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CSO Thailand presentation
1. CSO Project in Thailand
Niyada Kiatying-Angsulee, Ph.D.
Drug System Monitoring & Development Program
Chulalongkorn University
2. Thailand at a Glance
Southeast Asia
Population (2012)
69.5 million
GDP per capita (2012)
(US$)5,678
Infant mortality rate
16.7/1000 live births
Health insurance scheme
3 major insurance schemes
Health care system
Burden of disease
Excessive use AB
(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
3. ABR in Thailand
Acinetobacter buamanmii : resist to many
antibiotics (aminoglycosides, beta actam, quinolon
es, carbapinems, emipenems)
Streptococcus pneumoniae : resist to penicillins,
erythromycin
>100,000 Thai people infected with antibiotic
resistant bacteria
1 million days of extra hospital stay
30,000 deaths annually, leading to economic loss
of more than 10,000 million baht
4. Thailand attempts
NARST (National Antimicrobial Resistance
Surveillance Thailand)
National Drug Policy
Subcommittee on RUD = 7 strategies for RUD = AMR
One subcommittee to combat AMR
Drug 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 resistance
Some hospital stewardship program, e.g. Siriraj
hospital, Ramathibodi hospital, etc.
5. Press Conference for World Health Day 2011
by Deputy Minister of Public Health
(Combat drug resistance - No action today, no cure tomorrow)
5
6. Subcommittee to re-evaluate
antimicrobial medicines (human, animal)
Appointed by Drug Committee (belongs to Drug
Act)
Met Sept 30th, 2012
Re-evaluate all antimicrobials according to WHO
and OIE, and Thai context
Propose for re-classify, control of distribution,
and restriction of use
7. DMD and ABR campaign
Folk Media (2 pieces)
Painting (22 pieces)
Calendar (2012)
Competition on arts
MOU with MoPH, with local authority
Support of Medical Student Campaign
Support ASU, and others
CSO projects
ABR in Contract Farm
11. CSO Activities so far
1. Preparation meetings
2. Development and test of curriculum in BKK
3. Prepare of media
4. TOT in BKK
5. Survey of people awareness and behaviour
6. MOU in Chiang Mai
14. MOU : Subdistrict, Family Network
Foundation, DMD : ABR action at co
mmunity level (21 Dec 2012)
15. Support of University Activity
SIMIC 2012, 2013
CU Medical students road show at schools
Chiang Mai University Hospital Trainng
Ramathibodi Hospital IC
16. SIMIC 2013
(Med students and staff 36 teams from 11 countries)
Campaign workshop
Competition
Simulated patient
20. Future: a long way to go
Antibiotic and Contract Farm
Antibiotic Awareness day 18th Nov 2013:
ASU Kids
21. Antibiotic and Contract Farm
Support knowledge on health and AB use
Survey of health behaviour and medicines used
Survey of AB used in contract farm
Campaign
22. Antibiotic Awareness day
18th Nov 2013: ASU Kids
With Institute of Child Health (MoPH), and allies
Seminar to the public
Lunch symposium update on AMR
Med student campaign
Sawasdee ka, mean Buenos tardes
I am working with Drug System Monitoring and Development Program at Chulalongkorn Univeristy
This is my second visit to Cuenca, and I enjoy very much. Happy to be here again.
I am going to present you our work on CSO project which will start with Thailand profile.
This is Thailand profile
You can see the last line that we use a lot of antibiotics
Excessive use and irrational use create antibiotic resistance. As you may see here.
So Thailand start to work from national to insitution and university.
Launch of World Health Day in 2011
At national level, subcommittee to re-evaluate antimicrobial medicines
My organization has done so many work related to ABR as well as CSO project funded by ReACt.
I will explain some in details
Showing of paintings during the international conf also cohost with ReACt in Bangkok
The training how to paint for health profession to express concern on ABR and also environment impact of ABR
Now I am coming with CSO project
Here are list of activitties we have done so far
WE had meeting to prepare the curriculum for TOT
Training of Trainer
Here are material w use to teach local people, parents, teacher at school
They will be the ones who convey message fromm us to other local people nearby the school. Like you have done last Friday.
We had memorandum of understanding among our organization, Family network foundation, and local community orgaization
Apart from CSO we work with university, faculty of medicines, medical students,
These are material to teach prople and doctors not to usse antibiotic