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Resistencia a los antimicrobianos

USAID-FAO Regional Project on AMR in Asia

Title of the project: Addressing Antimicrobial Usage in Asia’s livestock, aquaculture and crop production industry (OSRO/RAS/502/USA)

Status: Ongoing

Donor: USAID

Focus Countries: Indonesia, Thailand and Viet Nam

Focus Sub-regions: ASEAN and SAARC

Period: 1 October 2016 to 30 April 2019

Objectives: Promote a more prudent use of antimicrobials in the livestock and aquaculture production industries as well as in the crop production sector in Asia to minimize the likelihood of antimicrobial resistance (AMR) development and spread.

Activities and outputs:

Expected Output 1: Improved understanding and documentation of antimicrobial use (AMU) and AMR in livestock production industry.

  • Agreement with University of Liverpool to document antimicrobial usage in livestock at the farm level and determine the cost of technical interventions, potential investments, recurring costs of interventions, and the value of interventions from managing AMU and AMR.
  • Agreement with the Network of Aquaculture Centres in Asia-Pacific (NACA) to document antimicrobial usage in selected aquaculture species in Myanmar, Vietnam and Thailand.
  • Agreement with the Center for Indonesian Veterinary Analytical Studies (CIVAS), a non-governmental organization in Indonesia, to gather data and describe livestock value chains in accordance with template requirements to document antimicrobial usage in livestock at the farm level.
  • Policy review workshop for Asia including experts from the USA, Netherlands, Japan and Republic of Korea to share information on functional national AMR policies.

Expected Output 2: Enhanced awareness amongst target groups of AMR impacts and AMU best practices.

  • ASEAN regional communications strategy on AMR was developed.
  • Various communications materials and prototype education materials were produced and disseminated to countries within the region.

Expected Output 3: Established regional platform for promotion of AMU stewardship in Asia.

  • Statement by ASEAN ministers to declare support on AMR mitigation paving the way for more concrete action in Southeast Asia
  • SAARC is moving forward towards a similar declaration as ASEAN to act on AMR.
  • Assessment criteria were developed and finalized into AMR policy review guidelines.
  • Organized an international meeting on AMR during the Prince Mahidol Awards Conference. The meeting convened key stakeholders to consider in depth the priority areas in which short-term efforts will yield maximum advancements for enhancing AMU stewardship, and strengthen efforts to minimize AMR within animal production sectors in Asia.
  • Country-oriented technical assistance was provided to Lao PDR, Indonesia, Myanmar and Vietnam in developing their respective National Action Plans on AMR.
  • AMR initiatives in Asia presented in regional meetings and international conference focusing on advances in documentation of AMR in aquaculture and agriculture.
  • Project supported capacity building in Southeast Asian countries by supporting their training on One Health Systems Mapping and Analysis Resource Toolkit (OH-SMART) training.
  • The project participated in a training on the Assessment Tool for Laboratory and AMR Surveillance Systems (ATLASS).

Expected Output 4: Strengthened capacities in surveillance of AMR and antimicrobial residue in livestock/livestock products.

  • AMR Surveillance Framework drafted after surveillance harmonization consultation workshop.
  • Agreement with Chulalongkorn University (CU) to assess the laboratory capacities of selected countries in Southeast Asia, develop laboratory protocols for AMR testing, and conduct regional laboratory training(s) on AMR diagnosis.
  • ATLASS was administered in Thailand, Indonesia and Myanmar by a team from CU along with the project’s AMR Regional Surveillance Coordinator.
  • Meetings with the CU team were held regularly focusing on the ATLASS assessment, the development of protocols and setting dates for the regional laboratory training.

Main achievements:

Output 1: Improved understanding and documentation of AMU and AMR in livestock production industry

  • Work on documenting antimicrobial usage in livestock and aquaculture is now progressing with engagements from producer groups and aquaculture centres in Asia.
  • Policy review guidelines been reviewed internally by FAO and are ready for presentation in a consultation meeting with the countries.

Output 2: Enhanced awareness amongst target groups of AMR impacts and AMU best practices

  • The regional communications strategy on AMR for ASEAN continues to provide direction to ASEAN countries on how communications activities will be conducted and how materials will be designed to achieve the vision of an ASEAN community promoting and practicing responsible and prudent antimicrobial usage.

Output 3: Established regional platform for promotion of AMU stewardship in Asia

  • The Special Session on AMR for ASEAN was convened through project assistance resulting in the release of a joint press statement by the ASEAN Ministers of Agriculture to support activities and collaborations on AMR issues.
  • Engagements with the pharmaceutical industry, producer groups, and academia have been noticeably increased, especially during events where they are invited and accept such invitations to participate and contribute in panel discussions or workshops.

Output 4: Strengthened capacities in surveillance of AMR and antimicrobial residue in livestock/livestock products

  • ATLASS was administered in three countries during the reporting period. Feedback from the assessment team is being channelling to the tool’s developers, contributing to a review of the tool to reflect what is happening in the field.
  • The surveillance framework produced during the consultation workshop on AMR surveillance held in November 2016 laid down the foundation for the objectives of AMR surveillance and how it will be conducted in the countries.
  • Linkages with the Veterinary Science Faculty of Chulalongkorn University continue to be strengthened with project and CU staff working closely together on strengthening surveillance and laboratory capacities.

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