machine learning (ML) potential in transforming the potential for antimicrobial stewardship (AMS) to improve precision, efficiency, and effectiveness of antibiotic use. The deployment of AI‐driven solutions presents unprecedented opportunities for optimizing treatment regimens, predicting resistance patterns, and improving clinical workflows. However, successfully integrating these technologies into Africa's health systems faces considerable obstacles, including limited human capacity and expertise, widespread public distrust, insufficient funding, inadequate infrastructure, fragmented data sources, and weak regulatory and policy enforcement. To harness the full potential of AI and ML in AMS, there is a need to first address these foundational barriers. Capacity‐building initiatives are essential to equip healthcare professionals with the skills needed to leverage AI technologies effectively. Public trust must be cultivated through community engagement and transparent communication about the benefits and limitations of AI. Furthermore, technological solutions should be tailored to the unique constraints of resource‐limited settings, with a focus on developing low‐computational, explainable models that can operate with minimal infrastructure. Financial investment is critical to scaling successful pilot projects and integrating them into national health systems. Effective policy development is equally essential to establishing regulatory frameworks that ensure data security, algorithmic fairness, and ethical AI use. This comprehensive approach will not only improve the deployment of AI systems but also address the underlying issues that exacerbate AMR, such as unauthorized antibiotic sales and inadequate enforcement of guidelines. To effectively and sustainably combat AMR, a concerted effort involving governments, health organizations, communities, and technology developers is essential. Through collaborations and sharing a common goal, we can build resilient and effective AMS programs in Africa.https://doi.org/10.1002/ail2.123antimicrobial resistanceartificial intelligencemachine learning
spellingShingle Tafadzwa Dzinamarira
Elliot Mbunge
Claire Steiner
Enos Moyo
Adewale Akinjeji
Kaunda Yamba
Loveday Mwila
Claude Mambo Muvunyi
Practical Recommendations for Artificial Intelligence and Machine Learning in Antimicrobial Stewardship for Africa
Applied AI Letters
antimicrobial resistance
artificial intelligence
machine learning
title Practical Recommendations for Artificial Intelligence and Machine Learning in Antimicrobial Stewardship for Africa
title_full Practical Recommendations for Artificial Intelligence and Machine Learning in Antimicrobial Stewardship for Africa
title_fullStr Practical Recommendations for Artificial Intelligence and Machine Learning in Antimicrobial Stewardship for Africa
title_full_unstemmed Practical Recommendations for Artificial Intelligence and Machine Learning in Antimicrobial Stewardship for Africa
title_short Practical Recommendations for Artificial Intelligence and Machine Learning in Antimicrobial Stewardship for Africa
title_sort practical recommendations for artificial intelligence and machine learning in antimicrobial stewardship for africa
topic antimicrobial resistance
artificial intelligence
machine learning
url https://doi.org/10.1002/ail2.123
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