Presented by Niyada Kiatying-Angsulee

1. CSO Project in Thailand
Niyada Kiatying-Angsulee, Ph.D.
Drug System Monitoring & Development Program
Chulalongkorn University

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. 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. 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. Press Conference for World Health Day 2011
by Deputy Minister of Public Health
(Combat drug resistance - No action today, no cure tomorrow)
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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. 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

9. Arts by Health Professions on
AMR and Health
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10. Puppet show on
rational use of
antibiotic
Meet and greet with
students on competition
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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. Curriculum Development and Testing
With teacher, parents, and students in school

13. Civil Society Organization, TOT

14. MOU : Subdistrict, Family Network
Foundation, DMD : ABR action at co
mmunity level (21 Dec 2012)

15. Support of University Activity
SIMIC 2012, 2013
CU Medical students road show at schools
Chiang Mai University Hospital Trainng
Ramathibodi Hospital IC

16. SIMIC 2013
(Med students and staff 36 teams from 11 countries)
Campaign workshop
Competition
Simulated patient

17. Training Health Volunteer
in Chiang Mai
With Faculty of Medicine, Chiang Mai University

18. ASU Activities all over the
Province: Nakorn Sri Thammarath

19. Antibiotic Smart Use ASU:
3 illnesses without antibiotic

20. Future: a long way to go
Antibiotic and Contract Farm
Antibiotic Awareness day 18th Nov 2013:
ASU Kids

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. 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. Thanks
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