2. RHU Sulat AMS Committee
Dr. Rose Teri J. Zacate- Nueva
Municipal Health Officer
Edel A. Aboga-a
Midwife
Main Health Center
Gliceria P. Nival
Pharmacy Aide
Anita L. Orquia
Midwife
BHS Del Remedio
Ma. Belen L. Amit
Midwife
BHS San Isidro
Jessica E. Aclan
AMS Secretariat
Esmeralda N.
Gecomo
Midwife
BHS San Juan
Maria Bibian C.
Yaput
Midwife
BHS San Vicente
Myra A. Rael
BHW
Liason Officer
Ms. Katherine Ann Alday
Medical Technologist
Mr. Joseph Ryan A. Tiu
Public Health Nurse
Glicie Joy P. Nival
Public Health Pharmacist
3. • Leads in implementing and monitoring of AMS activities, and the
evaluation of the AMS program
• Selects and prioritize the antimicrobials to be procured for the RHU
• Educates the staff on appropriate antimicrobial use and health
education activities for the community
• Initiates research activities and treatment patterns of the community
• Does direct patient care and prescribes appropriate medication
regimen per patient need
Municipal Health Officer
• Coordinates, implements and monitors AMS Program, alongside other
national programs
• Assist the MHO in handling and monitoring treatment outcomes of
patients
• Supervises and monitors the midwives and gathers reports to
consolidate data for analysis of outcomes and evaluation of program
Public Health Nurse
4. Municipal Health Officer
•Initiates treatment of basic complaints using IMCI protocols, with the
guidance and supervision of the MHO
•Completes patients’ records and ensure safekeeping of data in the BHS
•Provides community-wide health education on Antimicrobial Stewardship
•Submits monthly report of patient consults and treatment outcomes
•Supervises BHWs who are in-charge of families in monitoring treatment
compliance of patients
Rural Health Midwives
•Assists in coordinating and implementing AMS activities
•Run necessary tests for proper diagnosis and treatment outcomes of the
patients
•Submits AMS reports and examines findings and patterns of illness in the
community to give accurate interpretation and guide future decisions and
choices
Medical Technologist
5. • Coordinates with the MHO, nurses and midwives to ensure timely administration of
appropriate antimicrobials
• Ensures that the right patient is given the right dose of antimicrobials and educates
the patient, pharmacy staff on the proper use of antimicrobials
• Submits timely inventory of crucial medications to ensure sustained delivery of
services
Pharmacist/ Pharmacy Aide
• Provides administrative support to all AMS activities including creating a budget and
other needs for this activities
• Prepares and submits all necessary AMS-related reports and evaluation
AMS Secretariat
• Coordinates closely with Nurses and Midwives in monitoring treatment of patients
• Cascades to fellow BHWs, vital information and monitoring activities
• Does house-to-house visitation of clients on medication to monitor treatment
compliance
• Submits reports to midwife for consolidation in patient records, to note adherence
to treatment, probable side effects and factors affecting compliance, for proper
guidance
Barangay Health Worker/ Liason Officer
6. Succession/Continuity Plan
• All team members can provide
advice on management of
infections, antimicrobial
choice, dosing, administration,
drug interaction, adverse drug
reactions, and allergies
• Ensure that recommendations
are communicated to relevant
staff.
• Determine outputs
and outcomes of
interest.
• Analyze and collect
data.
• Write reports
• Directly communicate
findings to the
relevant committees.
• Educate staff and enforce
compliance to AMS policies,
procedures, guidelines and
pathways.
• Disseminate relevant documents
and ensure they are easily
accessible/visible to all staffs.
• Engage with consumers to
improve knowledge about
antimicrobial therapy.
• Write new guidelines
and amend existing
guidelines when
required.
• Analyze local
specific data and
interpret their
relevance to local
guidelines and adjust
accordingly. Treatment
Guidelines
Continuous
Education
Patient-
Centered
Care
Monitoring
and
Reporting
7. Potential Challenges/Barriers to
Implementation
STAFF REQUIREMENTS
The need for continuous training for MHO on management of common
illnesses and infections
Additional staff for pharmaceutical management
LOGISTICS AND SUPPLIES
Inadequate supply of essential antimicrobials
Prioritization of issues and concerns aside from AMS
PATIENT CONCERNS
Increasing AMR rates
Poor compliance to treatment and self-medication practices
Poor health education about AMR in the community
Belief in quack doctors and inappropriate use of traditional medicines
8. Steps Forward
The AMS committee will lobby for the creation of an ordinance institutionalizing
the AMS policies/protocols. These policies will be made based on the National
Antibiotic Guidelines and AMS Program in PHC Management
The AMS program will be implemented and monitored by AMS Team
Continuous education of all stakeholders and updating of strategies for AMS
Implementation
Regular review of common cases including treatment modality and medication
compliance to the RHU Staff and BHWs
Inclusion of Antimicrobial Stewardship in basic health education sessions in the
community
9. Yours in Health,
AMS Team of RHU Sulat
rhusulat.ams@gmail.com
09424024997/09564431137
