{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:52:00Z","timestamp":1791183120487,"version":"4.1.0"},"reference-count":22,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2026,9,2]]},"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>Asia Pacific countries are responding to the urgent call for action on antimicrobial resistance (AMR) stated in the 2024 United Nations General Assembly Political Declaration on AMR. We present the first regional summary of national data from 28 Asia Pacific countries compiled for the seventh Tokyo AMR One Health Conference in February 2025 in relation to selected Political Declaration goals and targets to serve as a baseline for planning and from which to measure progress to 2030. We show that (1) 15 out of 27 (56%) countries receive less than 30% of their total AMR funding from domestic sources; (2) while 27 countries had endorsed at least one multisectoral national AMR action plan, only 11 included numerical targets; (3) 26 countries have a national infection prevention and control programme but only 16 countries reported over 75% of healthcare facilities having basic water, sanitation and hygiene\/waste services; (4) only nine countries estimated greater than 70% of total national antibiotic use coming from the WHO Access group of antibiotics and (5) 27 national AMR reference laboratories can perform antibiotic susceptibility testing for all bacterial pathogens listed in the Global Antimicrobial Resistance and Use Surveillance System-AMR but only 16 have this capacity for all fungal pathogens. We highlight the need for increased domestic financing to accelerate national action against AMR and emphasise the importance of this regional summary as a baseline for monitoring individual country efforts and progress towards achieving the goals and targets of the 2024 Political Declaration on AMR.<\/jats:p>","DOI":"10.1136\/bmjph-2025-004804","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:20:12Z","timestamp":1791181212000},"page":"e004804","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Progress towards achieving the goals and targets of the 2024 United Nations General Assembly Political Declaration on Antimicrobial Resistance for countries in the Asia-Pacific region"],"prefix":"10.1136","volume":"4","author":[{"given":"Anne","family":"Brink","sequence":"first","affiliation":[{"name":"Division of Health Systems and Services, World Health Organization Regional Office for the Western Pacific, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shugo","family":"Sasaki","sequence":"additional","affiliation":[{"name":"AMR Clinical Reference Center, National Center for Global Health and Medicine, Japan Institute for Health Security, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassem","family":"Zayed","sequence":"additional","affiliation":[{"name":"Department of Universal Health Coverage \/ Health Systems, World Health Organization Regional Office for South-East Asia, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benyamin","family":"Sihombing","sequence":"additional","affiliation":[{"name":"Department of Universal Health Coverage \/ Health Systems, World Health Organization Regional Office for South-East Asia, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Halimur","family":"Rashid","sequence":"additional","affiliation":[{"name":"Communicable Disease Control, Directorate General of Health Services, Ministry of Health and Family Welfare, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidonn","family":"Krang","sequence":"additional","affiliation":[{"name":"Department of Communicable Disease Control, Ministry of Health, Phnom Penh, Cambodia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taaki","family":"Moekapiti","sequence":"additional","affiliation":[{"name":"Public Health Services, Health Protection, Te Marae Ora, Ministry of Health, Avarua, Cook Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reenal","family":"Chand","sequence":"additional","affiliation":[{"name":"Medicines Regulatory Authority, Ministry of Health and Medical Services, Suva, Fiji"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irna","family":"Lidiawati","sequence":"additional","affiliation":[{"name":"Directorate Quality of Referral Health Services, Ministry of Health, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohei","family":"Uechi","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Prevention and Control, Public Health Bureau, Ministry of Health Labour and Welfare, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meritima Mariamangarita","family":"Atanteora","sequence":"additional","affiliation":[{"name":"Internal Medicine, Ministry of Health and Medical Services, Bairiki, Kiribati"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phoupasong","family":"Somphou","sequence":"additional","affiliation":[{"name":"Department of Communicable Disease Control, Ministry of Health, Vientiane, Lao People\u2019s Democratic Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nor Farah","family":"Bakhtiar","sequence":"additional","affiliation":[{"name":"Infection Control Unit, Medical Development Division, Ministry of Health, Putrajaya, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aminath","family":"Moomina","sequence":"additional","affiliation":[{"name":"Maldives Food and Drug Authority, Ministry of Health, Mal\u00e9, Maldives"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciara","family":"Reyes","sequence":"additional","affiliation":[{"name":"Pharmacy, Ministry of Health and Human Services, Majuro, Marshall Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namkhainorov","family":"Lkhagvasuren","sequence":"additional","affiliation":[{"name":"Division of Medicines and Medical Devices Policy, Ministry of Health, Ulaanbaatar, Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Balathandan","family":"Thanumalaya Perumal","sequence":"additional","affiliation":[{"name":"Naoero Public Health Department, Ministry of Health, Chuuk, Naoero"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saroj","family":"Sharma","sequence":"additional","affiliation":[{"name":"Quality Standard Regulation Division, Ministry of Health and Population, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare","family":"Possenniskie","sequence":"additional","affiliation":[{"name":"Public Health Policy & Regulation, Ministry of Health, Wellington, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Bala","sequence":"additional","affiliation":[{"name":"Pharmaceutical Services Standards Branch, National Department of Health, Port Moresby, Papua New Guinea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"April","family":"Macandog","sequence":"additional","affiliation":[{"name":"Pharmaceutical Division, Department of Health, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun-Jeong","family":"Yoon","sequence":"additional","affiliation":[{"name":"Korea Disease Control and Prevention Agency, Ministry of Health and Welfare, Cheongju-si, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hinauri","family":"Leaupepe-Ngau Chun","sequence":"additional","affiliation":[{"name":"Clinical Laboratory, Ministry of Health, Apia, Samoa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oon Tek","family":"Ng","sequence":"additional","affiliation":[{"name":"Antimicrobial Resistance Coordinating Office, Communicable Diseases Agency, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rolly","family":"Viga","sequence":"additional","affiliation":[{"name":"Antimicrobial Resistance, Ministry of Health and Medical Services, Honiara, Solomon Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suranga","family":"Dolamulla","sequence":"additional","affiliation":[{"name":"Medical Research Institute, Laboratory Services, Ministry of Health, Colombo, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuntiya","family":"Somjetanakul","sequence":"additional","affiliation":[{"name":"Medicines Regulation Division, Thailand Food and Drug Administration, Ministry of Public Health, Nonthaburi, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Leite","sequence":"additional","affiliation":[{"name":"National Directorate of Pharmacy and Medicine, Ministry of Health, Dili, Timor-Leste"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loutoa","family":"Poese","sequence":"additional","affiliation":[{"name":"Internal Medicine, Ministry of Health, Nuku\u2019alofa, Tonga"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pelesala","family":"Kaleia","sequence":"additional","affiliation":[{"name":"Director of Health Office, Ministry of Health and Social Welfare, Funafuti, Tuvalu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Obed","family":"Manwo","sequence":"additional","affiliation":[{"name":"Public Health Department, Ministry of Health, Port Vila, Vanuatu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Le Van Ngoc","family":"Truong","sequence":"additional","affiliation":[{"name":"Medical Services Administration, Ministry of Health, Hanoi, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0302-0552","authenticated-orcid":false,"given":"Takeshi","family":"Nishijima","sequence":"additional","affiliation":[{"name":"Division of Health Systems and Services, World Health Organization Regional Office for the Western Pacific, Manila, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"2026100423200508000_4.4.e004804.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02724-0\/ATTACHMENT\/4504FC2B-08AE-46D6-BD75-80811DF8B5E6\/MMC1.PDF"},{"key":"2026100423200508000_4.4.e004804.2","unstructured":"World Health Organization, Regional Office for the Western Pacific . Health and economic impacts of antimicrobial resistance in the Western Pacific Region, 2020-2030, 2023. Available: https:\/\/apps.who.int\/iris\/handle\/10665\/368654 [Accessed 22 Sep 2025]."},{"key":"2026100423200508000_4.4.e004804.3","unstructured":"Geneva, World Health Organization . Global action plan on antimicrobial resistance. 2015. Available: https:\/\/apps.who.int\/iris\/handle\/10665\/193736 [Accessed 22 Sep 2025]."},{"key":"2026100423200508000_4.4.e004804.4","unstructured":"United Nations Digital Library . Political declaration of the high-level meeting of the general assembly on antimicrobial resistance: resolution. 2016. Available: https:\/\/digitallibrary.un.org\/record\/845917 [Accessed 22 Sep 2025]."},{"key":"2026100423200508000_4.4.e004804.5","unstructured":"World Health Organization . Global antimicrobial resistance and use surveillance system (glass). 2024. Available: https:\/\/www.who.int\/initiatives\/glass [Accessed 20 Jun 2025]."},{"key":"2026100423200508000_4.4.e004804.6","unstructured":"World Health Organization . GLASS manual for antimicrobial resistance surveillance in common bacteria causing human infection. 2023. Available: https:\/\/www.who.int\/publications\/i\/item\/9789240076600 [Accessed 20 Jun 2025]."},{"key":"2026100423200508000_4.4.e004804.7","unstructured":"United Nations Statistics Division . Home \u2014 sdg indicators. 2025. Available: https:\/\/unstats.un.org\/sdgs\/ [Accessed 14 Aug 2025]."},{"key":"2026100423200508000_4.4.e004804.8","unstructured":"Department of Economic and Social Affairs . United nations. 2023. Available: https:\/\/unstats.un.org\/sdgs\/dataportal\/database [Accessed 8 Aug 2025]."},{"key":"2026100423200508000_4.4.e004804.9","unstructured":"United Nations Economic and Social Council - Statistical Commission . Report of the inter-agency and expert group on sustainable development goal indicators. 2020. Available: https:\/\/unstats.un.org\/unsd\/statcom\/51st-session\/documents\/2020-2-SDG-IAEG-E.pdf [Accessed 22 Sep 2025]."},{"key":"2026100423200508000_4.4.e004804.10","unstructured":"United Nations Digital Library . Political declaration of the high-level meeting on antimicrobial resistance. 2024. Available: https:\/\/digitallibrary.un.org\/record\/4064023?ln=en&v=pdf [Accessed 22 Sep 2025]."},{"key":"2026100423200508000_4.4.e004804.11","unstructured":"Geneva. World Health Organization . Antimicrobial resistance: accelerating national and global responses. 2024. Available: https:\/\/apps.who.int\/gb\/ebwha\/pdf_files\/WHA77\/A77_R6-en.pdf [Accessed 8 Aug 2025]."},{"key":"2026100423200508000_4.4.e004804.12","unstructured":"World Health Organization, Regional Office for the Western Pacific . AMR in the human health sector in the asia-pacific region. 2024. Available: https:\/\/cdn.who.int\/media\/docs\/default-source\/wpro---documents\/health-topics\/amr\/final-draft-amr-joint-position-paper-for-asia-pacific.pdf?sfvrsn=489c90fa_4 [Accessed 20 Apr 2025]."},{"key":"2026100423200508000_4.4.e004804.13","unstructured":"World Health Organization, Regional Office for the Western Pacific . Accelerating action to fight amr in the asia-pacific region. 2024. Available: https:\/\/www.who.int\/westernpacific\/publications\/m\/item\/accelerating-action-to-fight-amr-in-the-asia-pacific-region [Accessed 20 Apr 2025]."},{"key":"2026100423200508000_4.4.e004804.14","unstructured":"World Health Organization, Regional Office for South-East Asia . Tokyo meeting of health ministers on antimicrobial resistance in asia, 16 april 2016. 2016. Available: https:\/\/www.who.int\/southeastasia\/news\/events\/detail\/2016\/04\/16\/south-east-asia-events\/tokyo-meeting-of-health-ministers-on-antimicrobial-resistance-in-asia-16-april-2016 [Accessed 20 Apr 2025]."},{"key":"2026100423200508000_4.4.e004804.15","unstructured":"World Health Organization . Library of amr national action plans. 2025. Available: https:\/\/www.who.int\/teams\/surveillance-prevention-control-AMR\/national-action-plan-monitoring-evaluation\/library-of-national-action-plans [Accessed 16 Jun 2025]."},{"key":"2026100423200508000_4.4.e004804.16","unstructured":"World Health Organization . Results from the 2024 tracking antimicrobial resistance country self-assessment survey (tracss): quadripartite webinar. 2025. Available: https:\/\/www.who.int\/news-room\/events\/detail\/2024\/09\/10\/default-calendar\/results-from-the-2024-tracking-antimicrobial-resistance-country-self-assessment-survey-(tracss)--quadripartite-webinar [Accessed 16 Jun 2025]."},{"key":"2026100423200508000_4.4.e004804.17","unstructured":"World Health Organization . JEE | strategic partnership for health security and emergency preparedness (sph) portal. Available: https:\/\/extranet.who.int\/sph\/jee\/activities?items_per_page=20&search=&field_region_target_id=205&field_country_target_id=345&field_province_target_id=All&field_jee_tax_status_target_id=All&field_document_availability_value=All [Accessed 16 Jun 2025]."},{"key":"2026100423200508000_4.4.e004804.18","unstructured":"World Health Organization, Regional Office for the Western Pacific . The western pacific regional antimicrobial consumption surveillance system (wpracss). Available: https:\/\/www.who.int\/westernpacific\/health-topics\/antimicrobial-resistance\/wpracss [Accessed 22 Sep 2025]."},{"key":"2026100423200508000_4.4.e004804.19","unstructured":"United Nations Department of Economic and Social Affairs . World population prospects 2024. 2024. Available: https:\/\/population.un.org\/wpp\/downloads?folder=Standard%20Projections&group=Population [Accessed 20 Jun 2025]."},{"key":"2026100423200508000_4.4.e004804.20","unstructured":"The World Bank Group . World bank country and lending groups \u2013 world bank data help desk. 2025. Available: https:\/\/datahelpdesk.worldbank.org\/knowledgebase\/articles\/906519-world-bank-country-and-lending-groups [Accessed 16 Jun 2025]."},{"key":"2026100423200508000_4.4.e004804.21","unstructured":"World Health Organization, Regional Office for the Western Pacific . Japan\u2019s amr response 2013-2025: developing, implementing and evaluating national amr action plans. 2025. Available: https:\/\/iris.who.int\/handle\/10665\/380481 [Accessed 20 Jun 2025]."},{"key":"2026100423200508000_4.4.e004804.22","unstructured":"Geneva. World Health Organization . People-centred approach to addressing antimicrobial resistance in human health: who core package of interventions to support national action plans. 2023. Available: https:\/\/iris.who.int\/handle\/10665\/373458 [Accessed 20 Jun 2025]."}],"container-title":["BMJ Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjph-2025-004804","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:20:12Z","timestamp":1791181212000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjpublichealth.bmj.com\/lookup\/doi\/10.1136\/bmjph-2025-004804"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":22,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,10,4]]},"published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1136\/bmjph-2025-004804"],"URL":"https:\/\/doi.org\/10.1136\/bmjph-2025-004804","relation":{},"ISSN":["2753-4294"],"issn-type":[{"value":"2753-4294","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]}}}