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AMR battle in Pakistan: from national action plans to local failures

Zikria Saleem1

  • 1Department of Pharmacy Practice, Faculty of Pharmacy, Bahauddin Zakariya University, Multan, 60800, Pakistan. xikria@gmail.com.

Archives of Public Health = Archives Belges De Sante Publique
|April 8, 2025
PubMed

Insights

Pakistan

Area of Science:

  • Public Health
  • Infectious Disease Management
  • Pharmaceutical Policy

Background:

  • Five years after implementing its National Action Plan, Pakistan faces significant challenges in combating antimicrobial resistance (AMR).
  • Policy initiatives have not translated into sufficient on-ground actions to curb AMR.
  • Key stakeholders, including healthcare professionals and the pharmaceutical industry, require targeted interventions.

Discussion:

  • A critical gap exists between policy formulation and practical implementation of AMR control strategies in Pakistan.
  • Insufficient awareness of resistance patterns among healthcare professionals hinders effective treatment.
  • Weaknesses in surveillance systems and infection prevention and control (IPC) practices exacerbate the AMR crisis.

Key Insights:

  • Antimicrobial resistance (AMR) in Pakistan is critically under-addressed due to policy-practice gaps.
  • Lack of professional awareness, inadequate surveillance, and poor IPC practices are major drivers of AMR.
  • The pharmaceutical sector's focus on branded generics over antibiotic innovation impedes AMR containment.

Outlook:

  • Urgent, comprehensive strategies are needed to bridge the policy-practice divide in Pakistan's AMR response.
  • Enhanced surveillance, robust infection prevention and control, and improved professional education are crucial.
  • Stronger regulatory oversight and incentives for antibiotic innovation are essential for long-term AMR containment.
Keywords:
AMRNational action plansPakistan

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