2022-10-30-世界卫生组织-Antimicrobial_resistance_TrACSS_Kyrgyzstan_2022_country_profile_10页_311kb

报告摘要

AMR is a major global health threat, killing ~5 million annually (1.27m directly), undermining SDGs.
Response has been uneven; the 2015 GAP-AMR commits countries to NAPs to track implementation via TrACSS.
TrACSS (formerly AMR NAP Governance Assessment) monitors progress on NAPs and capacity across sectors worldwide (highest response rate 86%).
Data visualization compares country responses to global averages (numerical rating A-E).

Throughout sectors (Human, Animal, Food & Agriculture, Environment): Countries face limited financial, human, and technical resources. Inconsistent political commitment hinders implementation.
Legislation & Data: Many lack reports on AMR monitoring or enforcing AMU legislation (prescription, sale, usage).
AMR Awareness: National campaigns are underway, but targeted awareness is limited (e.g., youth education coverage is low).

Human Health:
- Strengths: Progress on IPC, establishing integrated surveillance systems, AST capacity (benchmarked).
- Weaknesses: Limited progress on antimicrobial consumption monitoring.
Animal Health (largest deficits):
- Critically low scores: Aquatic animal health shows no capacity development. Antimicrobial use surveillance and monitoring systems for terrestrial animals need improving.
- Areas of Progress: Enhanced training slightly.
Food and Agriculture:
- Significant deficits: Biosecurity, AMR surveillance (plants/food).
- Moderate Progress: Some improvements in antimicrobial pesticide use regulations.
Environment:
- No capacity reported: National risk assessments, environmental regulations, or water monitoring systems for AMR.

General trend: Most indicators show slight to moderate improvement.
Notable progress: Role definition within coordinated structures, national plan implementation push.
Persistent deficits: AMR lexicon use, AQMH sectors, environmental actions.

Strengthening Implementation: Integrate AMR into existing strategies (WASH, Climate, Food Safety), address HR/PF.
Data & Legislation: Improve AMR surveillance, enforce legislation, monitor AMU.
Capacity Building: Implement external quality assurance, standardize lab procedures, use national/local data for policy.
Awareness: Broaden awareness campaigns to youth and households, creative messaging; collect qualitative narratives.
Environment: Assess water contamination sources.
Ad-hoc Coordination: Improve volunteer mechanisms and knowledge sharing platforms under the Quadripartite Nations.

展开完整摘要