Professional Documents
Culture Documents
UHC
‘One Health’
SDGs
Behavioural factors
– Patients: poor adherence, self-
medication, cultural beliefs
– Provider: weak support to clinical
practice, financial incentives
• Food-producing animals
are reservoirs of
pathogens
• Large volumes of
antimicrobials consumed
for non-therapeutic use
Source: www.cdc.gov/drugressistance
4/18/2018 National Health Laboratory 10
Yangon, Myanmar
Antibiotics: R and D over the years
4/18/2018 12
National Health Laboratory
Yangon, Myanmar
4/18/2018 National Health Laboratory 13
Yangon, Myanmar
AMR Background in SEAR
- SEA/RC63/R4 - 2010)
apps.who.int/iris/bitstream/10665/163468/1/9789241564946_eng.pdf
Strategic objective
Specific Objective
Strategic Intervention
Responsible agency,
partners & stakeholders
Key indicators
National Health Laboratory Yangon,
4/18/2018 23
Myanmar
Stakeholder meeting on NAP AMR,
27 February 2017
• Review the existing proposals on governance
mechanisms and propose a single comprehensive yet
implementable multi-sectoral governance mechanism in
line with WHO NAP guidelines
• Most critical
• Most impactful
• Most achievable
(cost/infrastructure/least obstacles)
Low Lying Fruit (preferably which is sweet & juicy!)
• Spread / share the work: Each TWG have
their own work plans (short – medium – long)
Members :
• Ministry of Health and Sports(Med. Care,
NHL,FDA)
• MPharmA, MMA,MPHA,
4/18/2018 National Health Laboratory 42
Yangon, Myanmar
Roles and responsibilities of NACC/NCC:
Objective 1.2:
Improve Strategic Responsible agency: Key indicators:
knowledge of intervention 1.2 Awareness levels by
AMR and related Same
Include AMR and professional groups;
topics in
related topics such Number of revised
professionals
through as Infection curricula for target
professional Prevention Control professional groups;
education and a core component Audit reports of
training deployed of professional professional courses
at the national education, training,
scale certification and Partners & stakeholders:
Development for
health care Same
providers and
veterinarians
By NRL / NHL
100%
89% 88%
90% 83%
78%
80%
66%
70% 63%
Percentage
56%
60% 52% 51%
50% 44% 44%
40% 40% 40%
40% 34% 32% 32%
31% 29% 29%
27%
30%
17%
20%
8%
10%
0%
Antibiotics
100%
86%
90% 82%
80% 74%
68% 67%
70% 64%
Percentage
60% 60%
60% 53% 52% 52%
50% 48%
50%
40% 39%
38% 36%
40% 34%
28%
30%
20%
10%
0%
Antibiotics
100%
90% 81% 81%
75% 75%
80%
65%
70%
Percentage
Antibiotics
100% 91%
90%
79% 77%
80% 74% 74% 74% 72% 71% 69% 67%
*MRSA
70% 61%
Percentage
60%
56% 55% 54%
60%
50%
40%
30%
20% 11%
10%
0%
Antibiotics
90%
79% 78% 78%
80%
68%
70%
62%
Percentage
60%
50% 45%
42% 41% 40%
40% 35%
28%
30% 25% 24%
20%
10% 5%
0%
Antibiotics
27%
21%
30%
14%
20%
10%
0%
Pathogenic Bacteria
ESBL producing
Enterobacteriaceae, 47% Methicillin-resistant
50% Staphylococcus aureus, 40%
40%
Vancomycin-resistant
Enterococcus species, 30%
Percentage
30%
20%
10%
0%
Pathogenic Bacteria
2
• Training on Internal Assessment Teams (21-2-2017) to (22-2-2017)
3
• Internal Assessment Teams Visit (15-3-2017) to (22-3-201&)
4
• Internal Assessment Teams Debriefing (6-4-2017)
5
• Report to WHO (10-4-2017)
6
• External Team Visit (3-5-2017) to (9-5-2017)
7
• 5 years Strategic Plan for JEE (11-9-2017) to (15-9-2017)
4/18/2018 National Health Laboratory 96
Yangon, Myanmar
JEE: Antimicrobial resistance , Myanmar
•
4/18/2018 National Health Laboratory
Yangon, Myanmar
97
SWOT Analysis on Myanmar AMR situation