CSO Project in Thailand
Niyada Kiatying-Angsulee, Ph.D.
Drug System Monitoring & Development Program
Chulalongkorn Univers...
Thailand at a Glance
Southeast Asia
 Population (2012)

 69.5 million

 GDP per capita (2012)

 (US$)5,678

 Infant m...
ABR in Thailand
Acinetobacter buamanmii : resist to many

antibiotics (aminoglycosides, beta actam, quinolon
es, carbapin...
Thailand attempts
NARST (National Antimicrobial Resistance

Surveillance Thailand)
National Drug Policy

 Subcommittee ...
Press Conference for World Health Day 2011
by Deputy Minister of Public Health
(Combat drug resistance - No action today, ...
Subcommittee to re-evaluate
antimicrobial medicines (human, animal)
Appointed by Drug Committee (belongs to Drug

Act)
M...
DMD and ABR campaign
Folk Media (2 pieces)
Painting (22 pieces)
Calendar (2012)
Competition on arts
MOU with MoPH, wi...
8
Arts by Health Professions on
AMR and Health

9
Puppet show on
rational use of
antibiotic

Meet and greet with
students on competition
10
CSO Activities so far
1. Preparation meetings
2. Development and test of curriculum in BKK
3. Prepare of media
4. TOT in B...
Curriculum Development and Testing
With teacher, parents, and students in school
Civil Society Organization, TOT
MOU : Subdistrict, Family Network
Foundation, DMD : ABR action at co
mmunity level (21 Dec 2012)
Support of University Activity
SIMIC 2012, 2013
CU Medical students road show at schools
Chiang Mai University Hospital...
SIMIC 2013

(Med students and staff 36 teams from 11 countries)

Campaign workshop

Competition

Simulated patient
Training Health Volunteer
in Chiang Mai
With Faculty of Medicine, Chiang Mai University
ASU Activities all over the
Province: Nakorn Sri Thammarath
Antibiotic Smart Use ASU:
3 illnesses without antibiotic
Future: a long way to go
Antibiotic and Contract Farm
Antibiotic Awareness day 18th Nov 2013:

ASU Kids
Antibiotic and Contract Farm
Support knowledge on health and AB use
Survey of health behaviour and medicines used
Surve...
Antibiotic Awareness day
18th Nov 2013: ASU Kids
With Institute of Child Health (MoPH), and allies
Seminar to the public...
Thanks

23
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CSO Thailand presentation

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  • Sawasdee ka, mean Buenos tardes
    I am working with Drug System Monitoring and Development Program at Chulalongkorn Univeristy
    This is my second visit to Cuenca, and I enjoy very much. Happy to be here again.
    I am going to present you our work on CSO project which will start with Thailand profile.
  • This is Thailand profile
    You can see the last line that we use a lot of antibiotics
  • Excessive use and irrational use create antibiotic resistance. As you may see here.
  • So Thailand start to work from national to insitution and university.
  • Launch of World Health Day in 2011
  • At national level, subcommittee to re-evaluate antimicrobial medicines
  • My organization has done so many work related to ABR as well as CSO project funded by ReACt.
    I will explain some in details
  • Showing of paintings during the international conf also cohost with ReACt in Bangkok
  • The training how to paint for health profession to express concern on ABR and also environment impact of ABR
  • Now I am coming with CSO project
    Here are list of activitties we have done so far
  • WE had meeting to prepare the curriculum for TOT
  • Training of Trainer
    Here are material w use to teach local people, parents, teacher at school
    They will be the ones who convey message fromm us to other local people nearby the school. Like you have done last Friday.
  • We had memorandum of understanding among our organization, Family network foundation, and local community orgaization
  • Apart from CSO we work with university, faculty of medicines, medical students,
  • These are material to teach prople and doctors not to usse antibiotic
  • CSO Thailand presentation

    1. 1. CSO Project in Thailand Niyada Kiatying-Angsulee, Ph.D. Drug System Monitoring & Development Program Chulalongkorn University
    2. 2. Thailand at a Glance Southeast Asia  Population (2012)  69.5 million  GDP per capita (2012)  (US$)5,678  Infant mortality rate  16.7/1000 live births  Health insurance scheme  3 major insurance schemes  Health care system  Burden of disease  Excessive use AB (CSMBS, SSS, UC)  Majority public services (MoPH, university, Local authority)  HIV/AIDS, CVS, Cancer, Accident,  national AB use 16-22% of total drug use  Increase AB use rate 11 % per annum
    3. 3. ABR in Thailand Acinetobacter buamanmii : resist to many antibiotics (aminoglycosides, beta actam, quinolon es, carbapinems, emipenems) Streptococcus pneumoniae : resist to penicillins, erythromycin >100,000 Thai people infected with antibiotic resistant bacteria 1 million days of extra hospital stay 30,000 deaths annually, leading to economic loss of more than 10,000 million baht
    4. 4. Thailand attempts NARST (National Antimicrobial Resistance Surveillance Thailand) National Drug Policy  Subcommittee on RUD = 7 strategies for RUD = AMR  One subcommittee to combat AMR Drug System Monitoring and Development Program (one focus is on ABR) Antibiotic Smart Use Program of FDA (ASU) Health System Research Institute (HSRI) Program on antibiotic resistance Some hospital stewardship program, e.g. Siriraj hospital, Ramathibodi hospital, etc.
    5. 5. Press Conference for World Health Day 2011 by Deputy Minister of Public Health (Combat drug resistance - No action today, no cure tomorrow) 5
    6. 6. Subcommittee to re-evaluate antimicrobial medicines (human, animal) Appointed by Drug Committee (belongs to Drug Act) Met Sept 30th, 2012 Re-evaluate all antimicrobials according to WHO and OIE, and Thai context Propose for re-classify, control of distribution, and restriction of use
    7. 7. DMD and ABR campaign Folk Media (2 pieces) Painting (22 pieces) Calendar (2012) Competition on arts MOU with MoPH, with local authority Support of Medical Student Campaign Support ASU, and others CSO projects ABR in Contract Farm
    8. 8. 8
    9. 9. Arts by Health Professions on AMR and Health 9
    10. 10. Puppet show on rational use of antibiotic Meet and greet with students on competition 10
    11. 11. CSO Activities so far 1. Preparation meetings 2. Development and test of curriculum in BKK 3. Prepare of media 4. TOT in BKK 5. Survey of people awareness and behaviour 6. MOU in Chiang Mai
    12. 12. Curriculum Development and Testing With teacher, parents, and students in school
    13. 13. Civil Society Organization, TOT
    14. 14. MOU : Subdistrict, Family Network Foundation, DMD : ABR action at co mmunity level (21 Dec 2012)
    15. 15. Support of University Activity SIMIC 2012, 2013 CU Medical students road show at schools Chiang Mai University Hospital Trainng Ramathibodi Hospital IC
    16. 16. SIMIC 2013 (Med students and staff 36 teams from 11 countries) Campaign workshop Competition Simulated patient
    17. 17. Training Health Volunteer in Chiang Mai With Faculty of Medicine, Chiang Mai University
    18. 18. ASU Activities all over the Province: Nakorn Sri Thammarath
    19. 19. Antibiotic Smart Use ASU: 3 illnesses without antibiotic
    20. 20. Future: a long way to go Antibiotic and Contract Farm Antibiotic Awareness day 18th Nov 2013: ASU Kids
    21. 21. Antibiotic and Contract Farm Support knowledge on health and AB use Survey of health behaviour and medicines used Survey of AB used in contract farm Campaign
    22. 22. Antibiotic Awareness day 18th Nov 2013: ASU Kids With Institute of Child Health (MoPH), and allies Seminar to the public Lunch symposium update on AMR Med student campaign
    23. 23. Thanks 23

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