AMR 2018

OIE/WHO/FAO Regional meeting on AMR National Action Plan Implementation

For the second time, representatives of the Ministries of Health and Agriculture, Veterinary Services, and Public Health Services gathered to exchange on the development of their National Action Plan and actions to address AMR across all sectors (NAP-AMR). After the first edition,  involving 4 Central Asian countries (Kazakhstan, Kyrgyzstan, Tajikistan, and Uzbekistan) in Bishkek (Kyrgyzstan) in June 2017,  the tripartite alliance continues to support countries to maintain the momentum and work on finalizing and implementing their NAP-AMR. The momentum was maintained and extended to a wider audience of Eurasian countries (Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Russian Federation, Tajikistan, Turkmenistan, and Uzbekistan).

The participants exchanged experiences and discuss challenges related to the development and implementation of a comprehensive, multi-sectoral NAP-AMR, based on a One Health approach and aligned with the Global ActionPlan on AMR (GAP-AMR). The participants developed a roadmap towards finalizing their NAP-AMR and learned about available guidance and tools to advance towards set goals. It became clear that they all face the same challenges in developing their NAP-AMR, particularly:
* weak inter-sectoral cooperation
* absence/weak national surveillance system on the use of antibiotics and AMR
* over-the-counter selling of medicines
* poor awareness campaigns

Increasing and broadening awareness and knowledge on AMR is required to engage national representatives of human, agriculture and animal health sectors, and to encourage behavioral change. Reforms are needed but require sustained financing of all activities outlined in the NAP.

Those having experience in implementation of the NAP-AMR, recognised needs for behavior improvement in:

  • control of antimicrobials prescription for medical and veterinary use
  • rational use of antimicrobials in human and animals
  • use of antimicrobials for preventive reasons
  • distance selling of antimicrobials, as well as
  • strengthening of content and quality of training programmes in veterinary and medical education establishments regarding the AMR and prudent use of antimicrobials.

The experts stressed:

  • the absence of good inter-sectoral coordination mechanism;
  • the need to clarify and identify roles and responsibilities of all sectors and stakeholders in the implementation of the NAP-AMR, including private sector;
  • the expanding awareness activities across sectors and increase awareness among general population;
  • the capacity building of laboratories in the light of AMR surveys across sectors;
  • the need to strengthen prudent use of antimicrobials, both in human and animal health;
  • the need to reinforce the adherence to prescription guidelines across sectors (‘ban over-the-counter sales’).

Detailed information regarding the AMR Global Action Plan from a tripartite perspective, results of the last survey on the development and implementation of NAP-AMR in Europe and all tripartite communication tools regarding AMR and World Antibiotic Awareness Week 2018 were presented to the participants.

In connection with the work of the tripartite alliance, countries were called upon to participate more effectively in OIE data collection on the use of antimicrobials in animals, and encouraged to become active participants in the coming World Antibiotic Awareness Week (12-18 November 2018), involving all sectors.