 Dr. Daniel Muturi of veterinary office in Nuri County government and an antimicrobial steward who has been trained on farm biosecurity under the one health multi-partner trust fund project is on a routine visit to one of the dairy farms in his area. Daniel has been training dairy and poultry farmers on the dangers of antimicrobial resistance better known as AMR. Antimicrobial resistance is a pandemic because it affects everyone, it affects animals, it affects the environment, it affects the humans. Despite having a national AMR action plan for 2017 to 2022, there still exist bottlenecks in coordination and monitoring of Kenya's AMR NAP implementation status. We have high levels of inappropriate news of antimicrobials. For example, people accessing antimicrobials over the counter, health professionals who are prescribing, for example, antibiotics for conditions that do not require antibiotics. These gaps informed the consolidation of the antimicrobial resistance multi-partner trust fund to help in establishing infection prevention and control measures and optimization of antimicrobials use. When you have effective farm biosecurity measures at the farm, you prevent entry of disease and establishment of disease or spread within the animal population within the farm or even outside the farm. So this was an area which we saw as one of the co-foundations for control of the margins and spread of antimicrobial resistance. The AMR MPTF project has been important in guiding and strengthening coordinated action, supporting sustainable capital to improve localized implementation of one health national action plans. The structure of the project was informed by the joint capacities of the traparite that is the world organization for the animal health who are the lead coordinator for the project, the food agriculture organization and the world health organization. We were working collaboratively with the ministry of health, the ministry of agriculture, livestock fisheries and cooperative. In addition, the projects are collaborated with sub-national governments and the private sector. EMBU's level 5 hospital is one of the six facilities that were enrolled into this project. From the human health perspective, about 16 counties have been engaged and have active committees in place. We have learned about the laboratory tests to know the right drug to treat the patients so that they don't get other infections and resistance to drugs like antibiotics. So far, the AMR MPTF project has realized several successes. An example of Nyeri County where as a result of participating in the project, the county has developed a mechanism to monitor antimicrobial use in the animal health sector. We developed what we call the Google Form. In this form, we have actually specifically stated that the surface profile has to indicate the quantity of the antibiotic and the type he or she has used. This will give us an idea of how much antibiotic is being used in the field. Through the public-private partnership, the project collaborated with the Kenya Veterinary Association for Self-Employed Veterinarians and Veterinary Input Suppliers Association of Kenya to create awareness on antimicrobial resistance across several counties in Kenya. After we were trained, we now had to go to the next step. Through the participation of the private sector in the government, they brought in 15 counties on board. These wins have been achieved despite significant challenges. When we started it was during the COVID period so even our launch for the project was virtual. Some of the activities were delayed because of the restrictions of movement during that time. The environment dimension of AMR is one area that we don't understand well. We need to bring in that dimension so that people understand the entire cycle.