The BALANCE study aims to estimate the health and economic burden of AMR in paediatric and adult populations, comparing low- and middle-income countries (LMICs) and high-income countries (HICs). 

Focusing on Bangladesh, Kenya, Nigeria, Pakistan, Sierra Leone, Israel, Italy, Poland and Singapore, the study integrates high-quality demographic, socioeconomic, epidemiological, clinical, microbiology and genomic data through a capacity-building approach.

This study is complementary to the capacity-building activities of the Fleming Fund in LMICs, which include laboratory refurbishment, support and training across 24 countries in both human and animal AMR health, including one-health AMR. 

BALANCE will further support laboratory and/or clinical staff to analyse the burden of critical infections and to understand the economic impact both in patient care as well as antibiotic accessibility and affordability.