PHM-Exch> WHO launched a new toolkit to assist healthcare facilities in developing countries to improve the use of antibiotics

Fri Nov 1 09:31:11 PDT 2019

From: South Centre <south at southcentre.int>

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SOUTHNEWS
No. 294,  1 November 2019

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*WHO launched a new toolkit to assist healthcare facilities in developing
countries to improve the use of antibiotics*

*Tackling antimicrobial resistance (AMR) in developing countries is a key
public health challenge. Despite the progress in the implementation of
National Action Plans to address AMR, more needs to be done to improve the
use of the antibiotics that we do have and that are critical in providing
adequate care. The new World Health Organization (WHO) toolkit called
“Antimicrobial Stewardship Programmes in Health-care Facilities in Low- and
Middle-income Countries. A WHO Practical Toolkit” provides information and
guidance on the different steps that can be taken to set up, implement and
monitor antimicrobial stewardship (AMS) programs in developing countries. *

The World Health Organization (WHO) has recently published a comprehensive
new toolkit to support developing countries in the implementation of
antimicrobial stewardship programs (AMS). The toolkit can also be a tool to
assist countries in the implementation of Objective 4 of the WHO Global
Action Plan on Antimicrobial Resistance (AMR): Optimizing the use of
antimicrobial medicines. The Global Action Plan has five overall objectives
and was adopted by all the Members of the WHO in 2015.[1]
<#m_4618797425529435200__ftn1>

The aim of an AMS program is:

   - to optimize the use of antibiotics;
   - to promote behavior change in antibiotic prescribing and dispensing
   practices;
   - to improve quality of care and patient outcomes;
   - to save on unnecessary health-care costs;
   - to reduce further emergence, selection and spread of AMR;
   - to prolong the lifespan of existing antibiotics;
   - to limit the adverse economic impact of AMR; and
   - to build the best-practices capacity of health-care professionals
   regarding the rational use of antibiotics

The toolkit is divided into six sections which are: information on
structures for national/state/regional AMS programs, structures for
health-care facility AMS programs, planning an AMS program in a health-care
facility, performing AMS interventions in a health-care facility, assessing
AMS programs and education and training.

The toolkit also provides possible measures, indicators and useful
checklists to guide implementers in the setting up of AMS programs. For
example, the table[2] <#m_4618797425529435200__ftn2> below illustrates one
of the lists, included in the toolkit, to conduct the assessment of core
elements needed at the national or state level for the implementation of
stewardship programs.

The “Antimicrobial Stewardship Programmes in Health-care Facilities in Low-
and
Middle-income Countries. A WHO Practical Toolkit” is available online and
can be accessed at
https://apps.who.int/iris/bitstream/handle/10665/329404/9789241515481-eng.pdf
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.

------------------------------
[1] <#m_4618797425529435200__ftnref1> See the Global Action Plan on AMR
here: https://www.who.int/antimicrobial-resistance/global-action-plan/en/
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[2] <#m_4618797425529435200__ftnref2> *Source: “*Antimicrobial Stewardship
Programmes in Health-care Facilities in Low- and
Middle-income Countries. A WHO Practical Toolkit” (Geneva, World Health
Organization, 2019).

*Author: Mirza Alas is Programme Officer of the Health, Intellectual
Property and Biodiversity (HIPB) Programme of the South Centre.*

*SOUTHNEWS is an e-newsletter service of the South Centre providing
information and news on topical issues from a South perspective.*

*To view other articles in SouthNews, please click here
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For more information, please contact Anna Bernardo of the South Centre:
Email bernardo at southcentre.int <bernardo at southcentre.int>, or telephone +41
22 791 80 50.*
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