Project Title

Building Competence in Antimicrobial Resistance Surveillance among APEC Economies 

Project Year

2017   

Project Number

CTI 24 2017A 

Project Session

Session 2   

Project Type

Standard 

Project Status

Project in Implementation   
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Project No.

CTI 24 2017A 

Project Title

Building Competence in Antimicrobial Resistance Surveillance among APEC Economies 

Project Status

Project in Implementation 

Publication (if any)

 

Fund Account

APEC Support Fund 

Sub-fund

ASF: Human Security 

Project Year

2017 

Project Session

Session 2 

APEC Funding

137,500 

Co-funding Amount

33,000 

Total Project Value

170,500 

Sponsoring Forum

Sub-Committee on Standards and Conformance (SCSC) 

Topics

Conformance; Standards 

Committee

Committee on Trade and Investment (CTI) 

Other Fora Involved

 

Other Non-APEC Stakeholders Involved

 

Proposing Economy(ies)

Chile 

Co-Sponsoring Economies

Australia; Japan; Korea; Mexico; Papua New Guinea; Peru; Philippines; Singapore; Thailand; United States 

Expected Start Date

01/01/2018 

Expected Completion Date

31/12/2018 

Project Proponent Name 1

Javiera Comejo / Lisette Lapierre 

Job Title 1

Assistant Professor, FAVET University of Chile 

Organization 1

Faculty of Veterinary Science University of Chile (FAVET)  

Postal Address 1

Ave Santa Rosa 11735, La Pintana, Chile 

Telephone 1

56-22 7979900 

Fax 1

Not Applicable 

Email 1

jacomej@uchile.cl; llapierre@uchile.cl 

Project Proponent Name 2

Constanza Vergara / Diego Varela 

Job Title 2

International Affairs, ACHIPIA 

Organization 2

Chilean Food Quality and Safety Agency (ACHIPIA) 

Postal Address 2

Nueva York 17, Piso 4, Santiago, Chile 

Telephone 2

56-22 9785630 

Fax 2

Not Applicable 

Email 2

diego.varela@achipia.gob.cl; constanza.vergara@achipia.gob.cl 

Declaration

Javiera Comejo, Lisette Lapierre, Constanza Vergara and Diego Varela 

Project Summary

In support of APEC’s 2014 Rank 1 priority of promoting regional economic integration via free and open trade and investment through standards, conformity assessment, technical regulation and regulatory cooperation and Ha Noi 2017 FSCF statement about building competence in Antimicrobial resistance in the APEC Region, Chile is seeking APEC funding to conduct a workshop for building competence in Antimicrobial Resistance (AMR) knowledge and surveillance methodologies. The activity will focus on encouraging APEC economies to participate actively in actions against AMR through the implementation of laboratory techniques to measure the susceptibility to antibiotics in a harmonized and standardized way and strengthen integrated surveillance of AMR present in microbial strains isolated from animals, environment and food. A three day workshop will be held in Santiago Chile. Participants from APEC economies would be able to increase their knowledge in laboratory techniques for antibiotic susceptibility measure and the importance of use standardized method. They will participate in demonstrative laboratory training modules. The outcome of this workshop will include technical information open for all APEC members.

Relevance

The present proposal is in agreement with the 1994 Leaders' Declaration at Bogor, Indonesia pointing the APEC commitment to achieve sustainable and equitable growth, also with the Food Safety Cooperation Forum (FSCF) mandated (2007) to develop a more robust approach to strengthening food safety standards and practices in the region, and Bali declaration that enhance the importance of addressing emerging health problems and strengthening public health systems. Recently, in FSCF 2017, Ha Noi statement enhances the importance of the  Antimicrobial Resistance (AMR) issues in health and its potential impact in food trade, and they agreed to add to the priorities areas "building competencies in AMR". On these regard, one issue of special concern now days for public health for all the economies is the emergence of antimicrobial resistance (AMR), associated to food animal productions. According to WHO (2011) AMR is a major public health problem because of its severe adverse consequences, threatening infectious disease control, causing the re-emergence of some pathogens or increasing their virulence, making medical treatments more costly. These consequences affect human and animal health and contribute to environmental pollution with waste and resistant microorganisms, impacting negatively in the emerging economies’ development and the food security of the nations. Considering these in 2015 Chile successfully implemented under the Sub-Committee of Standard and Conformance (SCSC)/FSCF the project CTI 25 2014A Coordinated Research Initiative for the Implementation of Antimicrobial Resistance Control Strategies. A workshop was held in October 2015 in Chile, in order to lay the foundations and economies’ needs for establishing a Resistance Surveillance System in the short term. Awareness about the AMR issue and the importance of generating integrated surveillance systems was raised during the project. Among the main difficulties that exist in the economies to implement an integrated AMR surveillance program and the actions that should be taken to accomplish this, a lack of harmonized methodology and expertise of human resources was raised as a concern. Also, the project showed up that currently, there are many differences in management and in the actions taken by the different APEC economies around this issue. These can be evidenced by the different approach towards the implementation of resistance surveillance systems of each economy. The fact that some APEC economies have already implemented resistance surveillance and monitoring systems and other economies do not have clear policies about this issue yet creates differences in standards and technical regulations, affecting open trade and the regional commercial flow of food. Therefore, the lack of regional integration on this issue has the potential to impact the availability of safe food products for the population. In order for APEC to continue to facilitate free flow of traded food products, contributing to regional economic growth and integration of the economies, and support of food safety and food security practices in the region, APEC member economies must align and improve systems for surveillance and monitoring of AMR and built their national action plan using the One Health approach. These, will generate base line reports and scientific information concerning AMR in human, animals and environment in order to control the spread of the resistance bacteria and minimize its adverse effects. In order to establish an integrated surveillance system in AMR of animal, human and environmental origin, and take decisions at a policy maker level, reliable data that can be compared in time and between laboratories are mandatory. To achieve this goal it is essential to harmonize the protocols used for identification and differentiation of each bacterial genus and for the origin, because among the APEC economies laboratories different protocols are used in the whole process from sampling, isolation, identification of strains and report of the results. The interpretation of the results may differ, which ultimately leads to establish criteria for the interpretation of the results. Harmonizing criteria in susceptibility testing of antibiotics have been made by institutions as the Clinical and Laboratory Standards Institute (CLSI: www.clsi.org), which develop guidelines for standardization of techniques of analysis of antimicrobial susceptibility. Considering this, the present proposal aims to build competence in AMR Surveillance Methodologies and the results report, among the APEC economies in order to walk towards the implementation of inter- economy control strategies. It is in alignment with WHO Global Action Plan on AMR, Objective 2 “Strengthen the knowledge and evidence base through surveillance and research”.   WHO, OIE and FAO One Health approach will be included, and the Integrated Surveillance of Antimicrobial Resistance of WHO-AGISAR 2013 will be used as background and context for workshop. The present proposal fall under APEC Rank 1, promoting regional economic integration via free and open trade and investment: Supporting the Multilateral Trading System and the Bogor Goals; Food production, processing, supply chain and trade, including food safety and security, sustainable agriculture, sustainability of these activities and rural development, technical cooperation and new technologies.; Human capital development, including implementation of the Strategic Plan on Capacity Building to Promote the Trade and Investment Agenda, cooperation on education, skills development, science and technology and capacity building; Standards, conformity assessment, technical regulations, regulatory cooperation, and regulatory coherence, including good regulatory practices. Also is linked to APEC Rank 2 support the APEC Strategy for Strengthening Quality Growth, including sustainable and inclusive growth.

Objectives

1) To disseminate the importance of monitoring antimicrobial resistance in the whole food chain with a One health approach, in participating APEC economies through increasing knowledge in laboratory techniques of detecting antibiotics susceptibility;

2) To create a framework to encourage APEC economies to participate actively in actions against antimicrobial resistance through the implementation of harmonized laboratory techniques to measure the susceptibility to antibiotics and report the results in a harmonized and standardized way; and 

3) To strengthen integrated surveillance of antimicrobial resistance among APEC economies through building capacity in laboratory techniques and the interpretation and analysis of the surveillance results.

Alignment

Statements that the project supports: This project supports APEC’s 2017, Ha Noi statement priority area “building competencies in AMR”, which enhances the importance of the AMR issues in health and its potential impact in food trade, and strongly recommend building competencies in AMR, by enhancing surveillance techniques. Also supports 2016 Rank 1 priority of promoting regional economic integration via free and open trade.

Regulatory Cooperation: The workshop will bring together members from APEC member economies and seek to promote a scientific approach to align regulatory frameworks for addressing issues related to AMR surveillance. Standards and Technical Regulation Alignment: Standardization of knowledge in laboratory techniques for establishing surveillance and monitoring programs, and harmonize the policy making. Strengthening the Multilateral Trading System and improving access to global markets: The FSCF is mandated to strengthening food safety standards and practices in the region. The The Food Safety Cooperation Forum's Partnership Training Institute Network (FSCF PTIN) has identified Laboratory Capacity and Food Safety Regulatory Systems as priority areas for capacity building. This project supports these priorities as it aims to increase capacity building to improve technical competence in AMR surveillance techniques.

Alignment – Forum: The project is in alignment with the SCSC work plan regarding that harmonized standards and conformance procedures improve the efficiency of production and facilitate international trade, resulting in more rapid trade flows, reduced costs and greater integration of production networks. Among the SCSC current activities this proposal is linked to the Food Safety work of this forum, aiming for building laboratory testing capacity for antimicrobial resistance in the region.

TILF/ASF Justification

This project is carried out by Sub-Fund on Human Security and contribute to the area of Health Security by a capacity building type workshop for building competence in Antimicrobial Resistance (AMR) knowledge and surveillance methodologies. AMR problem has been widely recognized as a growing threat to global health, and the developing economies is facing a huge challenge. One of the key goals of this conference is to disseminate the importance of monitoring antimicrobial resistance in the whole food chain with a One health approach, in participating APEC economies through increasing knowledge in laboratory techniques of detecting antibiotics susceptibility. Through this project, we hope to assist APEC developing economies in building relevant capacities to monitoring antimicrobial resistance in the whole food chain. All APEC member economies will be invited to participate in this conference, especially the stakeholders from APEC developing economies. Overall, the project aims to create a framework to encourage especially developing economies to participate actively in actions against antimicrobial resistance through the implementation of harmonized laboratory techniques. In addition, we expect to strengthen integrated surveillance of antimicrobial resistance especially among developing economies through building capacity in laboratory techniques and the interpretation and analysis of the surveillance results.

Beneficiaries and Outputs

Outputs: 

Workshop: With the aim to extend the capabilities and expertise of the different economies on monitoring antimicrobial resistance through increasing the knowledge and capacities in laboratory techniques of detecting antibiotics susceptibility and to encourage APEC economies to participate actively in actions against antimicrobial resistance as a way to strengthen their integrated surveillance of antimicrobial resistance a 3- day workshop will be held in Santiago, Chile, during the II semester of 2018. The activity will focus on antibiotics susceptibility laboratory techniques, results interpretation and analysis of antimicrobial surveillance results lectures follow by demonstrative training modules in laboratory techniques and result interpretation. Economies with more experience in the subject and ongoing surveillance systems can contribute with expertise and share their experience, for example; in the prioritization of bacteria and antibiotic combinations to be tested in food samples for the workshop. To identify which economies has more experience in AMR surveillance, we will updated the same survey made for the past project CTI 25 2014A Coordinated Research Initiative for the Implementation of Antimicrobial Resistance Control Strategies so we can identify appropriate speakers from this economies. (The first survey) allowed us to make a diagnosis of the situation in each economy regarding AMR control activities.  Some of the question for example gave us information on which matters were the most concern in addressing the issue of antimicrobial resistance, other one was describe the awareness of antimicrobial resistance and if an  AMR surveillance programs existed, so our aim is to send the exactly same survey again, without some questions that were specific for the past project and leave the ones which allow us to evaluate the advances made by the economies since 2015 when we implemented the first project in this matter. Representatives from the human and veterinary health with laboratory and microbiology knowledge form the 21 APEC economies will be invited to participate in the workshop. In case of travel-eligible economies (China, Indonesia, Malaysia, Papua New Guinea, Mexico, Peru, Philippines, Russia, Thailand, Vietnam) the expenses will be covered for 2 participants of each economy where we will encourage the participation of one representative from human health Service and the other one from veterinary health Service with competence in the subject. Therefore, a minimum of two participants from the above mentioned economies are expected; this sums up a total 20 representatives. From Chile, at least five representatives, one from each regulatory institution with competence on the subject, will be invited to participate in the workshop (Ministry of Health, National Agricultural and Livestock Service, National Fisheries Service, Chilean Food Safety and Quality Agency and General Directorate of International Economic Affairs). In the case of the 10 non travel eligible economies (Australia, Brunei Darussalam, Canada, Hong Kong China, Japan, Republic of Korea, New Zealand, Singapore, Chinese Taipei, The United States) the attendance of at least one participant is expected. However, a 30% of no show is considered to be reasonable for this kind of activities, hence around 15 economies should attend the activity, with a total number of 25 representatives.

Report: an electronic report available for all the economies will be delivered at the end of the workshop. These will contain a summary of the activities performed during the workshop, presentations and speakers CV. Also recommendations, conclusions and difficulties identify through the workshop will be included and a section with surveys responses in general, without the identification of any economy in particular, will be included. This will be distributed between the 21 APEC economies and also disseminate trough the FSCF PTIN.

Webpage: All the workshop ´s lectures  will be available on a web page that will be created for this purpose and to which all stakeholders can access during and after the workshop. Also, a section that provides surveys responses in general, without the identification of any economy in particular, will be posted at this webpage and the final workshop report.

Laboratory Techniques Manual: A manual made by Chile in english language containing laboratory techniques will be prepare before the workshop.The training modules on laboratory techniques for antibiotic susceptibility measurement will be gave to the workshop participants in a hard copy Manual at the beginning of the workshop to help them to do the debriefing to other professionals when they come back to their economies. This Manual will also be shared with the FSCF PTIN members.

Article: After the workshop, a news bulletin article diffusing the project ooutputs and outcomes will be published on the APEC Bulletin in order to disseminate to the community the project.

Surveys: The results from two surveys will also be included and posted in the Webpage, Article and Report. The first one will bring the identification of the economies that has the major experience in AMR surveillance in the food chain among all APEC economies and the second one is an update of the information already provided by the past project ´s survey “CTI 25 2014A Coordinated Research Initiative for the Implementation of Antimicrobial Resistance Control Strategies” that’s apply only to those economies who answered it the first time.

Outcomes: 

- A major outcome of this initiative will be enhancing of the skills and knowledge in the field of AMR susceptibility testing in samples from food chain for their surveillance. Thus, the technical competences of the scientific and policy makers will be strengthened in order to establish harmonized and standardized laboratory techniques and results reporting for antibiotic susceptibility measurement for strengthen their surveillance systems in the APEC economies.

- Capacity building in AMR laboratory techniques and results interpretation and report of surveillance and encouraging the implementation of monitoring plans using harmonized and standardized techniques in the APEC economies.

- Create a network among system stakeholders, scientists, regulators and policy makers working in the laboratory area of AMR from different economies will get together increasing networking initiatives and future collaboration, especially for developing economies in the APEC region that could help in the future to more targeting collaboration between APEC economies.

- Awareness and identification of the state of development in AMR surveillance through the food chain in APEC economies, that will help to prioritize future endeavors and collaboration in this area, to help those one identify as the less developed in this particularly area.

- Recommendations to the  economies on how to establish laboratory techniques to perform integrated surveillance system in the food chain.

Beneficiaries:

Project participants should have technical knowledge regarding the AMR. Participants must work at government or other institutions and agencies related to resistance control. These areas include: control of residues of veterinary drugs, use of drugs control, monitoring resistant strains in animals, humans and environmental levels. Also the participation of representatives working in the areas of epidemiology and public health, animal health and agriculture is desirable.

The level of expertise in the subject of the representatives must be such as to enable them to understand the issues to be discussed, laboratory techniques demonstrative training modules as well as its impact on public health. Besides the representatives of economies participating in activities should be aware of the different programs that take place in their economy that may be related to the control of AMR, as the ones above mentioned.

The level of responsibility of the participants must be appropriate so after the activities they can influence or be actively involved in decision-making, related to the actions or future monitoring plans established in economies.

The scope and impact of this project is for all APEC economies, regardless of their level of development, since one of the main objectives is to increasing knowledge in laboratory techniques of detecting antibiotics susceptibility and to achieve harmonization of methods and standards throughout the APEC region.

Furthermore, as mayor public health’s issue a large potential impact is expected for a wide range of beneficiaries.

Dissemination

Article: A news bulletin article diffusing the project development and outcomes will be published in an international communication media (Ex. APEC Bulletin). This publication aims to inform the community about the project, its outputs and outcomes, as well as the future perspectives in this area.   

Report: an electronic report available for all the economies will be delivered by email to the participants and SCSC list of contact points after the workshop. These will contain a summary of the activities performed during the workshop, presentations and speakers CV. Also recommendations and difficulties identify through the workshop will be included and surveys results.  This will be distributed between the 21 APEC economies, the FSCF PTIN members and posted in the project webpage.

Webpage: All the workshop´s lectures and other outputs already mentioned above will be available on a web page that will be created, hosted and maintain by the Chilean Food Safety and Quality Agency for this purpose and to which all stakeholders can access during and 6 months after the workshop.

Laboratory Techniques Manual: Before the workshop, the training modules on laboratory techniques for antibiotic susceptibility measurementwill be gave to the workshop participants in a hard and soft copy Manual to help them to do the debriefing to other professionals when they come back to their economies. We will submit Manual and Report to APEC secretariat in time to allow the dissemination to a broader public.

We will follow APEC guidelines in all publications and we will ask for they approval in this aspect.

Gender

The project will follow the principles stated in the San Francisco Declaration endorsed by APEC Economic Leaders in 2011, which called for APEC members to take concrete actions to develop the full potential of women, actively integrate them into APEC economies, and maximize their contributions towards economic growth. Therefore, as a way of raising awareness that 50% of food production in Asia is carried out by women, during the workshop we planned to do a presentation based on bibliographic revision that will strongly emphasized the manner in which changes in food safety regulations as for example the implementation of AMR surveillance in the food chain may affect differently men and women food producers.

The project also will take into account the eight tasks the APEC Policy Partnership on Women and the Economy (PPWE) provides as a mechanism to integrate gender considerations into APEC activities. The PPWE also delivers policy advice on gender issues and supports gender equality where relevant to the APEC process. Thus, the report will be shared with the PPWE, as a way to integrate women in the strengthening of the AMR surveillance process.

In consequence, throughout the development of the project gender equality will be strongly promoted through the engagement of women in the different activities and as a special element to be considered in the development of the recommendations. The project will encourage women participation in attempt to respect gender equality regarding speakers and participants. Additionally, it is highlighted that three of the four Project Overseers are women.

Work Plan

Time line of Actions 

a) Detecting and contacting the project participants, January- March 2018

In this first stage of the project, through the APEC contact points of the different economies invitations to participate in the workshop will be sent. Each economy will be responsible to identify suitable project participants according their qualifications, level of expertise, roles, level of responsibility, and institution. A profile of the desired profiles can be included in the invitation letter, as described in point 7.

b) Detecting and contacting the project Speakers, January- April 2018

The project overseers and the technical specialist from the Institutions responsible of the execution of the projects, ACHIPIA and FAVET, will detect and contact the speakers for the workshop.

c) Elaboration of a survey to observe economies status in programs implementations and laboratory capacities and update past project survey, January - March 2018

A simple survey, containing no more than 10 yes/no questions will be elaborated in order to observe economies status in the implementations of different programs related to control and direct surveillance of AMR programs. For the design of this survey the help of co-sponsor economies with high expertise and experience in AMR surveillance will be required, such as Canada or United States who already have an ongoing surveillance system. Also along with this new survey, the survey form the past project CTI 25 2014A Coordinated Research Initiative for the Implementation of Antimicrobial Resistance Control Strategies will be send to those economies who answered in the first time in order to updated the information and to measure how much the region has move forward in AMR surveillance.

d) Sending the new survey to Economies, April 2018

Once elaborated the survey will be sent to all participant economies. Participants will have two months to complete this survey and send it back to the PO.

e) Webpage Establishment, April 2018

A webpage for the purpose described in the project will be elaborate and host under Chilean Food Safety and Quality Agency communication team. 

f) Elaboration of Laboratory Techniques for Antibiotic Susceptibility Measurement Manual, March – July 2018

A Manual of Laboratory Techniques for Antibiotic Susceptibility Measurement will be elaborate taking into account all standardized techniques with harmonizing criteria for the interpretations of the results. The resources needed for the implementation will also be described.

g) Elaboration of the Agenda of the Workshop, May 2018

Once the speakers are identified and contacted, the workshop agenda will be prepared and shared with the co-sponsors economies. 

h) Sending the Agenda of the Workshop to Participants, June 2018

As soon as elaborated and co-sponsors approval a first draft will be sent to all the ´participants. 

i)  Request of Permission for the Participation in the Workshop of Speakers and non-APEC economies Participants

In case to be necessary, the permission for non-members economies participants will be requested.

j) Workshop, October 2018

A three day workshop will be held in Santiago, Chile. On the first day all the participants will increase their knowledge in laboratory techniques used worldwide for Antimicrobial Resistance surveillance and the importance of the results interpretations of the laboratory diagnostics and how they impact in the surveillance programs through a seminar and discussion panels with experts speakers. Two days of demonstrative laboratory techniques and lectures in each of the techniques that will be taught will follow the first day.

k) Workshop report, November – December 2018

An electronic report available for all the economies will be delivered at the end of the workshop. These will contain a summary of the activities performed during the workshop, presentations and speakers CV. Also recommendations based on the conclusion of the discussion panels will be included.

l) Article, November 2018

A news bulletin article diffusing the project development and outcomes will be published in an international communication media (Ex. APEC Bulletin). This publication aims to inform the community about the project, its outputs and outcomes, as well as the future perspectives in this area.

m)  Project completion report, December 2018

Once all the activities are performed, the PO will complete and submit the project completion report within two months of the completion of the project (December 31, 2018).

Summary Table 

TIME

TASK

DELIVERABLES

January- March 2018

Detecting and contacting project participants

Invitation letter send to all SCSC contact points from 21 APEC economies,

January-April 2018

Detecting and contacting the project Speakers

Speakers contacted and engaged

January - March 2018

Elaboration of a survey to observe economies status in programs implementations and laboratory capacities and update past project survey,

Past project survey sent to economies who answered and new survey elaborate.

April 2018

Sending the new survey to Economies,

New survey send to 20 economies.

April 2018

Webpage set up

Web page available in the web.

May 2018

Elaboration of the agenda of the workshop, May 2018

Agenda send to the participants and economy members in june 2018.

July 2018

Elaboration of Laboratory Techniques for Antibiotic Susceptibility Measurement Manual

Complete and revise Manual

October 2018

Workshop

3 day workshop successfully done

Nov-Dec 2018

Elaboration ok workshop report

Complete Report

Nov 2018

Elaboration of Article

Complete Article

Dec 2018

Project Completation Report

Complete project report

Risks

Risk

Description

Mitigation

Speakers

Selection of suitable and prominent candidates with relevant experience

Early consultations with APEC economies in identifying prominent speakers.

Cancellation of speakers

Ensure back-up speakers for the workshop and send the invitations straightaway when there is a cancellation of a speaker.

Participants

To get quality and quantity from APEC economies

Consult with co-sponsoring economies to set general criteria for participants and highlight it in the general information document sent for nominating workshop participants;

If possible, ask APEC travel-eligible economies to designate at least one delegate from the Official Laboratory sector.

Encourage participation through the SCSC and FSCF and send the invitation 5 months prior to the workshop so that they can select appropriate representatives and they can prepare the trip

We also will contact past participants of the project CTI 25 2014A Coordinated Research Initiative for the Implementation of Antimicrobial Resistance Control Strategies, to give continuity to the work in AMR surveillance in the food chain 

Awareness

Dissemination and marketing of the event

Actively and early market and promote the event through the SCSC and FSCF representatives.

Organization and products elaboration (outcome)

Organization of the workshop and elaboration of the products involved in the project

Besides POs, ACHIPIA and FAVET will allocate two professionals with experience in organizing this type of activities for the coordination of the workshop. Regarding the elaboration of products, We have established 2 POs in each one of the institutions to support each other in the work.

Monitoring and Evaluation

The project will be monitored and evaluated by several indicators:

- Pre Workshop Survey (April 2018): Number of surveys completed by APEC member economies received by the PO. The survey will be sent to the APEC economies on April 2018, in order to calculate a rate of response of APEC economies and use it as an indicator of interest in this matter. 

Indicator 1: Percentage of answered surveys ([Number of answered surveys/Number of surveys sent] *100). One survey will be sent by each APEC economy (21*1= 21). Acceptable range= above 60%. 

- Workshop Attendance (October 2018): the success of the project will be measured by the number of participants and delegates of different APEC economies attending the workshop. 

Indicator 2: Percentage of attendants to the workshop ([Number of invitations sent/Number of attendants to the workshop] *100). 2 invitations will be sent to each APEC economy (21*2= 42). Acceptable range= above 60%

-   Female participation in the workshop: The number of female particioants in the workshop as delegate or speaker will be measure and use as an indicator of gender impact of this project.

Indicator 3: Percentage of female attendants to the workshop as delegate or speaker ([Number of invitations sent/Number of attendants to the workshop] *100). 2 invitations will be sent to each APEC economy (21*2= 42) Plus number of female speakers/total speaker *100.  Acceptable range= above 60%

- Post Workshop Survey (October 2018): A workshop assessment survey will be distributed to all project participants. This survey will evaluate the relevance of the project for APEC economies, as well as the results and achievements arising from the workshop and its outputs. This survey will also assess the extent to which participants would be able to apply the knowledge obtained in the workshop in their economies, and it will provide the opportunity to participants to share their opinions for further initiatives in this field. 

Indicator 4: Percentage of answered surveys ([Number of answered surveys/Number of surveys sent] *100). 1 surveys will be sent by each APEC economy participant (21*2= 42). Acceptable range= above 60%.    

Linkages

Since FSCF 2017, Ha Noi statement enhance the importance of the AMR issues in health and its potential impact in food trade, building competencies in AMR, by enhancing surveillance techniques. This joint initiative of the Chilean Food Quality and Safety Agency (ACHIPIA) and the University of Chile will bring together regulators and scientific Institutions, promoting the scientific based approach. Also this workshop should have the support of WHO/PAHO which has wide experience in this field working in different economies with Integrated Surveillance of Antimicrobial Resistance Plan”. Also it is expected to have Canadian support as Co-sponsor as this economy has a wide and interesting experience in the AMR surveillance as they implemented the CIPARS; this experience will be of great value and a model for the other economies. The same situation with the United States and the surveillance program NARMS.

There has been no capacity building activities in laboratory techniques for antibiotic susceptibility measurement for strengthening the Action Plans tcontrol the AMR conducted by APEC and this project is seen as an opportunity to start collaboration in this field in the APEC region. The workshop is intended to be a first step in this cooperation and capacity building activities.

Sustainability

The mayor impact that this project will have in the APEC region will be enhancing the technical competences of scientific and policy makers in AMR in order to establish harmonized and standardized laboratory techniques for antibiotic susceptibility measurement. The use of standardized techniques will strength APEC economies surveillance systems. The capacity building in AMR laboratory techniques and results interpretation activities will encourage the implementation of monitoring plans using harmonized techniques, improving and encouraging integrated surveillance. Standardized techniques material will be delivered to the participants. 

Also, a network among all the stakeholders working in the laboratory field of AMR from different economies as scientists, regulators and policy makers will be created with the aim to get together increasing integrated surveillance initiatives and future collaboration between economies by consolidating workshop participant list and circulate it among them. The future networking ideas and possibilities of collaborative work will be included in the final report of the project and will be used to evaluate future initiatives in this area in the region.

The final report will contain also recommendations to the economies on how to establish laboratory techniques to perform integrated surveillance system. In order to ensure that there is going to be further ongoing collaboration in the project that allows accomplishing the objectives of the proposal in the long term; we will propose at the workshop that one or more economies will be selected to be an available tutor for the questions about the implementation of laboratory techniques for antimicrobial susceptibility testing.  We will suggest that this role can be done by an economy withexperience in the AMR integrated surveillance.

Project Overseers

This project will be jointly developed by the Chilean Food Safety and Quality Agency (ACHIPIA) and the Faculty of Veterinary and Animal Sciences University of Chile (FAVET). Thus, each Institution will have one Project Overseer in charge of managing the activities project, managing the contractors and specialists. In addition, each institution will have another PO, which will act as the technical expert in the field of AMR to support the selection of specialists, detection of national and international experts in the area and generation of scientific information, and delivering training to the economies.

Cost Efficiency

Not Applicable.

Drawdown Timetable

Not Applicable.

Direct Labour

Not Applicable.

Waivers

Not Applicable.

Are there any supporting document attached?

No 
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Project No.

Project Title

Project Status

Publication (if any)

Fund Account

Sub-fund

Project Year

Project Session

APEC Funding

Co-funding Amount

Total Project Value

Sponsoring Forum

Topics

Committee

Other Fora Involved

Other Non-APEC Stakeholders Involved

Proposing Economy(ies)

Co-Sponsoring Economies

Expected Start Date

Expected Completion Date

Project Proponent Name 1

Job Title 1

Organization 1

Postal Address 1

Telephone 1

Fax 1

Email 1

Project Proponent Name 2

Job Title 2

Organization 2

Postal Address 2

Telephone 2

Fax 2

Email 2

Declaration

Project Summary

Relevance

Objectives

Alignment

TILF/ASF Justification

Beneficiaries and Outputs

Dissemination

Gender

Work Plan

Risks

Monitoring and Evaluation

Linkages

Sustainability

Project Overseers

Cost Efficiency

Drawdown Timetable

Direct Labour

Waivers

Are there any supporting document attached?

hdFldAdmin

Project Number

Previous Fora

Secretariat Comments

Reprogramming Notes

Consolidated QAF

Endorsement By Fora

PD Sign Off

Batch

Forum Priority

Committee Ranking Category

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PDM Priority

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Monitoring Report Received

Completion Report Received

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PMU Field 2

PMU Field 3

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