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Antimicrobial Resistance Situation in Indonesia: A Challenge of Multisector and Global Coordination

Selma Siahaan1, Max J Herman2, Nyoman Fitri3

  • 1Centre for Research and Development of Humanism and Health Management, National Institute of Health Research and Development, Jakarta 10560, Indonesia.

Journal of Tropical Medicine
|February 11, 2022
PubMed

Insights

Antimicrobial resistance (AMR) in Indonesia is driven by inappropriate antimicrobial use across healthcare and agriculture. Limited data and inter-sectoral coordination hinder effective strategy development to combat this growing threat.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Health Policy

Background:

  • High levels of antimicrobial resistance (AMR) in Indonesia are a significant concern.
  • Inappropriate antimicrobial (AM) use in healthcare, livestock, and fisheries contributes to AMR.
  • Limited data and awareness exacerbate the AMR threat in Indonesia.

Purpose of the Study:

  • To describe the AMR situation in Indonesia.
  • To assess perceptions of AMR among government officials, health professionals, and the community.
  • To inform the development of AMR-related strategy and policy.

Main Methods:

  • Study conducted in eight Indonesian provinces.
  • Reviewed AMR-related policies and collected antibiotic use reports.
  • Conducted in-depth interviews and focus group discussions with diverse stakeholders.

Main Results:

  • Antimicrobial misuse is prevalent in both healthcare facilities and communities.
  • Medical and non-health sector officers demonstrate limited awareness of AMR policies.
  • Significant lack of inter-sectoral coordination on AMR issues was identified.

Conclusions:

  • Stronger government oversight is needed for effective AMR policy implementation.
  • Addressing AM misuse requires a multi-sectoral approach.
  • Enhanced awareness and coordination are crucial for mitigating AMR in Indonesia.

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