Publication: Implementing national strategies on antimicrobial resistance in Thailand: potential challenges and solutions
Issued Date
2018-04-01
Resource Type
ISSN
14765616
00333506
00333506
Other identifier(s)
2-s2.0-85042873312
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Public Health. Vol.157, (2018), 142-146
Suggested Citation
A. Sommanustweechai, V. Tangcharoensathien, K. Malathum, N. Sumpradit, N. Kiatying-Angsulee, N. Janejai, S. Jaroenpoj Implementing national strategies on antimicrobial resistance in Thailand: potential challenges and solutions. Public Health. Vol.157, (2018), 142-146. doi:10.1016/j.puhe.2018.01.005 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/46796
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Title
Implementing national strategies on antimicrobial resistance in Thailand: potential challenges and solutions
Abstract
© 2018 The Royal Society for Public Health Background: Thailand has developed a national strategic plan on antimicrobial resistance (NSP-AMR) and endorsed by the Cabinet in August 2016. This study reviewed the main contents of the NSP-AMR and the mandates of relevant implementing agencies and identified challenges and recommends actions to mitigate implementation gaps. Methods: This study analysed the contents of NSP-AMR, reviewed institutional mandates and assessed the implementation gaps among agencies responsible for NSP-AMR. Results: Two of six strategies are related to monitoring and surveillance of AMR and antimicrobial consumption in human and animal. Two other strategies aim to improve antibiotic stewardship and control the spread of AMR in both clinical and farm settings. The remaining two strategies aim to increase knowledge and public awareness on AMR and establish national governance for inter-sectoral actions. Strategies to overcome implementation challenges are sustaining cross-sectoral policy commitments, effective cross-sectoral coordination using One Health approach, generating evidence which guides policy implementation, and improving enforcement capacities in regulatory authorities. Conclusions: To address AMR, Thailand requires significant improvements in implementation capacities in two dimensions. First, technical capacities among implementing agencies are needed to translate policies into practice. Second, governance and organizational capacities enable effective multi-sectoral actions across human, animal, and environmental sectors.