Antimicrobial Resistance (AMR) : An Urgent Global Concern National Context AMR Containment & Prevention in Thailand
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1 Antimicrobial Resistance (AMR) : An Urgent Global Concern National Context AMR Containment & Prevention in Thailand Professor Visanu Thamlikitkul, MD AMR Containment & Prevention Program in Thailand Faculty of Medicine Siriraj Hospital Mahidol University, Bangkok, Thailand
2 Existing Global and Regional Strategy & Recommendations
3 AMR Containment & Prevention in Thailand Thailand has committed to AMR Containment Global Level World Health Assembly Resolutions, 1998/2001/2005/2007 Global Hand Hygiene Promotion, 2008 Regional Level WHO South-East Asia Regional Strategy on AMR Prevention and Containment Jaipur Declaration on AMR Containment, WHO South-East Asia, 2011 National Level Thai National Policy for Rational Drug Use, 2011 Thai National Strategy for EID (including AMR), 2012 No systems and holistic actions to combat AMR in Thailand
4 Appoint a committee on AMR containment in 2012 Set up the goals of AMR containment Process Goals Develop official national infrastructure, strategy, systems and measures on AMR containment & prevention Implement AMR containment & prevention measures Expected Output & Outcome Goals AMR is delayed, reduced or eliminated Health and economic AMR burdens are minimized
5 Appoint a committee on AMR containment in 2012 Set up the goals of AMR containment Estimate AMR Burden in Thailand* Health Burden AMR Infections ~ 90,000 cases Mortality due to AMR infections > 30,000 cases Economic Burden Antibiotic consumption for AMR > 200 million $US Economic loss due to AMR > 1,000 million $US * Journal of Health System Research 2012;6: AMR burden is more than many burdens listed in the top 10 health burdens in Thailand
6 Appoint a committee on AMR containment in 2012 Set up the goals of AMR containment Estimate AMR Burden in Thailand Propose roadmap of actions on AMR containment Identify GAP of AMR containment systems in Thailand
7 Appoint a committee on AMR containment in 2012 Set up the goals of AMR containment Estimate AMR Burden in Thailand Propose roadmap of actions on AMR containment Identify GAP of AMR containment systems in Thailand Organize public hearing National workshop on AMR in May 2012 Inputs on proposed desirable AMR containment systems from all relevant stakeholders
8 Appoint a committee on AMR containment in 2012 Set up the goals of AMR containment Estimate AMR Burden in Thailand Propose roadmap of actions on AMR containment Identify GAP of AMR containment systems in Thailand Organize public hearing Prepare AMR containment package to fill the GAP
9 Thailand AMR Containment Package, Systems 4 Measures Regulatory & Administrative Measures Educational & Promotional Measures Incentive & Sanction Measures Social & Behavioral Measures
10 Thailand AMR Containment Package, Systems and 4 Measures One Health Concept Human, Animal, Environment 3 Major Projects Implementation of AMR Containment Bundles Fundamental AMR Containment Systems Development Basic & Innovation Research and Development on AMR Containment and Prevention
11 Appoint a committee on AMR containment in 2012 Set up the goals of AMR containment Estimate AMR Burden in Thailand Propose roadmap of actions on AMR containment Identify GAP of AMR containment systems in Thailand Organize public hearing Prepare AMR containment package Establish infrastructure of AMR containment
12 National Alliance for AMR Prevention & Control AMR Surveillance & Infection Control Network AMR Containment and Prevention Co-ordinating Center (Ministry of Health) Rational Use of Antibiotics Network R & D of AMR Containment & Prevention Network
13 Appoint a committee on AMR containment in 2012 Set up the goals of AMR containment Estimate AMR Burden in Thailand Propose roadmap of actions on AMR containment Identify GAP of AMR containment systems in Thailand Organize public hearing Prepare AMR containment package Establish infrastructure of AMR containment Solicit support from donors 1.2 million $US 3 national agencies 3 international agencies
14 Appoint a committee on AMR containment in 2012 Set up the goals of AMR containment Estimate AMR Burden in Thailand Propose roadmap of actions on AMR containment Identify GAP of AMR containment systems in Thailand Organize public hearing Prepare AMR containment package Establish infrastructure of AMR containment Solicit support from donors Link with international projects Asian Network for Surveillance of Resistant Pathogens (ANSORP) Campaign 4 in Asia
15 Thailand AMR Containment Package, Systems and 4 Measures One Health Concept Human, Animal, Environment 3 Major Projects Implementation of AMR Containment Bundle Fundamental AMR Containment Systems Development Basic & Innovation Research and Development on AMR Containment and Prevention AMR package has been deployed since March 2013 Several outputs have implications on national policy A long way to go
16 Lessons Learned & Critical (potential) Success Factors Prime movers with motives, academic/social credits, leadership Critical mass with shared vision Political commitment and support Resources Barriers Political commitment and support Resources Bureaucracy of government (MOH) Unawareness of AMR problems of many sectors Major Challenges Success and sustainability of the programs
17 Antimicrobial Resistance (AMR) : An Urgent Global Concern National Context AMR Containment & Prevention in Thailand Professor Visanu Thamlikitkul, MD AMR Containment & Prevention Program in Thailand Faculty of Medicine Siriraj Hospital Mahidol University, Bangkok, Thailand
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