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Antibiotic resistance: national actions contribute to a global solution NEPAL

Explore Nepal's timeline of activities addressing antibiotic resistance, challenges faced, and the crucial role of the Ministry of Health in coordinating national actions. Discover how GARP Nepal can support the government with policy suggestions and implementation research based on national guidelines.

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Antibiotic resistance: national actions contribute to a global solution NEPAL

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  1. Antibiotic resistance: national actions contribute to a global solutionNEPAL Ram Janam Chaudhary Minister of Health Nepal

  2. 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

  3. 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

  4. 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.

  5. 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.

  6. 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

  7. 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 (PrepareNational Action Plan)

  8. Thank you

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