8
Antibiotic resistance: national actions contribute to a global solution NEPAL Ram Janam Chaudhary Minister of Health Nepal

09 004 chaudhary

Embed Size (px)

DESCRIPTION

http://cddep.org/sites/default/files/09.004_chaudhary.ppt

Citation preview

Page 1: 09 004 chaudhary

Antibiotic resistance: national actions contribute to a global solution

NEPALRam Janam Chaudhary

Minister of HealthNepal

Page 2: 09 004 chaudhary

Timeline of GoN activities on AMR

• 1978: GoN, Drug Act• 1995: GoN, National Drug Policy, Nepal• 1998: GoN, Infectious Disease Control Program launched

– to develop a sustainable national surveillance of AMR,

• 1999: GoN, NPHL started Laboratory Based AMR Surveillance – Network of 13 laboratories

• 2001: National Drug Policy Amended- “prudent use of Antibiotics added”

• 2014: GoN, National Antibiotics Treatment Guidelines

Page 3: 09 004 chaudhary

AMR actors• Ministry: Stewardship role• Existing Organisation– APUA Nepal

• Awareness activities, Newsletters• Engaging DDA, more on rational use of Drugs (Research, Training)

– NPHL• Laboratory surveillance (Research, Training)

– GARP Nepal• Multidisciplinary/sectoral, Civil society-Government engagement• Research, Policy advocacy, Civil engagement• National Situation Analysis report 2014

Page 4: 09 004 chaudhary

Bitter Reality in Nepal • Excess antibiotic use is clearly a problem everywhere,

including Nepal. • Prescription-only’ laws not effectively implemented• In poor, remote areas of Nepal villagers may be far

from clinics and have no choice but to purchase whatever antibiotics they think they need.

• Self-treatment with antibiotics purchased at a shop is prevalent

• Antibiotics are freely available for purchase (Over The Counter), at least in some places.

Page 5: 09 004 chaudhary

AMR – as a priority for MOH

• AMR, is a cross cutting issue relevant for all National Health programs– Child Health– Disease Control (TB/HIV/STI/NTDs)– Family Health

• Addressing AMR benefits all National Health Programs• Recently we launched National Antibiotic Treatment

Guidelines 2014• Coordination meetings with Ministries involving

Agriculture & Livestock development regarding AMR held this year. Discussing on multisectoral approach.

Page 6: 09 004 chaudhary

Challenges & Way forward for MoH

• Private sector engagement is a challenge• National Coordination on AMR by MOH– Implementation Program at local levels– Monitoring & Evaluation at National level

• Planning for AMR activities keeping in mind the open border– Seeking support from GoI to join hands in

strengthening the AMR activities in Bordering areas

Page 7: 09 004 chaudhary

How GARP Nepal can support GoN

• Policy suggestion through Research based Policy briefs (Practice plans based on Research)

• Implementation Research for National Antibiotic Guidelines 2014 at all levels

• Play key role in Coordinating stakeholders in all sectors/Ministries for AMR (Prepare National Action Plan)

Page 8: 09 004 chaudhary

Thank you