ANTIBIOTIC POLICY IN GHANA; THE WAY FORWARD Martha
Gyansa-Lutterodt Director Pharmaceutical Services
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Outline The challenge and Policy assessment Situation analysis
Global Action Plan (GAP) Aligning the GAP to Ghanas Policy
Framework Our Story The Way Forward Antimicrobial Policy in
Ghana
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Introduction: Access to essential medicines Availability
Availability of medicines >85% for 65 tracer medicines *
Affordability Social health insurance reimbursing 548 medicines
(13.1% antibiotics) Out of pocket payments Accessibility:
Geographical distribution of medicines outlets Private Pharmacies
>80% urban Licensed chemical sellers >80% rural Public health
facilities, CHPS Quality SSFFCs and Storage conditions *Office of
the Chief Pharmacist, 2013 Quality 40% Accessibility 20%
Affordability 40% Antimicrobial Policy in Ghana
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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 use Office of the Chief Pharmacist 1999 to
2013 The indicator trend, aligns with investments in DTC training
Ghana AMR initiatives
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Situational Analysis Irresponsible/inappropriate use of
Antimicrobials Lack of information on the proper use of
Antimicrobials Absence of policy on Antimicrobial use Spurious,
Substandard, Falsified, Fake and Counterfeit Antimicrobials
Unregulated access to Antimicrobials Antimicrobial Policy in
Ghana
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Situational Analysis Use in agriculture as growth promoters
Poor infection prevention and control in health facilities Poor
environmental sanitation Poor or absence of surveillance on
Antimicrobials use Poor knowledge on Antimicrobials resistance
Antimicrobial Policy in Ghana
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Elements of Global Action Plan Improve awareness and
understanding of antimicrobial resistance; Strengthen knowledge
through surveillance and research Reduce 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 countries Increase investment in new
medicines, diagnostic tools, vaccines and other interventions.
Antimicrobial Policy in Ghana
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Elements of Ghanas 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
enforcement Surveillance Antimicrobial Policy in Ghana
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Elements of Ghanas Policy Framework for AMR Infection
prevention and control Laboratory services Research and development
Stakeholder collaboration and Governance of Antimicrobial
resistance Antimicrobial Policy in Ghana
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Our Story ! Antimicrobial Policy in Ghana
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Orientation/Sensitization of Key Stakeholders Over 80 key
stakeholders sensitized in western region About 30 Queen mothers in
central 10 municipal health directorate staff Pharmacist AGM AGM of
Ward nurses AMR TWG Health Summit
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Way Forward1 The need for broad policy framework Antimicrobial
resistance vrs Antibiotic resistance Key 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 strategies
Hospitals Communities
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Way forward2 Need for an expanded monitoring framework RUM
indicators (1 indicator for Antibiotic use) Alignment and
contextualization within existing policies on medicines Infection
control policy National Medicines Policy EML policy Linking
surveillance data with selection of antibiotics
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The Way forward3 Research must inform Policy and Practice- The
ADMER experience Continue multi-stakeholder platform work Continue
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 implementation monitoring and evaluation,
communication/education/advocacy Implementation of the
recommendations from KABP on CSOs and Health professionals
Antimicrobial Policy in Ghana
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The Way forward4 Surveillance Implementing the MARHLAB program
Bench work stardardisation done to provide the baseline Infection
control policy 2011 under review with follow on implementation One
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 Ghana
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Announcing our Work .. 4 more manuscripts ready Antimicrobial
Policy in Ghana
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Reports, Training Manuals, Educational materials Antimicrobial
Policy in Ghana
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www.ghndp.org/antimicrobialresistance www.ghndp.org/reactcso
Antimicrobial Policy in Ghana
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Sights and Sounds- Ghana AMR Alliance Antimicrobial Policy in
Ghana
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Pictures Antimicrobial Policy in Ghana
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THANK YOU TO THE GHANA AMR WORKING GROUP AND TECHNICAL TASK
TEAM OFFICE OF THE CHIEF PHARMACIST FOR ALL THE HARD WORK