A Sommanustweechai1, V Tangcharoensathien2, K Malathum3, N Sumpradit4, N Kiatying-Angsulee5, N Janejai6, S Jaroenpoj7. 1. International Health Policy Program, Ministry of Public Health, Tivanond Road, Amphur Muang, Nonthaburi, 11000, Thailand. Electronic address: angkana@ihpp.thaigov.net. 2. International Health Policy Program, Ministry of Public Health, Tivanond Road, Amphur Muang, Nonthaburi, 11000, Thailand. 3. Faculty of Medicine Ramathibodi Hospital, Mahidol University, Ratchathewi, Bangkok, 10400, Thailand. 4. Food and Drug Administration, Ministry of Public Health, Tivanond Road, Amphur Muang, Nonthaburi, 11000, Thailand. 5. Faculty of Pharmaceutical Sciences, Chulalongkorn University, Phayathai, Bangkok, 10330, Thailand. 6. Department of Medical Science, Ministry of Public Health, Tivanond Road, Amphur Muang, Nonthaburi, 11000, Thailand. 7. Department of Livestock Development, Phayathai, Bangkok, 10330, Thailand.
Abstract
BACKGROUND: Thailand has developed a national strategic plan on antimicrobial resistance (NSP-AMR) and endorsed by the Cabinet in August 2016. This study reviewed the main contents of the NSP-AMR and the mandates of relevant implementing agencies and identified challenges and recommends actions to mitigate implementation gaps. METHODS: This study analysed the contents of NSP-AMR, reviewed institutional mandates and assessed the implementation gaps among agencies responsible for NSP-AMR. RESULTS: Two of six strategies are related to monitoring and surveillance of AMR and antimicrobial consumption in human and animal. Two other strategies aim to improve antibiotic stewardship and control the spread of AMR in both clinical and farm settings. The remaining two strategies aim to increase knowledge and public awareness on AMR and establish national governance for inter-sectoral actions. Strategies to overcome implementation challenges are sustaining cross-sectoral policy commitments, effective cross-sectoral coordination using One Health approach, generating evidence which guides policy implementation, and improving enforcement capacities in regulatory authorities. CONCLUSIONS: To address AMR, Thailand requires significant improvements in implementation capacities in two dimensions. First, technical capacities among implementing agencies are needed to translate policies into practice. Second, governance and organizational capacities enable effective multi-sectoral actions across human, animal, and environmental sectors.
BACKGROUND: Thailand has developed a national strategic plan on antimicrobial resistance (NSP-AMR) and endorsed by the Cabinet in August 2016. This study reviewed the main contents of the NSP-AMR and the mandates of relevant implementing agencies and identified challenges and recommends actions to mitigate implementation gaps. METHODS: This study analysed the contents of NSP-AMR, reviewed institutional mandates and assessed the implementation gaps among agencies responsible for NSP-AMR. RESULTS: Two of six strategies are related to monitoring and surveillance of AMR and antimicrobial consumption in human and animal. Two other strategies aim to improve antibiotic stewardship and control the spread of AMR in both clinical and farm settings. The remaining two strategies aim to increase knowledge and public awareness on AMR and establish national governance for inter-sectoral actions. Strategies to overcome implementation challenges are sustaining cross-sectoral policy commitments, effective cross-sectoral coordination using One Health approach, generating evidence which guides policy implementation, and improving enforcement capacities in regulatory authorities. CONCLUSIONS: To address AMR, Thailand requires significant improvements in implementation capacities in two dimensions. First, technical capacities among implementing agencies are needed to translate policies into practice. Second, governance and organizational capacities enable effective multi-sectoral actions across human, animal, and environmental sectors.
Authors: Maria Margarita M Lota; Alvin Qijia Chua; Karen Azupardo; Carlo Lumangaya; Katherine Ann V Reyes; Sharon Yvette Angelina M Villanueva; Helena Legido-Quigley; Evalyn A Roxas Journal: Antibiotics (Basel) Date: 2022-06-17
Authors: Gasto Frumence; Leonard E G Mboera; Calvin Sindato; Bugwesa Z Katale; Sharadhuli Kimera; Emmy Metta; Anna Durrance-Bagale; Anne-Sophie Jung; Stephen E Mshana; Taane G Clark; Mark Rweyemamu; Helena Legido-Quigley; Mecky I N Matee Journal: Antibiotics (Basel) Date: 2021-03-09