ORMOC CITY AMS PROGRAM PLAN

What strategies are likely to be more feasible and could

be implemented in the short term?
• Educate prescribers and health personnel involved in antibiotic use.
• Cultivate and bring up to date a consistent ITR to safeguard that
information on patients’ medicines is all in one place.
• Assess if patients who were prescribed with antibiotics have
written indications.
• Review the management for patients given three or more broad-
spectrum antibiotics.
• Check the dose of antibiotics given.
 ORMOC CITY AMS PROGRAM PLAN

What strategies are likely to be the most difficult to implement,

and why?
• The greater challenge is in giving correct antibiotics because we are
dependent on the availability of medications.
What educational strategies will you use to complement your
plans of actions?
• Constant reminder, scheduled lectures and discussions.
Who are the groups you need to educate?
• prescribers and health personnel involved in antibiotic use
• patients who easily resort to wrong antibiotic use
 PHC AMS Plan
Timeline/
Core Element Plan Strategies Schedule of Proposed Budget Barriers
Implementation

Core Element 1:  Creation of the LGU Ormoc First Quarter of  Difficulty of

Leadership and technical working group for 2023 assembling;
Governance AMS Less time
 Introduction of National available for
Antibiotic Guidelines to LCE HCWs as
and Local Council for possible members of
formulation of Local Antibiotic AMS Commitee
Policy.

Core Element 2:  Provision of MOP for AMS. First Quarter of 10,000 (MOP  Proposed
The AMS Policy,  Provision of copies of CPGs to 2023 copies) budget still not in
Antibiotic the district health facilities. AOP/AIP for
 Establish AMS Program in all 50,000 (Meeting) 2023
Guidelines, and
PHC (DHC, BHS, BHC)  There be a well-
Clinical through activating AMS Teams defined roles for
Pathways in DHC Level HCWs with
regards to
Antibiotic use
 PHC AMS Plan
Timeline/
Core Element Plan Strategies Schedule of Proposed Budget Barriers
Implementation

Core Element 3: AUDIT WITH FEEDBACK 3,000 for  Availability of

Surveillance of transportation medications as
 Active interaction among Second Quarter of stated in the
AMU/AMR district physicians in 2023 guidelines.
encouraging compliance to  Availability of
AMS interventions and being internet for case
able to effectively persuade discussions, tied
and influence change in with the
prescribing practices by limitation of time
following CPGs to converse due
 Assessment of prescribed to the nature of
antibiotic treatment, with our work.
feedback on antibiotic  Access to
treatment considered as updated CPGs.
inappropriate.  Transportation.
 Prospective (preferred) or  Lack of
retrospective assessment of manpower and
antibiotic therapy in in-patients, other resources.
performed by trained HCWs or
AMS team members.
 PHC AMS Plan
Timeline/
Core Element Plan Strategies Schedule of Proposed Budget Barriers
Implementation

Core Element 4:  Periodic monitoring of Quarterly 3,000 for  Transportation.

Action Antimicrobial use. transportation  Lack of
 Periodic monitoring of manpower and
Antimicrobial availability 70,000 Computer other resources.
 Implementation of a referral and Printer (for  Limited specialty
system for higher treatment printouts of care available in
facilities (if necessary) in monitoring sheet, the city.
addressing severe infections data filing and  Suggest
that requires management safekeeping Electronic
from specialty physicians or referral system
consultants for a more
efficient transfer
of service.
 PHC AMS Plan
Timeline/
Core Element Plan Strategies Schedule of Proposed Budget Barriers
Implementation

Core Element 5:  Formal or informal teaching Second Quarter of  Difficulty of

Education and training to engage 2023 assembling;
prescribers and other HCWs in  Less time
improving antibiotic available for
prescribing, dispensing and HCWs
administration practices.
 Basic and continuous
education of clinical staff,
clinical case discussions,
classes and regular sharing of
information, reminders and
AMS e-learning resources.
 PHC AMS Plan
Timeline/
Core Element Plan Strategies Schedule of Proposed Budget Barriers
Implementation

Core Element 6:  Utilization of AMS Self- Second Quarter of  AMS Committee

Performance Assessment Tool for PHCs 2023 needs
Evaluation and interpret data gathered orientation on
the specific
reporting tools
needed