부산대학교 도서관

For the last two decades, health has been a high priority in Mozambique. Although antibiotic resistance was not a major focus, many of the measures taken, by the Mozambique government, will have helped preserve the effectiveness of antibiotics. These include reducing the burden of infectious disease by introducing new vaccines in the national immunization program, building health infrastructure in rural settings, increasing the paramedical and medical workforce at the district level, deploying community health workers in remote underserved settings, adopting Integrated Management of Childhood Illness (IMCI) in basic health facilities and encouraging the establishment of private pharmacies in the rural areas where most of the population lives. Mozambique was early among African countries to begin hospital infection control and prevention programs and to monitor hospitalacquired infections. Recognizing the problem of drug quality in Africa, a national laboratory for drug quality was built and well equipped. Global Antibiotic resistance partnership (GARP) provided a framework to bring together many of the leaders of the programs that form components of a national antibiotic resistance plan. The GARP Mozambique working group brought them together with a shared purpose, including both veterinary and human health specialists including civil society ou consumer association. The development of the situation analysis was key to creating a national focus on antibiotic resistance, which has resulted in appointment of a focal person at the National Directorate of Health Care. It has also sparked collaboration of the Ministries of Health and Agriculture, a greater interest among students and researchers to fill information gaps, the beginning of AMR surveillance in three regions, and the development of a National Action Plan on antibiotic resistance. The seeds of this movement already existed in Mozambique and the development would have taken place eventually, but GARP accelerated progress and provided significant support as Mozambique has become part of a growing network. [ABSTRACT FROM AUTHOR]