A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines

Antibiotics

Katherine Ann V. Reyes¹  Evalyn A. Roxas²  Carlo Lumangaya²  Sharon Yvette Angelina M. Villanueva²  Maria Margarita M. Lota²  Karen Azupardo²  Alvin Qijia Chua³  Helena Legido-Quigley³ 

[1] Alliance for Improving Health Outcomes, Inc., 62 West Avenue, Quezon City 1104, Philippines;College of Public Health, University of the Philippines Manila, 625 Pedro Gil St., Ermita, Manila 1000, Philippines;Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore;

关键词: antimicrobial resistance;    implementation plan;    policy development;    policy analysis;    One Health;    Philippines;   

DOI  :  10.3390/antibiotics11060820

来源: DOAJ

【 摘 要 】

Antimicrobial resistance (AMR) is a global public health threat that warrants urgent attention. Countries developed their national action plans (NAPs) following the launch of the Global Action Plan on AMR in 2015. The development and implementation of NAPs are often complicated due to the multifaceted nature of AMR, and studies analyzing these aspects are lacking. We analyzed the development and implementation of the Philippine NAP on AMR with guidance from an AMR governance framework. We conducted in-depth interviews with 37 participants across the One Health spectrum. The interviews were transcribed verbatim and were analyzed thematically, adopting an interpretative approach. The enabling factors for NAP implementation include (1) a high level of governmental support and involvement of relevant stakeholders, (2) the development of policies to support improved responses in infection prevention and control and antimicrobial stewardship, and (3) better engagement and advocacy by professional associations and civil society groups. The challenges include (1) a lack of resources and regulatory capacity, (2) insufficient impetus for AMR research and surveillance, and (3) limited One Health engagement. Although there has been considerable progress for human health, strengthening the involvement and representation of the animal health and environment sectors in the AMR scene must be undertaken. Developing well-defined roles within policies will be paramount to the strong implementation of AMR strategies.

【 授权许可】

Unknown