<div dir="ltr"><div class="gmail_default" style="font-size:large"><br></div>From: <b class="gmail_sendername" dir="auto">South Centre</b> <span dir="auto"><<a href="mailto:south@southcentre.int">south@southcentre.int</a>></span><br><div class="gmail_quote"><br><br><u></u>
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SOUTHNEWS</span></h2>
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No. 294, 1 November 2019<br>
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<p style="color:#000000;font-family:Helvetica;font-size:12px;line-height:150%;text-align:left"><span style="color:#000000"><span style="font-size:25px"><b>WHO launched a new toolkit to assist healthcare facilities in developing countries to improve the use of antibiotics</b></span></span><br>
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<span style="color:#000000"><b><span style="font-size:14px">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. </span></b></span></p>
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<p style="text-align:left;color:#000000;font-family:Helvetica;font-size:12px;line-height:150%"><span style="font-size:14px">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.<a href="#m_4618797425529435200__ftn1" name="m_4618797425529435200__ftnref1" title="" style="color:#6dc6dd;font-weight:normal;text-decoration:underline;word-wrap:break-word!important">[1]</a><br>
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The aim of an AMS program is: </span></p>
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<li style="text-align:left"><span style="font-size:14px">to optimize the use of antibiotics;</span></li>
<li style="text-align:left"><span style="font-size:14px">to promote behavior change in antibiotic prescribing and dispensing practices;</span></li>
<li style="text-align:left"><span style="font-size:14px">to improve quality of care and patient outcomes;</span></li>
<li style="text-align:left"><span style="font-size:14px">to save on unnecessary health-care costs;</span></li>
<li style="text-align:left"><span style="font-size:14px">to reduce further emergence, selection and spread of AMR;</span></li>
<li style="text-align:left"><span style="font-size:14px">to prolong the lifespan of existing antibiotics;</span></li>
<li style="text-align:left"><span style="font-size:14px">to limit the adverse economic impact of AMR; and</span></li>
<li style="text-align:left"><span style="font-size:14px">to build the best-practices capacity of health-care professionals regarding the rational use of antibiotics</span></li>
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<p style="text-align:left;color:#000000;font-family:Helvetica;font-size:12px;line-height:150%"><span style="font-size:14px"> <br>
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.<br>
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The toolkit also provides possible measures, indicators and useful checklists to guide implementers in the setting up of AMS programs. For example, the table<a href="#m_4618797425529435200__ftn2" name="m_4618797425529435200__ftnref2" title="" style="color:#6dc6dd;font-weight:normal;text-decoration:underline;word-wrap:break-word!important">[2]</a> 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.</span><br>
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<p style="text-align:center;color:#000000;font-family:Helvetica;font-size:12px;line-height:150%"><span style="font-size:14px"><img src="https://gallery.mailchimp.com/fa9cf38799136b5660f367ba6/images/a85646cc-4619-4a54-b9c6-0150b714bb6e.png" style="border:0px;width:500px;height:290px;margin:0px;line-height:100%;outline:none;text-decoration:none" width="500" height="290"></span><br>
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<p style="text-align:left;color:#000000;font-family:Helvetica;font-size:12px;line-height:150%"><span style="font-size:14px">The “Antimicrobial Stewardship Programmes in Health-care Facilities in Low- and<br>
Middle-income Countries. A WHO Practical Toolkit” is available online and can be accessed at <a href="https://southcentre.us5.list-manage.com/track/click?u=fa9cf38799136b5660f367ba6&id=567518bd58&e=4fac633f11" style="color:#6dc6dd;font-weight:normal;text-decoration:underline;word-wrap:break-word!important" target="_blank">https://apps.who.int/iris/bitstream/handle/10665/329404/9789241515481-eng.pdf</a>.</span><br>
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<div id="m_4618797425529435200ftn1" style="text-align:left"><span style="font-size:14px"><a href="#m_4618797425529435200__ftnref1" name="m_4618797425529435200__ftn1" title="" style="color:#6dc6dd;font-weight:normal;text-decoration:underline;word-wrap:break-word!important">[1]</a> See the Global Action Plan on AMR here: <a href="https://southcentre.us5.list-manage.com/track/click?u=fa9cf38799136b5660f367ba6&id=2e5d7a8377&e=4fac633f11" style="color:#6dc6dd;font-weight:normal;text-decoration:underline;word-wrap:break-word!important" target="_blank">https://www.who.int/antimicrobial-resistance/global-action-plan/en/</a></span></div>
<div style="text-align:left"><span style="font-size:14px"><a href="#m_4618797425529435200__ftnref2" name="m_4618797425529435200__ftn2" title="" style="color:#6dc6dd;font-weight:normal;text-decoration:underline;word-wrap:break-word!important">[2]</a> <b>Source: “</b>Antimicrobial Stewardship Programmes in Health-care Facilities in Low- and<br>
Middle-income Countries. A WHO Practical Toolkit” (Geneva, World Health Organization, 2019).<br>
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<span style="color:#000000"><i><b>Author: Mirza Alas is Programme Officer of the Health, Intellectual Property and Biodiversity (HIPB) Programme of the South Centre.</b></i></span></span></div>
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