He has undertaken leadership in the development and implementation of technical guidance on AMR and AMU Nationally and in the region under a One-Health approach. He is a member of the National Antimicrobial Stewardship Committee overseeing the implementation of the National Action Plan in Kenya, and he leads in AMR and infectious disease surveillance for the Africa region in various AMR forums and panels including the Global Foodborne Infections Networks (GFN), Food Safety (FOS), the Fleming Fund, and the WHO STAG-AMR. He has researched and published extensively on the local and global epidemiology of drug-resistant enteric pathogens at the human-animal interface. He is honorary/visiting Faculty at the Wellcome Sanger Institute, Cambridge, the University of Oxford and the Global One-Health Institute, Ohio State University.