Situational Analysis of Antimicrobial Resistance in the South-East Asia Region, 2018. Report 2018: An Update on Two Years of Implementation of National Action Plans
(2019; 146 pages)

Abstract

Since 2010, WHO has worked with FAO and OIE in a global Tripartite partnership for One Health to provide a strategic vision and ensure sharing of responsibilities to address health risks at the human–animal– environment interface. The Tripartite coordinated the development of a common multipronged regional action plan in support of countries, highlighting priority issues of governance and multisectoral coordination, capacity-building, gaps in knowledge and strengthening of systems. The announcement of the global action plan against antimicrobial resistance (GAP-AMR) in 2015 was followed by advocacy initiatives at the global and regional levels by WHO and the Tripartite, calling for the development of comprehensive NAPs-AMR that were aligned to strategic objectives and implemented using the One Health approach. It also provided technical support for developing and monitoring the progress of Member States with respect to their NAPs-AMR…

The 2018 tool assessed the progress of NAP-AMR implementation based on 30 indicators as a proxy for strategic interventions/programmes across eight focus areas. These included 20 initial indicators (from the 2016 situational analysis tool) and 10 newly introduced indicators.

The situational analysis of 2018 revealed significant progress in the implementation of NAPs across different focus areas and their indicators in the Member States in the preceding two years. Based on the original 20 indicators, median country progress was significantly higher at 55% in 2018 (i.e. 50% of the countries had at least 55% of the 20 initial indicators that reached Phase 3 and above); progress against the same indicators in 2016 was 25%. On the basis of all 30 indicators (including the 10 new indicators introduced in the situational analysis tool of 2018), the median country progress in 2018 was 40%.

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