A Hospital and Community-Based Study to Promote Antimicrobial Stewardship in Nepal

The GTA in collaboration with the Henry Ford Health Global Health Initiative initiated the Antimicrobial Stewardship Program in Nepal to enhance knowledge on antibiotic resistance, treatment guidelines, and proper antibiotic prescription practices among physicians. GTA actively engaged with various stakeholders to deliver onsite and online training, educational programs, and research activities focused on antimicrobial resistance (AMR).

As part of this initiative, a hospital-based AMR stewardship program was successfully conducted in Kathmandu, reinforcing evidence-based antibiotic use and infection prevention measures

This study aimed to document and identify current antimicrobial use, patient outcomes, and potential barriers and facilitators to the implementation of an antimicrobial stewardship program in Nepal. It assessed the changes in antimicrobial use after the introduction of the AMS and conducted a longitudinal survey to evaluate the barriers and facilitators to acceptance of recommendations and compliance with established guidelines. The study also aimed to enhance knowledge of appropriate antimicrobial use and its challenges in the broader Nepali health system, with a particular focus on community healthcare providers to ensure more effective stewardship and treatment practices. The program was first launched in partnership with phect NEPAL and selected hospitals, later expanding including both government and private hospitals in Kathmandu and Pokhara that was supported by the Henry Ford Health Global Health Initiative.