2022-10-30-世界卫生组织-Antimicrobial_resistance_TrACSS_Philippines_2022_country_profile_10页_292kb

Tracking AMR Country Self-Assessment Survey (TrACSS) 2022 Philippines Country Report Summary

1 Background & Purpose

• AMR: Resistance of pathogens to antimicrobial drugs, a major global threat affecting health, poverty, food security, and the environment. In 2019, it caused nearly 5 million deaths globally.
• Goal: To monitor the implementation of National Action Plans on Antimicrobial Resistance (NAP-AMR); TrACSS is a tool managed by WHO/Administered by the QuadPartite (WHO, FAO, OIE/ OIE, UNEP).
• Philippines Commitment: Ratified global AMR resolutions and developed/maintains a National Action Plan (NAP-AMR).

2 Global Context vs. Philippines

• Progress Sluggish: Global progress is uneven and slow; TrACSS 2022 showed high participation (86%).
• Philippines Findings:
  • Establishment of formal multi-sector coordination mechanisms.
  • Existence and process of review/revising NAP-AMRs.
  • Most sectors (e.g., Human, Terrestrial Animal, Aquatic Animal) demonstrate increasing capacity nationwide over time (A-E scale, C-E development level).

3. Progress by Sector

• Human Health: Shows moderate progress (C-E ratings) in awareness, surveillance, rational use, and IPC. Challenges remain in monitoring consumption, data harmonization, and IPC resources.
• Animal Health (Veterinary):
  • Aquatic Animal Health: Stronger capacity ratings over time (+D+) but still rated 'Limited' in some areas.
• Food & Agriculture: Majority rated 'Limited' (B or lower) in training, surveillance, biosecurity, and diagnostics.
• Environment: Low ratings (N/Y mostly 'No'): No national risk assessments, no legislation to limit contamination, No monitoring systems for AMR in water.

4 Key Challenges

• Financial/HR Constraints: Countries face challenges related to funding, human resources, technical capacity, and inconsistent political commitment.
• Inconsistent Monitoring: Only 54% use their NAP-AMR data via TrACSS comparison, and only 60% enforce AMR/microbial consumption laws concurrently.
• Awareness Gaps: Less than 20% have specific youth education interventions; Monitoring and enforcement need significant improvement.

5 Recommendations & Actions

• Strengthen financial and human resource capacities.
• Institutionalize a programmatic approach for NAP implementation.
• Enhance technical expertise in surveillance, diagnostics (especially AST harmonization), and data use.
• Expand targeted awareness campaigns, especially for youth.
• Improve antimicrobial stewardship policies/legislation and enforce their execution.

6. Summary for Policymakers (Conclusions)

• Report highlights progress but emphasizes the need for significantly enhanced sustainable investment and coordinated action across all sectors to effectively manage AMR risk, turning NAPs from commitments into tangible, long-term outcomes.