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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
– 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
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
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.
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.
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
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 (Prepare
National Action Plan)
Thank you