Response to antimicrobial resistance in South-East Asia Region

Benyamin Sihombing, Rajesh Bhatia, Rahul Srivastava, Tjandra Yoga Aditama, Ramanan Laxminarayan, Suman Rijal

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


Antimicrobial resistance (AMR) inflicts significant mortality, morbidity and economic loss in the 11 countries in the WHO South-East Asia Region (SEAR). With technical assistance and advocacy from WHO, all countries have developed their respective National Action Plans on AMR that are aligned with the Global Action Plan. Historically, the WHO Regional Office has been proactive in advocacy at the highest political level. The past decade has seen an enhancement of the country's capacity to combat AMR through national efforts catalyzed and supported through several WHO initiatives at all levels—global, regional and country levels. Several countries including Bangladesh, India, Indonesia, Nepal, Sri Lanka and Thailand have observed a worrying trend of increasing drug resistance, despite heightened awareness and actions. Recent AMR data generated by the countries are indicative of fragmented progress. Lack of technical capacity, financial resources, weak regulatory apparatus, slow behavioural changes at all levels of the antimicrobial stewardship landscape and the COVID-19 pandemic have prevented the effective application of several interventions to minimize the impact of AMR.

Original languageEnglish (US)
Article number100306
JournalThe Lancet Regional Health - Southeast Asia
StatePublished - Nov 2023
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Infectious Diseases


  • Advocacy
  • AMR Global Action Plan
  • AMR National Action Plan
  • AMR surveillance
  • Antimicrobial Stewardship
  • One Health


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