越南：2026-2030年期间控制和预防人类健康中抗菌素耐药性的行动计划

Hanoi,November12,2025 Number:3534/QD-BYT DECISION Approve the "Action plan to control and prevent antimicrobial resistancein human health in the period 2026-2030” MINISTER OF HEALTH Pursuant to Decree No. 42/2025/ND-CP dated February 27, 2025 of theGovernment defining the functions, tasks, powers and organizational structure ofMinistry of Health; Pursuant to Decision No. 1121/TTg-CP dated September 25, 2023 of the PrimeMinisterapproving the National Strategy for prevention and control ofantimicrobial resistance in Vietnam for the period of 2023-2030 with a visiontowards 2045; At the requestof the Director of the Department of Medical ServicesAdministration - Ministry of Health. DECISION: Article 1.Issued with this Decision is the "Action plan to prevent and controlantimicrobial resistance in human health for the period of 2026-2030". Article 2.This Decision takes effect from the date of signing. Article 3.Mr/Ms.: Chief of the Ministry Office, Chief Inspector, Director ofthe Department of Medical Services Administration, Directors of Departmentsunder the Ministry of Health, Directors of Ministry-affiliated Hospitals, Health unitsunder the Ministry, and Provincial/municipal Department of Health are responsiblefor implementing this Decision. PP. MINISTERDEPUTY MINISTER Recipients:- As Article 3; - Prime Minister (reporting);- Deputy Prime Ministers (reporting);- Government Office (reporting);- Minister of Health (reporting);- Ministry of Agriculture and Environment, Ministry ofIndustry and Trade;- Departments and Administrations – Ministry of Health;- Health Department – Ministry of Public Security; MilitaryMedical Department – Ministry of National Defense- Hospitals, Institues of MOH;- Provincial/municipal Dept. of Health;- Archive: VT, Dept of Medical Services Administration. Signed Tran Van Thuan ACTION PLAN TO CONTROL AND PREVENTANTIMICROBIAL RESISTANCE IN HUMAN HEALTHFOR THE PERIOD OF 2026-2030 (Issued according to Decision No.3534/QD-BYT of the Minister of Healthdated November 12, 2025) I.INTRODUCTION Antimicrobial drugs – including antibiotics, antivirals, antifungals and anti-parasites–are used to prevent and treat infections in humans,animals and plants.Antimicrobial resistance occurs when bacteria, viruses, fungi and parasites changeover time and no longer respond to antimicrobial drugs, making infections harder totreat and increasing the risk of disease spread, severe illness and death. As a result,the drugs lose their effectiveness, and the infections remain in the body, raising therisk of transmission. Bacteria capable of resisting most types of antibiotics, knownas "superbugs," have emerged worldwide. Multiple factors have accelerated theglobal threat of antimicrobial resistance (AMR) - including the overuse and misuseof antibiotics in humans, livestock and agriculture, as well as poor access to cleanwater and sanitation. AMR is a global health and development threat, requiring urgent interdisciplinaryaction to achieve the Sustainable Development Goals (SDGs). On World HealthDay, April 7, 2011, the World Health Organization highlighted the theme of globalAMR: "No action today, no cure tomorrow" urging countries to implement timelyplans to address this issue. To address AMR in Vietnam, the Minister of Health signed Decision No. 2174/QD-BYT dated June 21, 2013, approving “the National Action Plan to combatantimicrobial resistance for the period of 2013 – 2020”. This plan was implementedto respond to the rising threat of AMR. Public awareness of AMR has beenimproved while an AMR Surveillance System has been established and enhanced.The infection control monitoring network, technical capacity for AMR surveillance,and data management have been improved. Numerous policy documents, legalframeworks and professional guidelines onmicrobiology testing and qualitymanagement have been issued and implemented. However, Vietnam continues toface increasing AMR. Combating this issue requires participation from variousministries, localities and society. Given this situation, developing a NationalStrategy for AMR prevention and control for the period 2023-2030 is essential. Thisstrategy aims to enhance proactive engagement and interdisciplinary coordination -from central to local levels, including provincial and city governments - in humanhealth, veterinary, environmental and industrial sectors. On September 25, 2023, the Prime Minister signed Decision No. 1121/QD-TTgapproving the National Strategy for prevention and control of AMR in Vietnam forthe period of 2023 – 2030 with a vision towards 2045. This strategy emphasizes theimportance of rational and responsible use of antibiotics in humans, animals andplants. It presents Vietnam's commitment to combating AMR, strengtheningproactive participation and interdisciplinary coordination from central to locallevels, including provincial and city governments in the fields of human health, veterinary,and environmental management.The strategy sets fo