Uganda has AMR Data. What it lacks is an Interoperable Integrated Digital Platform to Consolidate it for Use.

Antimicrobial resistance now kills more Ugandans than malaria, HIV, or TB. The data exists across dozens of systems — but fragmented, siloed, and invisible to decision-makers. NIAMR is the Interoperable Integrated Digital Platform that consolidates it into one national AMR picture.

From Fragmented Lab Reports to a National AMR Intelligence Platform.

Five research phases. AI-powered detection. A scalable One Health architecture. NIAMR is developing and evaluating an interoperable digital platform that integrates Uganda's disconnected AMR data systems into a single surveillance resource.

The Right AMR Data Reaching the Right Stakeholders in Time for Translation and Action.

Clinicians, lab teams, district health officers and other stakeholders, generate AMR data every day — but rarely see it come back as actionable intelligence. NIAMR connects these systems so the people closest to the problem can finally use the evidence.

The challenge

The scale of the AMR challenge

Chart projecting AMR-attributable deaths

1.3 million deaths / year

Antimicrobial resistance (AMR) is an urgent global public health threat that complicates treatment of infectious diseases. It is responsible for an estimated 1.3 million deaths worldwide each year.

AMR epidemiology in Uganda

Surpassed malaria, HIV & TB mortality (Murray et al., 2022)

The burden is disproportionately high in Uganda as a low- and medium-income country, where AMR-associated mortality is estimated to have surpassed deaths due to malaria, HIV, and tuberculosis in 2019.

AMR resistance heat map across facilities

Critical gaps in existing evidence and surveillance systems

Fragmented AMR data systems, incomplete, and underutilised; limited digital and predictive surveillance capacity; limited evidence on technology adoption for AMR surveillance for decision-making, despite investments in microbiology laboratory capacity.

Key challenges include shortage of skilled personnel at facility and national levels, disjointed data systems, and limited clarity regarding national AMR data needs.

Our aim

What NIAMR is building

We are building NIAMR — a national, interoperable digital platform that integrates AMR data from across Uganda's existing systems to enable timely detection, surveillance, and evidence-based response, designed to scale across all One Health sectors.

One Health — NIAMR's scope across human, animal, water, wildlife, and environment sectors
Research roadmap · 36 months · Feb 2026 – Jan 2029

Our five phases

01

Situation analysis & Baseline Assessment

National situation analysis and baseline assessment of AMR data generation, management and dissemination in Uganda.

02

Development and Implementation

Development and implementation of the integrated NIAMR platform in AMR high-burden districts.

03

Functionality Testing

Testing the functionality and performance of the NIAMR platform for AMR surveillance and data use.

04

Piloting

Piloting the NIAMR platform to assess data quality, system performance and user uptake for national roll-out.

05

Impact Evaluation and Costing for scaling

Evaluating the impact of NIAMR and conducting a micro-costing study to support integration across One Health sectors.

Results chain · what NIAMR produces and why

Outputs, outcomes & impact

Outputs

The Key project outputs include:

  1. an interoperable and integrated digital AMR data capture, processing and sharing platform (NIAMR)
  2. a national AMR data management situation analysis report for Uganda
  3. clearly defined national AMR data needs and standardised AMR datasets
  4. clarified and documented AMR data governance structures
  5. NIAMR user and training guides

Outcomes

Enhanced availability and use of integrated AMR data to support timely, evidence-based decision-making for AMR surveillance and response.

Impact

  1. Early detection of AMR
  2. Improved AMR surveillance and management
  3. Integrated AMR data capture and sharing
  4. Shared results for all One Health sectors for shared learning in combating AMR effectively
Our team · led by

Multidisciplinary researchers behind NIAMR

…and 15 other researchers
Latest insights

News & articles from the team

Welcome to NIAMR

Welcome to NIAMR

The NIAMR project website is now live. Here is what you will find here — and what is coming.

Read more
Why interoperability matters for AMR surveillance in Uganda

Why interoperability matters for AMR surveillance in Uganda

Antimicrobial resistance is one of the most urgent global health threats — but in Uganda, the data we have to respond to it is fragmented, incomplete, and underused. Here is why interoperability is the foundation of a better response.

Read more
NIAMR boardroom meeting with national AMR stakeholders
Community Engagement & Involvement (CEIs)

How NIAMR works with Communities

NIAMR follows the WHO "co-design with the user" principles — working with the Ministry of Health, NHLDS, BCMCF-Uganda, and MUST. Workshops, situation-analysis sessions, and stakeholder dialogues will appear here as they unfold.

What you'll find here

Workshop reports · events and training · key CEI findings · voices of the stakeholders shaping NIAMR · upcoming dates when scheduled.

Outputs & resources

Publications, datasets & toolkits

NIAMR NIHR award summary (NIHR168786)

NIAMR NIHR award summary (NIHR168786)

Prof. Josephine Nabukenya (Principal Investigator) · National Institute for Health and Care Research

The formal NIHR funding award summary for the NIAMR project — reference NIHR168786. Three-year award under the NIHR Global Health Policy and Systems Research programme, February 2026 – January 2029.

[WEB] Access

Get in touch

Collaboration, media, or research inquiries — reach the NIAMR project team.

Contact us

Explore our team

Meet the multidisciplinary researchers behind NIAMR — microbiologists, epidemiologists, informaticians and more.

View team

A National AMR Data Platform for Uganda

An integrated digital system for antimicrobial resistance data capture, processing, and sharing — currently under active development by our research team.

  • Prof. Josephine Nabukenya
  • Dr. Henry Kajumbula
  • Prof. Pauline Byakika-Kibwika

18+ Researchers

NIAMR Platform