Multi-Sectoral Action Plan on Antimicrobial Resistance 2019-2023.

This Multi‐Sectoral Action Plan is a nationwide document aiming to guide the Government of Cambodia, partners and donors in the identification of priority areas of work and collaboration in designing programmes and activities aimed to combat AMR in order to achieve the national Vision of a country with a healthy population and strong governance systems to control the threat of AMR that would impede economic growth and cause unnecessary risks to health, security and social protection. The overall goal will be achieved through the following strategic obejectives (i) establish a unifying framework and governance mechanisms that enable ministries and other stakeholders to collaborate; (ii) outline gaps and challenges in areas that directly influence AMR; and (iii) set strategic areas, objectives and activities to guide annual planning, communication and resource mobilization for stakeholders to ensure coordinated effort. Key areas to be included to containing AMR are as follows (i) building human capacity for antimicrobial resistance; (ii) good practices (i.e. infection prevention and control in health facilities, clean water, sanitation, hygiene, food safety and waste management); (iii) evidence generation through surveillance and laboratories; (iv) governance and coordination; (v) increasing public awareness; (vi) rational use of antimicrobial medicines; and (vii) research and innovation.
To make agriculture more sustainable, the Action Plan main proposed interventions are (i) ensure access to and rational use of antibiotics in animal health and agriculture, such as reduction of antimicrobials used for disease prevention and as growth promotors; (ii) reduce the data gaps in agriculture and environment in the AMR surveillance and increase their collection on the use of antimicrobial agents in animal health and agriculture to monitor trends and assess the impact of action plans; (iii) develop expanded surveillance and monitoring systems for aquatic and terrestrial animals, water, food and environment learning from human surveillance experiences; (iv) strengthen farm registration and certification; and (v) disseminate good agriculture, aquaculture and animal husbandry practices; and strengthen communication for education and awareness at the sector level.
As for the Governance, the following interventions are necessary (i) strengthen technical and political coordination at local, national and international levels; (ii) strengthen policy and legislative frameworks to support AMR initiatives; and (iii) promote a resource mobilization to support MSAP implementation.