Cargando…

A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines

Antimicrobial resistance (AMR) is a global public health threat that warrants urgent attention. Countries developed their national action plans (NAPs) following the launch of the Global Action Plan on AMR in 2015. The development and implementation of NAPs are often complicated due to the multifacet...

Descripción completa

Detalles Bibliográficos
Autores principales: Lota, Maria Margarita M., Chua, Alvin Qijia, Azupardo, Karen, Lumangaya, Carlo, Reyes, Katherine Ann V., Villanueva, Sharon Yvette Angelina M., Legido-Quigley, Helena, Roxas, Evalyn A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9220349/
https://www.ncbi.nlm.nih.gov/pubmed/35740226
http://dx.doi.org/10.3390/antibiotics11060820
_version_ 1784732352287604736
author Lota, Maria Margarita M.
Chua, Alvin Qijia
Azupardo, Karen
Lumangaya, Carlo
Reyes, Katherine Ann V.
Villanueva, Sharon Yvette Angelina M.
Legido-Quigley, Helena
Roxas, Evalyn A.
author_facet Lota, Maria Margarita M.
Chua, Alvin Qijia
Azupardo, Karen
Lumangaya, Carlo
Reyes, Katherine Ann V.
Villanueva, Sharon Yvette Angelina M.
Legido-Quigley, Helena
Roxas, Evalyn A.
author_sort Lota, Maria Margarita M.
collection PubMed
description Antimicrobial resistance (AMR) is a global public health threat that warrants urgent attention. Countries developed their national action plans (NAPs) following the launch of the Global Action Plan on AMR in 2015. The development and implementation of NAPs are often complicated due to the multifaceted nature of AMR, and studies analyzing these aspects are lacking. We analyzed the development and implementation of the Philippine NAP on AMR with guidance from an AMR governance framework. We conducted in-depth interviews with 37 participants across the One Health spectrum. The interviews were transcribed verbatim and were analyzed thematically, adopting an interpretative approach. The enabling factors for NAP implementation include (1) a high level of governmental support and involvement of relevant stakeholders, (2) the development of policies to support improved responses in infection prevention and control and antimicrobial stewardship, and (3) better engagement and advocacy by professional associations and civil society groups. The challenges include (1) a lack of resources and regulatory capacity, (2) insufficient impetus for AMR research and surveillance, and (3) limited One Health engagement. Although there has been considerable progress for human health, strengthening the involvement and representation of the animal health and environment sectors in the AMR scene must be undertaken. Developing well-defined roles within policies will be paramount to the strong implementation of AMR strategies.
format Online
Article
Text
id pubmed-9220349
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-92203492022-06-24 A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines Lota, Maria Margarita M. Chua, Alvin Qijia Azupardo, Karen Lumangaya, Carlo Reyes, Katherine Ann V. Villanueva, Sharon Yvette Angelina M. Legido-Quigley, Helena Roxas, Evalyn A. Antibiotics (Basel) Article Antimicrobial resistance (AMR) is a global public health threat that warrants urgent attention. Countries developed their national action plans (NAPs) following the launch of the Global Action Plan on AMR in 2015. The development and implementation of NAPs are often complicated due to the multifaceted nature of AMR, and studies analyzing these aspects are lacking. We analyzed the development and implementation of the Philippine NAP on AMR with guidance from an AMR governance framework. We conducted in-depth interviews with 37 participants across the One Health spectrum. The interviews were transcribed verbatim and were analyzed thematically, adopting an interpretative approach. The enabling factors for NAP implementation include (1) a high level of governmental support and involvement of relevant stakeholders, (2) the development of policies to support improved responses in infection prevention and control and antimicrobial stewardship, and (3) better engagement and advocacy by professional associations and civil society groups. The challenges include (1) a lack of resources and regulatory capacity, (2) insufficient impetus for AMR research and surveillance, and (3) limited One Health engagement. Although there has been considerable progress for human health, strengthening the involvement and representation of the animal health and environment sectors in the AMR scene must be undertaken. Developing well-defined roles within policies will be paramount to the strong implementation of AMR strategies. MDPI 2022-06-17 /pmc/articles/PMC9220349/ /pubmed/35740226 http://dx.doi.org/10.3390/antibiotics11060820 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lota, Maria Margarita M.
Chua, Alvin Qijia
Azupardo, Karen
Lumangaya, Carlo
Reyes, Katherine Ann V.
Villanueva, Sharon Yvette Angelina M.
Legido-Quigley, Helena
Roxas, Evalyn A.
A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines
title A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines
title_full A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines
title_fullStr A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines
title_full_unstemmed A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines
title_short A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines
title_sort qualitative study on the design and implementation of the national action plan on antimicrobial resistance in the philippines
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9220349/
https://www.ncbi.nlm.nih.gov/pubmed/35740226
http://dx.doi.org/10.3390/antibiotics11060820
work_keys_str_mv AT lotamariamargaritam aqualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT chuaalvinqijia aqualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT azupardokaren aqualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT lumangayacarlo aqualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT reyeskatherineannv aqualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT villanuevasharonyvetteangelinam aqualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT legidoquigleyhelena aqualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT roxasevalyna aqualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT lotamariamargaritam qualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT chuaalvinqijia qualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT azupardokaren qualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT lumangayacarlo qualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT reyeskatherineannv qualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT villanuevasharonyvetteangelinam qualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT legidoquigleyhelena qualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines
AT roxasevalyna qualitativestudyonthedesignandimplementationofthenationalactionplanonantimicrobialresistanceinthephilippines