National Action Plan on Antimicrobial Resistance (AMR) 2016-2020.

This National Action Plan on Antimicrobial Resistance (AMR) 2016-2020 is a cross-sectoral policy document. The objectives of the National Action Plan are: (1) increase public knowledge and understanding of AMR and use of antimicrobials, particularly in those involved in healthcare, nursing care, food, and livestock production and aquaculture, (2) understand the state of AMR emergence and prevalence, and use of antimicrobials (including surveillance and monitoring), and to assess the risk based on the understanding, (3) enhance proper infection prevention and control (IPC), (4) ensure antimicrobial stewardship (AMS) in order to reduce antimicrobial- resistant organisms (AROs), and (5) accelerate research on the mechanism of AMR emergence and transmission, and its impact on social economy, and promote R&D for new preventive, diagnostic, and therapeutic technologies in order to ensure the continued availability of effective preventive, diagnostic, and therapeutic treatments for antimicrobial-resistant infections (ARIs).
In the area of public awareness and education, the following strategies are developed: 1).promote public awareness-raising activities to improve public knowledge and understanding of AMR; 2). promote education and training on AMR of professionals involved in related fields. In the area of surveillance and monitoring, the National Action Plan proposes a set of strategies, including: 1) strengthen the surveillance of antimicrobial resistance in healthcare and nursing care; 2) monitor the trend of the antimicrobial use at medical institutions; 3) strengthen surveillance and monitoring in the fields of veterinary medicine, livestock production and aquaculture; 4) standardize methods of laboratory testing and strengthen testing functions of antimicrobial resistance at clinical, commercial and public health laboratories; 5) implement integrated one health surveillance including humans, animals, food, and the environment. In the area of infection prevention and control, the strategies proposed are: 1) infection prevention and control in healthcare and nursing care and promotion of regional cooperation; 2) promote infection prevention and control in livestock production, aquaculture, veterinary medicine and food chain; 3) strengthen the outbreak response capacity against antimicrobial-resistant infections. In the area of appropriate use of antimicrobials, the National Action Plan seeks to: 1) promote antimicrobial stewardship at medical institutions ; 2) ensure prudent use of antibiotics for animals in the field of livestock production, aquaculture and veterinary medicine. In the area of research and development, the National Action Plan promotes research to elucidate the mechanism of the emergence and transmission of antimicrobial resistance and its socioeconomic impact, and research on public awareness/education on antimicrobial resistance, infection prevention and control, and antimicrobial stewardship, etc.