National Action Plan for Antimicrobial Resistance, 2017-2022

108 Pages·2017·5.82 MB·English

Foreword................................................................................................................ 6
Acknowledgement.................................................................................................... 8
Abbreviations and Acronyms...................................................................................... 9
Executive Summary................................................................................................ 13
1. Background.......................................................................................................... 16
Country Profile...................................................................................................... 16
Health system....................................................................................................... 16
2. AMR Situation in Nigeria........................................................................................ 18
Introduction.......................................................................................................... 18
Antimicrobial Use and Resistance.............................................................................. 18
AMR Governance................................................................................................. 22
Key Achievements and Challenges............................................................................ 25
3. Strategic Plan....................................................................................................... 30
Focus Area 1: Increasing Awareness and Knowledge of AMR and Related Topics.............. 31
Focus Area 2: Building a ‘One Health’ AMR Surveillance System.................................... 32
Focus Area 3: Intensifying Infection Prevention and Control in the Tripartite Sectors.............. 33
Focus Area 4: Promoting Rational Access to Antibiotics and Antimicrobial Stewardship........ 35
Focus Area 5: Investing in AMR Research and Development........................................... 36
4. Operational Plan.................................................................................................. 37
5. Monitoring and Evaluation...................................................................................... 93
Monitoring and Evaluation Framework....................................................................... 95
References.............................................................................................................. 98
List of Contributors..................................................................................................... 100
Tables
Table 1: SWOT Grid of AMR Situation Analysis......................................... 26
Figures
Figure 1: Organogram of the National AMR Prevention and Control
Governance Structure............................................................... 25
Figure 2: Proposed information Flow Structure for AMR Activities.................... 94
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ACSM Advocacy, Communication and Social Mobilisation
ADR Adverse Drug Reaction
AFENET African Field Epidemiology Network
AIDS Acquired Immunodeficiency Syndrome
AMR Antimicrobial Resistance
AMR-TWG Antimicrobial Resistance Technical Working Group
AMS Antimicrobial Surveillance
APIN AIDS Prevention Initiative in Nigeria
ARI Acute Respiratory Infections
BCC Behaviour Change Communication
BSI Blood Stream Infections
CBO Community Based Organisations
CDDEP Center for Disease Dynamics, Economics and Policy
CEO Chief Executive Officer
CFR Case Fatality Rate
CHW Community Health Worker
COMO Community Mobilisation Officer
CORP Community Resource Person
CPD Continuous Professional Development
CRE Carbapenem-Resistant Enterobacteriaceae
CSMC Communication and Social Mobilisation Committee
CSO Civil Society Organisation;
ECOWAS Economic Community of West African States
EDL Essential Drugs List
ESBL Extended-Spectrum Beta-Lactamase
FAO Food and Agricultural Organisation
FAQ Frequently Asked Questions
FBO Faith Based Organisations
National Action Plan for Antimicrobial Resistance, 2017-2022
FCT Federal Capital Territory
FDS Food and Drug Services
FMARD Federal Ministry of Agriculture
FMEnv Federal Ministry of Environment
FMoEd Federal Ministry of Education
FMoF Federal Ministry of Finance
FMoH Federal Ministry of Health
FMoI Federal Ministry of Information
GARP Global Antibiotic Resistance Partnership
GDP Gross Domestic Product
GLASS Global Antimicrobial Resistance Surveillance System
GMP Good Manufacturing Practices
HAI Healthcare Associated Infections
HCP Health Care Practitioner
HIV Human Immunodeficiency Virus
HMO Health Management Organisation
HPD Health Promotion Department
IEC Information, Education, Communication
IHVN Institute of Human Virology
IPC Infection Prevention and Control
LGA Local Government Area
MDAs Ministries, Departments and Agencies
M&E Monitoring and Evaluation
MOEBP Ministry of Economy and Budget Planning
MOTI Marketing On The Internet
NAFDAC National Agency for Food and Drug Administration and Control
NAP National Action Plan
NBCCCG National Behaviour Change Communication Consultative Group
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