Global health governance : a case study of interactions between international organizations, public and private sectors, towards addressing antibiotics resistance in Thailand (2014-2017)

Name: Puttinant Rungsunlohakul

keyword: Global health governance

; Antimicrobial resistance

; Antibiotic resistance

; Domestic implementation

; Legislative system

; Thailand

Abstract: Antimicrobial Resistance (AMR) causes domestic health governance challenges for Thailand in both the public health and agriculture sectors. The world is moving toward a “Post Antibiotic Era” where a little infection can cause death. Although we cannot eradicate AMR, the Global Action Plan on Antimicrobial Resistance (GAP), launched by the WHO, FAO, and OIE, calls for “multisectoral collaboration” in decreasing AMR rates and encourages states to develop and implement their own national strategic plans. This study focused on cooperation between domestic public and private sectors in the implementation of the GAP on AMR in the agricultural industry in Thailand. Semi-structured interviews with high ranking key informants and farmers were conducted to explore issues of cooperation between the public and private sectors and the challenges posed in the domestic implementation of the GAP. The results indicate that in Thailand the GAP has been ineffective in the past because of inadequate knowledge of the consequences of inappropriate use of antimicrobials and antibiotics in the private sector and among local farmers. The legislative system was in place but enforcement was ineffective in the private sector, which sometimes cheated domestic law through intentional misinterpretation of the law, and at times, bribing. This allowed them to use antimicrobials and antibiotics more freely. Domestic law could be better enforced for some particular actors, like some leading agro-industrial companies and their contract farms. The role of the Thai state is to ensure that all stakeholders follow the National Strategic Plan on AMR in domestic implementation to achieve a sustainable way to reduce AMR in Thailand. This study suggests that the Ministry of Public Health should engage more on countering AMR in the agriculture sector with private agricultural industries, stakeholders, and farmers. Encouragement of Public and Private Partnerships, strengthening domestic law to cover all AMR players, and raising awareness of AMR in agriculture to local farmers, may pave the way to a sustainable reduction of AMR from farms to forks

Thammasat University. Thammasat University Library

Address: BANGKOK

Email: preserv@tu.ac.th

Name: Thame, Charlie

Role: advisor

Created: 2016

Modified: 2021-08-17

Issued: 2021-08-17

วิทยานิพนธ์/Thesis

application/pdf

DOI: 10.14457/TU.the.2016.1069

eng

DegreeName: Master of Political Science

Level: Master's Degree

Descipline: International Relations

Grantor: Thammasat University

©copyrights Thammasat University

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