2022-10-30-世界卫生组织-Antimicrobial_resistance_TrACSS_Dominican_Republic_the_2022_country_profile_10页_288kb

Summary of Dominican Republic's TrACSS 2022 Report on Antimicrobial Resistance

Antimicrobial resistance (AMR) is a major global threat, with the Dominican Republic participating in the annual Tracking AMR Country Self-Assessment Survey (TrACSS) to monitor implementation of its National Action Plan on AMR (NAP AMR). TrACSS evaluates capacity and progress across key sectors and benchmarks against global averages.

The country has formalized multisectoral coordination mechanisms and developed its NAP AMR, which is currently being implemented. Progress is evident in areas like human health surveillance, animal health education, and food production practices in some sectors. However, challenges persist, including limited financial and human resources, inconsistent data use for policy decisions, and inadequate legislative frameworks for antimicrobial regulation.

Sector-specific capacities are mixed:

• In human health, monitoring of antimicrobial use shows moderate to good levels, but infection prevention and control (IPC) is weaker.
• Animal health and aquatic animal health show limited to moderate progress, with gaps in surveillance and biosecurity for terrestrial and aquatic production.
• Food and agriculture sectors have seen improvements in hygiene and antimicrobial use reduction, but data integration and full biosecurity implementation are needed.
• Environmental sector exhibits significant deficiencies in risk assessments, legislation, and regular monitoring of antimicrobial residues in water.

Compared globally, the Dominican Republic performs above average in some indicators but below average in others, indicating uneven progress. Key recommendations include strengthening technical capacity, enhancing data-driven decision making, and building sustained political commitment and funding for AMR control across all sectors.

The conclusion emphasizes that while commendable progress has been made, further actions are required to ensure full implementation of NAPs and address AMR through a OneHealth approach for global health security.