WHO Mission on Antimicrobial Stewardship and Quality Control Laboratory Network in Indonesia

The WHO Regional Advisor for Essential Drugs and other Medicines, Dr. Klara Tisocki, visited Jakarta from 29 April to 03 May 2019 to provide technical assistance to the Ministry of Health (MoH) to prepare the establishment of the Indonesian national level antimicrobial stewardship programme.

The misuse and overuse of antimicrobials is one of the world’s most pressing public health problems. When infectious organisms adapt to the antimicrobials designed to kill them, the drugs become ineffective. People infected with antimicrobial-resistant organisms are more likely to have longer, more expensive hospital stays, and may be more likely to die because of an infection.

An AMS programme is the coordinated implementation of evidence-based stewardship interventions to promote responsible use of antibiotics. It is promoted as an integrated part of a health system and a One Health strategy to optimize antimicrobial use across the human, animal and agriculture sectors.

Dr Benyamin/WHO

In Indonesia, the MoH is developing a national level AMS programme with incorporating AMS structure into AMR committee at the national level and hospital level, forming the working group on AMS, as well as developing the national guideline on AMS. Some good efforts already exist in Indonesia to control the prescription of some antibiotics with certain restrictions listed in the National Formulary.

Dr. Tisocki was invited to Jakarta to promote discussions on the adaptation of AWaRE (Access, Watch and Reserve) in the National Formulary and Antibiotic standard treatment guideline as well as the initiation of national antimicrobial consumption (AMC) monitoring system with regular annual reporting and submission to WHO global report. Her visit was also used to identify next steps on how to move forward in both areas.

During the evaluation workshop on National Action Plan on AMR 2017-2019, Dr. Tisocki also delivered a presentation on AMR stewardship and interacted with the wide-ranging participants representing different government ministries, industry sectors and collaborating partners. Technical support needed for re-organizing the Quality Control Laboratory Network of BPOM (medicines, health supplements, cosmetics and processed foods) was also discussed.

The evaluation workshop and Dr. Tisocki’s visit to Jakarta were conducted as follow up activities to the country plans that were developed during a Regional Workshop on Optimizing Antimicrobial Use hosted in Bhutan earlier this year.