 My name is Dr. Mishuki Maena. I am a pediatrician and health systems researcher based at the Cambry Wellcome Trust research program and I'm also a doctoral research student based at the Cambry Wellcome Trust. So my research is mainly based looking at infection prevention and control and stewardship of antibiotics in Kenyan public hospitals and how that can help us improve and reduce resistance to antimicrobial agents, what is usually referred to as antimicrobial resistance. So patients go to hospitals to get better but unfortunately depending on the structure of the hospitals they can actually acquire infections in hospitals. So my work is hope is trying to reduce these hospital acquired infections when the patients present to hospital with any tropical illness so that they can get treatment and get well and go home. Part of the work in trying to look at infection prevention and control we've developed a tool that can be used to survey water, sanitation and hygiene as a structure of infection prevention and control in these hospitals and we're hoping that this survey tool can be used by hospitals to find out how well or poorly they are doing in terms of infection prevention and control. Here the Cambry Wellcome Trust research program, the health systems and ethics unit has been quite keen to engage hospitals in the last 10 years to improve the quality of care provided in these facilities and part of improving quality is making sure that the structures in these hospitals are conducive to prevent infections so that the quality care that has been provided is done together with the hospitals that are keen to provide. So antimicrobial resistance is becoming a global challenge and if we are not careful the rate of resistance is increasing and the drug development and discovery is not as fast as how much resistance is happening and so some of the interventions that have been found to reduce resistance to antimicrobial agents is having infection prevention and control strategies in hospitals. So this is where I feel my work would play a big role in preventing infections and resistance in limited resource settings. So part of our work is engaging government and policy makers to try and develop treatment guidelines and so my work and having developed a tool that can be used to survey infection prevention and control we hope that this can be taken up by the Ministry of Health or county governments to assess tool for public hospitals to assess infection prevention and control.