GTA

Partner: International Vaccine Institute Korea

Support: Fleming Fund Regional Grant (UK)

Status: On-going

Objectives: The project aims to provide technical assistance to enhance the production, quality, and utilization of antimicrobial resistance (AMR) data and evidence in Nepal. A key focus is to conduct economic evaluations to assess the financial and health impacts of AMR, generating evidence to inform sustainable policy decisions. The project is structured into two work packages:

Work Package 1: Evaluates the costs and outputs of AMR surveillance across five sentinel sites covering human health, animal health, and food sectors. These include two human health sites, two animal health sites, and one food sector site, with three sites located outside Kathmandu Valley and two within the valley.

Work Package 2: Focuses on assessing the effectiveness and impact of Antimicrobial Stewardship (AMS) programs across four hospitals (three inside Kathmandu Valley and one outside). This work package aims to develop standardized metrics to monitor, evaluate, and enhance AMS programs, promoting evidence-based antimicrobial use in clinical settings.

Outcome: The project successfully established standardized protocols for collecting economic and surveillance data, creating a robust evidence base to inform future AMR related policy decisions in Nepal. Through technical assistance and capacity building, the project also strengthened hospital-level AMS program monitoring, enabling data-driven stewardship practices. This contributed to improved antimicrobial use in clinical settings, fostering a culture of responsible prescribing and supporting multi-sectoral AMR response efforts across human, animal, and food sectors.