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Antibiotic resistance: national actions contribute to a global solution NEPAL

Antibiotic resistance: national actions contribute to a global solution NEPAL. Ram Janam Chaudhary Minister of Health Nepal. Timeline of GoN activities on AMR. 1978: GoN, Drug Act 1995: GoN, National Drug Policy, Nepal 1998: GoN, Infectious Disease Control Program launched

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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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