Stewardship  is  defined  as  “the  careful  and  responsible  management  of  something  entrusted  to  one’s  care”.  It  was originally applied in the health-care setting as a tool for  optimizing  antimicrobial  use,  termed  “antimicrobial  stewardship” (AMS). Stewardship has since been applied in  the  context  of  governance  of  the  health  sector  as  a  whole, taking responsibility for the health and well-being of the population and guiding health systems at the national and global level.