Martha GyansaLutterodt Director Pharmaceutical Services Outline The challenge and Policy assessment S ituation analysis Global Action Plan GAP Aligning the GAP to Ghanas Policy Framework ID: 576696
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Slide1
Antibiotic Policy in Ghana; the way forward
Martha Gyansa-Lutterodt
Director Pharmaceutical ServicesSlide2
Outline
The challenge and Policy assessment
S
ituation analysisGlobal Action Plan (GAP)Aligning the GAP to Ghana’s Policy FrameworkOur StoryThe Way Forward
Antimicrobial Policy in GhanaSlide3
Introduction: Access to essential medicines
Availability
Availability of medicines >85% for 65 tracer medicines
*AffordabilitySocial health insurance
reimbursing 548 medicines
(13.1% antibiotics)
Out of pocket paymentsAccessibility: Geographical distribution of medicines outlets Private Pharmacies >80% urbanLicensed chemical sellers >80% ruralPublic health facilities, CHPSQualitySSFFCs and Storage conditions
*Office of the Chief Pharmacist, 2013
Quality
40%
Accessibility 20%
Affordability
40%
Antimicrobial Policy in GhanaSlide4
Policy assessment: sustaining
the
gains made by positive interventions on trends in RUM
The National
Drug Policy recommends routine monitoring of
Rational use of medicines (RUM)
The WHO core indicators adopted for use in country, includes one direct indicator for antibiotic useOffice of the Chief Pharmacist 1999 to 2013
The indicator trend, aligns with investments in DTC training
Ghana AMR initiativesSlide5
Situational Analysis
Irresponsible/inappropriate
use of Antimicrobials
Lack of information on the proper use of AntimicrobialsAbsence of policy on Antimicrobial use
Spurious, Substandard, Falsified, Fake and Counterfeit Antimicrobials
Unregulated access to Antimicrobials
Antimicrobial Policy in GhanaSlide6
Situational Analysis
Use
in agriculture as growth promoters
Poor infection prevention and control in health facilitiesPoor environmental sanitationPoor or absence of surveillance on Antimicrobials usePoor knowledge on Antimicrobials resistance
Antimicrobial Policy in GhanaSlide7
Elements of Global Action Plan
I
mprove
awareness and understanding of antimicrobial resistance; Strengthen knowledge through surveillance and researchReduce
the incidence of
infection (Infection Control)
Optimize the use of antimicrobial agents Develop the economic case for sustainable investment that takes account of the needs of all countriesIncrease investment in new medicines, diagnostic tools, vaccines and other interventions.Antimicrobial Policy in GhanaSlide8
Elements of Ghana’s Policy Framework for AMR
This Policy Frame work is one of the MoH Aide Memoire deliverables for 2014
Responsible Use
of Antimicrobials
Use in Veterinary
and Aquaculture
Manufacturing, Supply, distribution,
disposal
Regulation and enforcementSurveillance
Antimicrobial Policy in GhanaSlide9
Elements of Ghana’sPolicy Framework for AMR
Infection
prevention and control
Laboratory services
Research and development
Stakeholder collaboration and Governance of Antimicrobial resistance
Antimicrobial Policy in GhanaSlide10
Our Story
!
Antimicrobial Policy in GhanaSlide11
Orientation/Sensitization of Key Stakeholders
Over 80 key stakeholders sensitized in western region
About 30 Queen mothers in central
10 municipal health directorate staffPharmacist AGMAGM of Ward nurses
AMR TWG
Health SummitSlide12
Way Forward…1
The need for broad policy framework
Antimicrobial resistance
vrs Antibiotic resistanceKey policy areas Community education and Sociocultural change interventions
Potential role of Legislative instruments
Balancing access, excess and equity (inline with distribution of appropriate cadres)
Quality of antimicrobial agents The role of appropriate Infection control strategiesHospitals CommunitiesSlide13
Way forward…2
Need for an expanded monitoring framework
RUM indicators (1 indicator for Antibiotic use)
Alignment and contextualization within existing policies on medicinesInfection control policy
National Medicines Policy
EML policy
Linking surveillance data with selection of antibioticsSlide14
The Way forward…3
Research must inform Policy and Practice- The ADMER experience
Continue
multi-stakeholder platform workContinue working with the Academia and research institutions in surveillance, drug development and continuous research to improve
antimicrobial use
etc
Complete Policy Cycle and Continue with Policy implementationmonitoring and evaluation, communication/education/advocacy Implementation of the recommendations from KABP on CSO’s and Health professionalsAntimicrobial Policy in GhanaSlide15
The Way forward…4
Surveillance
Implementing the MARHLAB program
Bench work stardardisation done to provide the baseline Infection control policy 2011 under review with follow on implementationOne Health Approach to AMR issues
Develop treatment guidelines for Animal use
Collaboration and partnerships with other countries and Institutions as outlined in the Global Action Plan
Antimicrobial Policy in GhanaSlide16
Announcing our Work …..
4
more manuscripts ready
Antimicrobial Policy in GhanaSlide17
Reports, Training Manuals, Educational materials
Antimicrobial Policy in GhanaSlide18
www.ghndp.org/
antimicrobialresistance
www.ghndp.org/reactcso
Antimicrobial Policy in GhanaSlide19
Sights and Sounds- Ghana AMR Alliance
Antimicrobial Policy in GhanaSlide20
Pictures
Antimicrobial Policy in GhanaSlide21
Antimicrobial Policy in Ghana
THANK YOU TO THE GHANA AMR WORKING GROUP AND TECHNICAL TASK TEAM
OFFICE OF THE CHIEF PHARMACIST FOR ALL THE HARD WORKSlide22
End
Thank you