Thailand's national strategic plan on antimicrobial resistance: progress and challenges.

Autor: Sumpradit N; Food and Drug Administration, Ministry of Public Health, 88/24 Tiwanon Road, Mueng District, Nonthaburi, Thailand 11000., Wongkongkathep S; Office of Permanent Secretary, Ministry of Public Health, Nonthaburi, Thailand., Malathum K; Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand., Janejai N; Department of Medical Sciences, Ministry of Public Health, Nonthaburi, Thailand., Paveenkittiporn W; Department of Medical Sciences, Ministry of Public Health, Nonthaburi, Thailand., Yingyong T; Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand., Chuxnum T; Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand., Vijitleela A; Department of Medical Services, Ministry of Public Health, Nonthaburi, Thailand., Boonyarit P; Office of Permanent Secretary, Ministry of Public Health, Nonthaburi, Thailand., Akaleephan C; Office of Permanent Secretary, Ministry of Public Health, Nonthaburi, Thailand., Manosuthi W; Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand., Thienthong V; Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand., Srinha J; Department of Livestock Development, Ministry of Agriculture and Cooperatives, Bangkok, Thailand., Wongsrichai S; Department of Livestock Development, Ministry of Agriculture and Cooperatives, Bangkok, Thailand., Laoprasert T; Department of Fisheries, Ministry of Agriculture and Cooperatives, Bangkok, Thailand., Athipunyakom P; Department of Agriculture, Ministry of Agriculture and Cooperatives, Bangkok, Thailand., Kriengchaiyaprug N; Department of Health Service Support, Ministry of Public Health, Nonthaburi, Thailand., Intarukdach K; Department of Pollution Control, Ministry of Natural Resources and Environment, Bangkok, Thailand., Numsawad S; Food and Drug Administration, Ministry of Public Health, 88/24 Tiwanon Road, Mueng District, Nonthaburi, Thailand 11000., Somjetanakul N; Food and Drug Administration, Ministry of Public Health, 88/24 Tiwanon Road, Mueng District, Nonthaburi, Thailand 11000., Punnin S; Food and Drug Administration, Ministry of Public Health, 88/24 Tiwanon Road, Mueng District, Nonthaburi, Thailand 11000., Kiatying-Angsulee N; Drug System Monitoring and Development Centre, Chulalongkorn University, Bangkok, Thailand.
Jazyk: angličtina
Zdroj: Bulletin of the World Health Organization [Bull World Health Organ] 2021 Sep 01; Vol. 99 (9), pp. 661-673. Date of Electronic Publication: 2021 Jul 01.
DOI: 10.2471/BLT.20.280644
Abstrakt: Antimicrobial resistance is a serious threat that affects all countries. The Global Action Plan on antimicrobial resistance and the United Nations Political Declaration on antimicrobial resistance set standards for countries to resolve antimicrobial resistance challenges under the One Health approach. We assess progress and challenges in implementing Thailand's national strategic plan on antimicrobial resistance 2017-2022, discuss interim outcomes and share lessons learnt. Major progress includes: establishing a national governance mechanism that leads high-impact policy on antimicrobial resistance and consolidates actions and multisectoral collaboration; creating a monitoring system and platform to track implementation of the strategic plan; and converting strategies of the strategic plan into actions such as controlling the distribution and use of antimicrobials in humans and animals. Interim results indicate that antimicrobial consumption in animals has nearly halved (exceeding the national goal of a 30% reduction) whereas other goals have not yet reached their targets. We have learnt that elevating antimicrobial resistance to high-level visibility and establishing a national governance mechanism is an important first step, and a monitoring and evaluation system should be developed in parallel with implementation. Securing funds is crucial. Policy coherence is needed to avoid duplication of actions. Highly ambitious goals, although yet to be achieved, can advance actions beyond expectations. Political commitment and collaboration across different sectors will continue to play important roles but might not be sustained without a well-designed governance structure to support long-term actions to address antimicrobial resistance.
((c) 2021 The authors; licensee World Health Organization.)
Databáze: MEDLINE
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