<div dir="ltr"><div class="gmail_default" style="font-size:large"><br></div><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">---------- Forwarded message ---------<br>From: <span dir="auto"><<a href="mailto:dlegge@phmovement.org">dlegge@phmovement.org</a>></span><br>Date: Fri, Jan 19, 2024 at 1:59 PM<br></div><br><div class="msg-8516440659799515616"><div bgcolor="#FAFAFA" link="blue" vlink="purple" style="word-wrap:break-word" lang="EN-AU"><div class="m_-8516440659799515616WordSection1"><div align="center"><table style="width:154.62%;background:#fafafa;border-collapse:collapse" width="154%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="width:100.0%;padding:7.5pt 7.5pt 7.5pt 7.5pt" width="100%" valign="top"><div align="center"><table style="width:450.0pt;border-collapse:collapse" width="600" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm" width="600" valign="top"><div align="center"><table style="max-width:450.0pt;border-collapse:collapse" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="background:#fafafa;padding:6.75pt 0cm 6.75pt 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 0cm 0cm 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm" width="600" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 13.5pt 6.75pt 13.5pt" valign="top"><p class="MsoNormal" style="text-align:center" align="center"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#656565"><a href="https://mailchi.mp/phmovement/eb154-08-13_ipc-amr?e=5f3cea0f3e" target="_blank"><span style="color:#656565">View this email in your browser</span></a><u></u><u></u></span></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background:white;padding:6.75pt 0cm 0cm 0cm;background:cover;background-size:cover" id="m_-8516440659799515616templateHeader" valign="top"><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 6.75pt 6.75pt 6.75pt;min-width:100%" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 6.75pt 0cm 6.75pt;min-width:100%" valign="top"><p class="MsoNormal" style="text-align:center" align="center"><img style="width:5.875in;height:3.2083in" id="m_-8516440659799515616_x0000_i1030" src="https://mcusercontent.com/559d715f58f654accf3de987e/images/0b1bd6d2-85d4-c0fe-ef58-a4a1ab9cc235.jpg" width="564" height="308" border="0"><u></u><u></u></p></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="border:none;border-bottom:solid #eaeaea 1.5pt;background:white;padding:0cm 0cm 6.75pt 0cm;background:cover;background-size:cover" id="m_-8516440659799515616templateBody" valign="top"><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 0cm 0cm 0cm;min-width:100%" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm;max-width:100%;min-width:100%" width="600" valign="top"><table style="width:100.0%;border-collapse:collapse;word-break:break-word" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 13.5pt 6.75pt 13.5pt" valign="top"><h1 style="text-align:center" align="center">PHM welcomes WHO action plans on infection prevention and control and on antimicrobial resistance<u></u><u></u></h1><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">In two separate items on the agenda for the forthcoming WHO Executive Board meeting (EB154) the WHO Secretariat provides situation analyses and reports on action underway. See <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=10aba352e2&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">EB154/8</span></a> on infection prevention and control (IPC) and <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=127b8d1ab0&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">EB154/13</span></a> on antimicrobial resistance (AMR). The focus in both cases is on the health systems response to these problems. The need for a wider intersectoral response is also acknowledged.<br><br>The People’s Health Movement welcomes both reports but calls for more attention to the commonalities across both areas and to the challenge of integrating action on these challenges in the context of comprehensive health system development.<br><br>PHM provides a close analysis of both agenda items, linked from PHM’s <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=933284ff2e&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">WHO Tracker</span></a>.<br><br>In summary the PHM commentary calls for:<u></u><u></u></span></p><ol type="1" start="1"><li class="MsoNormal" style="color:#202020"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif">Well functioning healthcare information systems that are able to document and analyse infection and AMR patterns and trends;<u></u><u></u></span></li><li class="MsoNormal" style="color:#202020"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif">Well functioning disease surveillance programmes that include recognition of patterns of infection and antibiotic resistance adequate to guide providers;<u></u><u></u></span></li><li class="MsoNormal" style="color:#202020"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif">Quality assurance systems which include all requirements, for IPC and AMR, including WASH standards and the adoption and use of standard treatment protocols;<u></u><u></u></span></li><li class="MsoNormal" style="color:#202020"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif">Adequate microbiological capacity for the identification of infection, its source and resistance patterns; part of ensuring access to ensuring good quality, primary, secondary and tertiary care as distinct from purchasing minimalist packages of care from private providers;<u></u><u></u></span></li><li class="MsoNormal" style="color:#202020"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif">Adequate support staff required for ensuring WASH standards (water, sanitation, hygiene and waste disposal) and for the many IPC associated functions with proper terms of employment that would ensure performance;<u></u><u></u></span></li><li class="MsoNormal" style="color:#202020"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif">Adequate procurement of the consumables required, including personal protective equipment for ensuring good hygiene and other aspects of planning, prevention and protection;<u></u><u></u></span></li><li class="MsoNormal" style="color:#202020"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif">Adequate regulation of private clinical establishments so as to ensure that all of the above standards are assured in the private sector also; governments can achieve the above by administrative action but for the private sector, legal provisions are essential; these must also be built into all purchasing of care from the private sector;<u></u><u></u></span></li><li class="MsoNormal" style="color:#202020"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif">The creation of institutional capacity for national public health standards and quality assurance and improvement, including provisions which ensure all of the above actions as required for IPC but also include patient safety, AMR, effective clinical care, evidence-based public health planning, provider satisfaction, and patient satisfaction. <u></u><u></u></span></li></ol><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">This package would definitely require more funds, but the funds would result in better outcomes. Member states should see the achievement of IPC as a subset of achieving good quality universal comprehensive healthcare rather than as distinct from it.<u></u><u></u></span></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table><p class="MsoNormal"><u></u> <u></u></p><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 0cm 0cm 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm;max-width:100%;min-width:100%" width="600" valign="top"><table style="width:100.0%;border-collapse:collapse;word-break:break-word" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 13.5pt 6.75pt 13.5pt" valign="top"><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">The full in <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=5ce81abbe4&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">IPC is here</span></a> and on <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=9a63301b41&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">AMR is here</span></a>. These provide a more detail and references.  See also Tracker links to previous discussions of <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=7f0a84f282&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">IPC</span></a> and <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=fe805a999a&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">AMR</span></a>.<u></u><u></u></span></p><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">The WHO Tracker and PHM item commentaries are produced as part of <b><span style="font-family:"Tahoma",sans-serif">WHO Watch</span></b> which is a project of the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=c85d48e7a1&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">People's Health Movement</span></a> in association with <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=bf8bbe6aaa&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">Medicus Mundi International</span></a>, <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=aa475858c2&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">Third World Network</span></a> and a number of other civil society networks. WHO Watch contributes to democratising global health governance, through new alliances, new information flows and by broadening the policy discourse.<u></u><u></u></span></p><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">See the WHO Tracker page for this EB154 session (<a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=c0e3016f3d&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">here</span></a>). See PHM’s <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=a1b89b13a0&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">integrated commentary</span></a> on the full agenda of EB154 (or read the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=04825696b1&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">flipbook version</span></a>). To ensure that you receive Update Alerts <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=901ce02342&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">subscribe</span></a> to the Updater. <br><br>You can support WHO Watch by forwarding this Item Alert, by publicising the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=762f8f3133&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">Tracker</span></a>, by inviting others to <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=69240b3908&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">subscribe to GHG Reports</span></a>; and by following us on social media via @PHMglobal and @WorldHealthWatch.<u></u><u></u></span></p><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">To provide feedback on this newsletter please write to <a href="mailto:editor@phmovement.org" target="_blank"><span style="color:#007c89">editor@phmovement.org</span></a>.<u></u><u></u></span></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background:#fafafa;padding:6.75pt 0cm 6.75pt 0cm;background:cover;background-size:cover" id="m_-8516440659799515616templateFooter" valign="top"><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 6.75pt 6.75pt 6.75pt;min-width:100%" valign="top"><div align="center"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:0cm 6.75pt 0cm 6.75pt;min-width:100%"><div align="center"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 6.75pt 0cm 6.75pt;min-width:100%" valign="top"><div align="center"><table style="border-collapse:collapse" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:0cm 0cm 0cm 0cm" valign="top"><div align="center"><table style="border-collapse:collapse" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:0cm 0cm 0cm 0cm" v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