Veterinary Anti-Microbial Resistance Containment in Bangladesh: evaluating the National Action Plan and scoping the evidence on implementation.
J Glob Antimicrob Resist. 2019 Oct 07;:
Authors: Orubu ESF, Zaman MH, Rahman MT, Wirtz VJ
OBJECTIVES: In 2015, the World Health Organization released the Global Action Plan on Anti-Microbial Resistance (GAP) as a blueprint for the design of National Action Plans for Anti-Microbial Resistance containment. Bangladesh, with 80 % rural household ownership of at least one livestock, introduced its National Action Plan in May 2017. The objective of this paper is twofold: (i) to perform a policy content evaluation of the Bangladesh National Action Plan (BNAP) against the GAP with a focus on veterinary Anti-Microbial Resistance (AMR) containment strategies; (ii) to assess the evidence on the implementation of veterinary AMR containment strategies of the BNAP.
METHODS: We evaluated the BNAP against the GAP to identify commonalities and policy gaps. A scoping review of peer-review and gray literature was performed to identity evidence of policy implementation and practice gaps.
RESULTS: The BNAP is strongly aligned with the Global Action Plan. However, the study identified policy gaps including an explicit financing modality, specifications for antimicrobial stewardship in the veterinary sector and rigorous operational and monitoring and evaluation frameworks. More evidence on implementation is needed in terms of incorporation of AMR in the curriculum of veterinarians, antimicrobial stewardship plans throughout the veterinary sector and Infection Prevention Control protocols and implementation.
CONCLUSION: Closing identified gaps is essential for successful veterinary Anti-Microbial Resistance containment in Bangladesh but will require sustained and significant investment in institutional and human resource development in the coming years.
PMID: 31600599 [PubMed - as supplied by publisher]