Analisis Kebijakan Global Terhadap Pengendalian Antimicrobial Resistance (AMR) dan Evaluasi Pelaksanaan di Tingkat Nasional

https://doi.org/10.22146/jkki.107981

Adilla Ghoniyya Ashari(1*)

(1) Brawijaya University
(*) Corresponding Author

Abstract


Resistensi antimikroba (AMR) merupakan ancaman kesehatan global yang kompleks dan memerlukan pendekatan multisektoral melalui strategi One Health. Global Action Plan on Antimicrobial Resistance (GAP-AMR) yang diinisiasi oleh WHO dan mitra kolaborasi FAO serta OIE menjadi kerangka kerja global untuk mengatasi AMR. Indonesia mengadopsi kebijakan ini melalui Rencana Aksi Nasional Pengendalian Resistensi Antimikroba (RAN-PRA) 2020-2024. Namun, implementasi RAN-PRA menghadapi ketidaksesuaian dan hambatan, seperti fragmentasi koordinasi lintas sektor, disparitas kapasitas sumber daya, serta keterbatasan pengawasan terpadu. Analisis ini menunjukkan bahwa meskipun kerangka kebijakan nasional telah mengadopsi prinsip One Health, tantangan struktural dan operasional masih menghambat efektivitas pengendalian AMR secara menyeluruh. Penelitian ini memberikan evaluasi kritis terhadap efektivitas kebijakan pengendalian AMR di Indonesia dan menegaskan perlunya transformasi sistemik untuk mencapai tujuan global pengendalian resistensi antimikroba.

Keywords


Resistensi Antimikroba; GAP-AMR; RAN-PRA, Evaluasi Kebijakan



References

Adlini MN, Dinda AH, Yulinda S, Chotimah O, Merliyana SJ. Metode Penelitian Kualitatif Studi Pustaka. EDUMASPUL: Jurnal Pendidikan. 2022 Mar 1;6(1). Available from: https://doi.org/10.33487/edumaspul.v6i1.3394

Antimicrobial Resistance Collaborators. Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis. Lancet. 2022 Jan 20;399:637. Available from: https://doi.org/10.1016/S0140-6736(21)02724-0

Arif A. Resistensi Antimikroba Menjadi Pandemi Sunyi [Internet]. Kompas.id. 2023 Nov 20 [cited 2025 Jun 15]. Available from: https://www.kompas.id/baca/humaniora/2023/11/20/resistensi-antimikroba-menjadi-pandemi-sunyi

Australian Government. What causes AMR? Antimicrobial resistance [Internet]. 2022 Oct 31 [cited 2025 Jun 16]. Available from: https://www.amr.gov.au/about-amr/what-causes-amr

Down To Earth. Why is Antimicrobial Resistance the biggest threat to humanity? [Internet]. 2021 Nov 23 [cited 2025 Jun 15]. Available from: https://www.downtoearth.org.in/health/why-is-antimicrobial-resistance-the-biggest-threat-to-humanity--80341

World Health Organization. Evaluasi RAN PRA 2020-2024: Pengendalian Resistensi Antimikroba Mencapai Hasil Positif [Internet]. 2024 Sep 3 [cited 2025 Jun 16]. Available from: https://www.who.int/indonesia/id/news/detail/03-09-2024-evaluation-of-ran-pra-2020-2024--control-of-antimicrobial-resistance-achieves-positive-results

Farmer P, Kleinman A, Kim J, Basilico M, editors. Reimagining Global Health: An Introduction. Berkeley: University of California Press; 2013.

Marsudi AS, Wiyono WI, Mpila DA. Tingkat Pengetahuan dan Perilaku Masyarakat Terhadap Penggunaan Antibiotik di Beberapa Apotek di Kota Ternate. Pharmacy Medical Journal. 2021;4(2). Available from: https://ejournal.unsrat.ac.id/v3/index.php/pmj/article/download/34766/34609/80065

Somantri GR. Memahami Metode Kualitatif. Makara Human Behavior Studies in Asia. 2005 Jan 12;9(2). Available from: https://doi.org/10.7454/mssh.v9i2.122

The Strategic and Technical Advisory Group for Antimicrobial Resistance. Terms of Reference Strategic and Technical Advisory Group for Antimicrobial Resistance (STAG-AMR) [Internet]. 2024 Apr 8 [cited 2025 Jun 15]. Available from: https://cdn.who.int/media/docs/default-source/antimicrobial-resistance/amr-stag/stag-amr-terms-of-reference.pdf?sfvrsn=1aac0e06_3&Status=Master

WHO Indonesia. Resistensi Antimikroba: Ancaman Bagi Kita Semua [Internet]. 2022 Nov 23 [cited 2025 Jun 15]. Available from: https://www.youtube.com/watch?v=Gabj3K4spFQ

WHO Strategic and Technical Advisory Group for Antimicrobial Resistance (STAG-AMR). Report of the fourth meeting 11-13 June 2024 [Internet]. World Health Organization; 2024 [cited 2025 Jun 15]. Available from: https://iris.who.int/bitstream/handle/10665/379312/9789240101173-eng.pdf

World Health Organization. Draft global action plan on antimicrobial resistance [Internet]. 2014 May 8 [cited 2025 Jun 15]. Available from: https://apps.who.int/gb/ebwha/pdf_files/WHA67/A67_39Add1-en.pdf

World Organisation for Animal Health. FAO/OIE/WHO Tripartite positions on Antimicrobial resistance [Internet]. WOAH; 2021 Apr 15 [cited 2025 Jun 15]. Available from: https://rr-americas.woah.org/app/uploads/2021/04/01-a-aidara-kane-tripartite-positions-and-who-recent-activities-on-amr.pdf



DOI: https://doi.org/10.22146/jkki.107981

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