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A road-map for addressing antimicrobial resistance in low- and middle-income countries: lessons learnt from the public private participation and co-designed antimicrobial stewardship programme in the State of Kerala, India

Publication Type : Journal Article

Thematic Areas : Medical Sciences

Publisher : Antimicrobial Resistance & Infection Control

Source : Antimicrobial Resistance & Infection Control, 2021

Url : http://dx.doi.org/10.1186/s13756-020-00873-9

Campus : Kochi

School : School of Medicine

Department : Microbiology

Year : 2021

Abstract : Background The global concern over antimicrobial resistance (AMR) is gathering pace. Low- and middle-income countries (LMICs) are at the epicentre of this growing public health threat and governmental and healthcare organizations are at different stages of implementing action plans to tackle AMR. The South Indian state of Kerala was one of the first in India to implement strategies and prioritize activities to address this public health threat. Strategies Through a committed and collaborative effort from all healthcare related disciplines and its professional societies from both public and private sector, the Kerala Public Private Partnership (PPP) has been able to deliver a state-wide strategy to tackle AMR A multilevel strategic leadership model and a multilevel implementation approach that included developing state-wide antibiotic clinical guidelines, a revision of post-graduate and undergraduate medical curriculum, and a training program covering all general practitioners within the state the PPP proved to be a successful model for ensuring state-wide implementation of an AMR action plan. Collaborative work of multi-professional groups ensured co-design and development of disease based clinical treatment guidelines and state-wide infection prevention policy. Knowledge exchange though international and national platforms in the form of workshops for sharing of best practices is critical to success. Capacity building at both public and private institutions included addressing practical and local solutions to the barriers e.g. good antibiotic prescription practices from primary to tertiary care facility and infection prevention at all levels.

Cite this Research Publication : Sanjeev Singh, Esmita Charani, Sarada Devi, Anuj Sharma, Fabia Edathadathil, Anil Kumar, Anup Warrier, P. S. Shareek, A. V. Jaykrishnan & K. Ellangovan "A road-map for addressing antimicrobial resistance in low- and middle-income countries: lessons learnt from the public private participation and co-designed antimicrobial stewardship programme in the State of Kerala, India" Antimicrobial Resistance & Infection Control, 2021

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