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

Approve the "Action plan to control and prevent antimicrobial resistance 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 of Pursuant to Decision No. 1121/TTg-CP dated September 25, 2023 of the PrimeMinisterapproving the National Strategy for prevention and control of At the requestof the Director of the Department of Medical Services 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 units 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 of Signed Tran Van Thuan ACTION PLAN TO CONTROL AND PREVENTANTIMICROBIAL RESISTANCE IN HUMAN HEALTH (Issued according to Decision No.3534/QD-BYT of the Minister of Health 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, known 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 global 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 to 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, strengthening veterinary,and environmental management.The strategy sets four specificobjectives: (1) Improve awareness among local authorities and knowledge amonghealthcare, veterinary workforceand the people regarding AMR prevention andcontrol; (2) Strengthen the AMR surveillance system to provide timely warnings on The National Strategy for Prevention and Control of AMR represent the VietnameseGovernment’s efforts, in collaboration with the World Health Organization (WHO)and other international partners, to address the rising threat of AMR. This strategyproposes solutions to strengthen surveillance, promote the responsible use ofantibiotics in healthcare and agriculture, and raise community awareness about theconsequences of misuse and overuse of antimicrobials drugs in both humans andanimals. It includes establishing a National Action Framework that serves as a Based on the National Strategy for prevention and control of AMR in Vietnam forthe period of 2023 – 2030 with a vision towards 2045, and considering theachievements, challenges and gaps identified during the implementation of theNational Action Plan to combat antimicrobial resistance for the period of 2024- II.OBJECTIVES 1.General objective Slow the progression of antimicrobial resistance (AMR), prevent and control thespreadof resistant microorganisms,infectious diseases,while ensuring theavailability and continuous supply of antimicrobials drugs.Promote the rational useof these drugs to effectively treat infectious diseases in humans and animals, 2.Specific objectives and criteria by 2025 2.1.Objective 1: Improve the awareness of local authorities and knowledge of healthstaffs, veterinary staffs and the community about AMR prevention and control. a)Criteria 1: 100% of pro