## 2 Outcomes and Impact  
We shared the project findings at the national One Health Technical Working Group (OHTWG) quarterly virtual meeting in March 2022 in Uganda. We also contributed to the education and awareness survey in the World Health Organization African region to inform regional education and awareness implementation from 2017 to 2021. During the GPPS at ERRH, four pharmacy items, in addition to four hospital staff, were trained on data collection and analysis. The GPPS enabled ERRH to identify areas of improvement in AMS practice, and the upskilling of existing staff will contribute to the sustainability of interventions. In addition, the hospital staff attended an online GPPS training by the University of Antwerp, which made the in-person training more engaging and easy to understand for the participants.  
By the end of the mentorship visits, all five lower level health facilities had formed AMS committees, selected AMS champions, and carried out health education on AMR/AMS among patients. Below is a quote from the project evaluation following the AMS mentorship sessions of a lower level health facility:  
_The interventions suggested during the mentorship visits have been feasible among which was the creation of an AMS committee. We have also been guided about how we can reduce antimicrobial resistance. Previously, we did not know how to talk to patients but now with the different education materials we have, it is easier. We now have posters that increase awareness, and platforms from which we get information about AMS. We are very thankful for this mentorship by Entebbe Regional Referral Hospital._  
--Health officer in charge of a lower level health facility, Wakiso District.  
Our training assessments showed that HPs and CHWs had gained more knowledge on AMR/AMS/IPC after the trainings. Of the 52 HPs who participated in the post-training assessment (File S1), 100% (52) correctly identified that antibiotics are effective against bacteria, compared to 78.8% (41/52) who had done so during the pre-training assessment. Meanwhile, out of the 151 CHWs who participated in the post-training assessment (File S2), 98.7% (149/151) reported that microorganisms can fail to respond to antimicrobials, compared to 49.7% (75/151) in the pre-training assessment. Overall, approximately 90% of ERRH staff, 95% of lower level health facility staff, and 98% of CHWs at our project sites have been trained on AMR/AMS/IPC. Furthermore, about 1,000 community members were reached and educated about AMS by the trained health practitioners, as established during the project evaluation. The human and animal health workers trained, as well as communities reached during the project, were empowered to act as change agents in their respective settings regarding the proper access and use of antimicrobials. Our project activities target all five objectives of Uganda's AMR National Action Plan related to: (1) public awareness, training, and education; (2) IPC; (3) the optimal access and use of antimicrobials; (4) surveillance; and (5) research and innovation, by providing local, measurable, and sustainable actions [3].  
The BHT project pharmacy staff, who have had previous experience working on CwPAMS projects as a part of this health partnership, have taken on a mentorship role to support new pharmacists on the team. One pharmacist undertook the Chief Pharmaceutical Officer's Global Health Fellowship alongside their involvement in this project. The pharmacists have additionally been able to develop their leadership skills and knowledge of global health due to their engagement in ongoing activities [4]. The lessons learned through project activities have allowed the pharmacists to consider different methods and communication techniques for engaging with the public and working across sectors, which was helpful during the COVID-19 pandemic in the UK. Furthermore, the review of AMS materials for the training enabled the UK team to optimise resources for future activities both in Uganda and the UK.