Ministry of Public Health

Ministry of Agriculture and Cooperatives

In collaboration with

National Health Commission Offi ce of ThailandNational Health Security Offi ce Thai Health Promotion FoundationHealth Systems Research InstituteInternational Health Policy ProgramDrug System Monitoring and Development ProgramFood and Agriculture Organization of the United Nations World Health Organization

National Strategic Plan on Antimicrobial Resistance 2017-2021

Thailand

At a glance

National Strategic Plan on Antimicrobial Resistance 2017-2021

Thailand

The National Strategic Plan on Antimicrobial Resistance (2017-2021) (NSP-AMR) is the fi rst Thailand’s strategy which addresses AMR specifi cally. It was developed by the AMR Coordination and Integration Committee (AMR-CIC), a multisectoral committee appointed by the Ministry of Public Health (MOPH) through a ministerial order in May 2015.

The drafting process began in the mid of 2015 with full participation of and engagement by multi-stakeholders. The draft versions have gone through several rounds of public consultation including through the 2015 National Health Assembly (NHA)1 and the 2016 formal public hearing forum. Synergizing the NSP-AMR development process, a NHA Resolution on the integrated approach addressing antibacterial resistance crisis was adopted in December 2015. Through these processes, the draft of NSP-AMR was fi nalized in the second half of 2016. Finally, through a joint proposal by MOPH and Ministry of Agriculture and Cooperatives (MOAC), the NSP-AMR was endorsed by a Cabinet resolution in August 2016.

The NSP-AMR is guided by two underlying concepts: ‘One Health’ approach which recognizes the interconnectivity across human, animal and environmental health; and ‘Triangle that Moves the Mountain’ concept which emphasizes the importance of resolving complex intersectoral issues through policy engagement and social movement driven by evidence from knowledge generation.

Three guiding principles shape the contents of NSP-AMR

• Action oriented with measurable goals and targets by implementing the NSP-AMR in stepwise manner leading toward continued advancement

• Synergistic efforts which orchestrate and promote coherence of the existing policies, processes and actions across relevant stakeholders

• Political engagement to ensure effective and sustainable implementation.

1 The National Health Assembly (NHA), mandated by the National Health Act 2007, is a bottom-up, evidence-based participatory public policy process through inclusive engagements by government sector, the academia, private and people sectors across all 77 provinces of Thailand.

Vision:

Reduction of mortality, morbidity and economic impacts from AMR

Mission:

Establish policies and national multi-sectoral mechanisms which support effective and sustained AMR management system

Goals:

50% reduction in AMR morbidity

20% reduction in antimicrobial use in human

30% reduction in antimicrobial use in animal

20% increase of public knowledge on AMR and awareness of appropriate use of antimicrobials

Capacity of the national AMR management system is improved to level 42

Strategies

AMR surveillance system using ‘One Health’ approach

Regulation of antimicrobial distribution

Infection prevention and control and antimicrobial stewardship in humans

AMR prevention and control and antimicrobial stewardship in agriculture and companion animals

Public knowledge on AMR and awareness of appropriate use of antimicrobials

Governance mechanisms to develop and sustain AMR-related actions

Monitoring and Evaluation

The monitoring and evaluation (M&E) will include a few key actions such as, establishing baseline indicators for 2016 and strengthening the infrastructure and the functioning of M&E systems which contribute to monitoring progresses of each goal against each of fi ve targets. Evidence on AMR and magnitudes of antimicrobial use in human and animal will be regularly shared with prescribers in human and agriculture sectors, in order to change course of actions, general public and decision makers.

2 This is measured by the WHO’s Joint External Evaluation Tool (JEE) for International Health Regulations (2005)

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National actions International engagement

AMR

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ricul

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atio

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