cso thailand presentation
DESCRIPTION
Presented by Niyada Kiatying-AngsuleeTRANSCRIPT
CSO Project in CSO Project in ThailandThailand
Niyada Kiatying-Angsulee, Ph.D.Drug System Monitoring & Development Program
Chulalongkorn University
Thailand at a GlanceSoutheast AsiaPopulation (2012)GDP per capita (2012) Infant mortality rateHealth insurance scheme
Health care system
Burden of diseaseExcessive use AB
69.5 million (US$)5,67816.7/1000 live births3 major insurance schemes
(CSMBS, SSS, UC)Majority public services
(MoPH, university, Local authority)
HIV/AIDS, CVS, Cancer, Accident,
national AB use 16-22% of total drug use
Increase AB use rate 11 % per annum
ABR in Thailand
Acinetobacter buamanmii : resist to many antibiotics (aminoglycosides, beta actam, quinolones, carbapinems, emipenems)
Streptococcus pneumoniae : resist to penicillins, erythromycin
>100,000 Thai people infected with antibiotic resistant bacteria
1 million days of extra hospital stay30,000 deaths annually, leading to economic
loss of more than 10,000 million baht
Thailand attempts NARST (National Antimicrobial Resistance
Surveillance Thailand)National Drug Policy
Subcommittee on RUD = 7 strategies for RUD = AMR
One subcommittee to combat AMRDrug System Monitoring and Development
Program (one focus is on ABR)Antibiotic Smart Use Program of FDA (ASU)Health System Research Institute (HSRI) Program
on antibiotic resistanceSome hospital stewardship program, e.g. Siriraj
hospital, Ramathibodi hospital, etc.
Press Conference for World Health Day 2011 by Deputy Minister of Public Health
(Combat drug resistance - No action today, no cure tomorrow)
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Subcommittee to re-evaluate antimicrobial medicines (human, animal)Appointed by Drug Committee (belongs to
Drug Act)Met Sept 30th, 2012Re-evaluate all antimicrobials according to
WHO and OIE, and Thai contextPropose for re-classify, control of distribution,
and restriction of use
DMD and ABR campaignFolk Media (2 pieces)Painting (22 pieces)Calendar (2012)Competition on artsMOU with MoPH, with local authoritySupport of Medical Student CampaignSupport ASU, and othersCSO projectsABR in Contract Farm
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Arts by Health Professions on AMR and Health
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Puppet show on rational use of antibiotic
Meet and greet with students on competition
CSO Activities so far1. Preparation meetings2. Development and test of curriculum in BKK3. Prepare of media 4. TOT in BKK5. Survey of people awareness and behaviour6. MOU in Chiang Mai
Curriculum Development and Testing
With teacher, parents, and students in school
Civil Society Organization, TOT
MOU : Subdistrict, Family Network Foundation, DMD : ABR action at community level (21 Dec 2012)
Support of University Support of University ActivityActivitySIMIC 2012, 2013CU Medical students road show at schoolsChiang Mai University Hospital Trainng Ramathibodi Hospital IC
SIMIC 2013 SIMIC 2013 (Med students and staff 36 teams from 11 countries)
Campaign workshop Simulated patientCompetition
Training Health Volunteer in Chiang MaiWith Faculty of Medicine, Chiang Mai
University
ASU Activities all over the ASU Activities all over the Province: Nakorn Sri Province: Nakorn Sri ThammarathThammarath
Antibiotic Smart Use ASU: 3 illnesses without antibiotic
Future: a long way to go
Antibiotic and Contract Farm Antibiotic Awareness day 18th Nov
2013: ASU Kids
Antibiotic and Contract Farm Support knowledge on health and AB useSurvey of health behaviour and medicines
usedSurvey of AB used in contract farmCampaign
Antibiotic Awareness day 18th Nov 2013: ASU KidsWith Institute of Child Health (MoPH), and
alliesSeminar to the publicLunch symposium update on AMRMed student campaign
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ThanksThanks