Trained 2,570+ health professionals through AMS programs in 20+ hospitals, including 29 physicians and
15 nurses, also conducted feasibility study in 4 hospitals, surveyed 111 pharmacists across 5 districts,
implemented AMS programs in 4 hospitals (general) and 3 hospitals (burn & wound care), and developed
national antibiotic treatment guidelines, and conducted AMR surveillance in 2 hospitals, with nationwide
AMR surveillance across human, animal, environment, and food sectors.
Description: In 2021, GTA conducted a two-day AMS workshop for 10 physicians from 5
hospitals, provided web-based AMS and IPC training to 19 physicians and 15 nurses from 9
hospitals and 2 PHCCs across Province 1, Bagmati, and Sudurpashchim, and delivered AMS
training to 145 health workers from all seven provinces. Additionally, 151 community
pharmacists in Kathmandu Valley and 129 nurses and midwives from hospitals, PHCCs, health
posts, and professional associations were also trained. Previous milestones include a feasibility
study of the WHO AMS toolkit in 4 hospitals in 2019, followed by a survey of 111 pharmacists
across 5 districts near Kathmandu Valley to examine the socio-economic factors influencing
antibiotic dispensing. From 2018 to 2020, GTA implemented AMS programs in 4 government
and non-government hospitals in Kathmandu, and between 2017 and 2018, it introduced a
specialized AMS program for burn and wound care patients in 3 hospitals in Kathmandu and
Pokhara. GTA also played a key role in developing national antibiotic treatment guidelines in
2016, with an update in 2019, and carried out AMR surveillance and AMS programs in 2
hospitals in Kathmandu Valley between 2016 and 2017. Building on this foundation, GTA
continues to implement hospital-based stewardship programs while fostering stronger
collaboration among health institutions to ensure lasting improvements in antimicrobial use and
resistance management.