Antimicrobial Resistance (AMR) is increasingly a seriouspublic health threat around the world. The WHO speculated thepossible casualty to be around 10 million per year by 2050 A.Dassociated with AMR [1]. A global action plan has beenformulated by the WHO to tackle AMR in its 68th WorldHealth Assembly considering the magnitude of its effect to theglobal public health [2]. All the member states of the WHOhave signed and endorsed that action plan. Mr. KhagarajAdhikari, Minister for Health and population of theGovernment of Nepal at that time (2015) signed thatcommitment. With the aim to move towards the vision of theWHO, the Government of Nepal (GON) had formed amultidisciplinary core committee and it has already identifiedthe existing situation of AMR in Nepal, which has now finallyappeared in form of policy document as “National Action Planfor Containment of Antimicrobial resistance in 2016” [3, 4].Recently, the joint external evaluation has prioritized the "needfor strengthening laboratory services in Nepal after thoroughevaluation of the laboratory services, and policy regulationsrelated to AMR [3, 5]. The national antibiotic resistancesurveillance program has been conducted with the support ofFlemming fund involving 12 human health and 4 animal healthlaboratories. The National Public Health Laboratories (NPHL)and Central Veterinary Laboratory (CVL) are the custodian ofAMR surveillance in human and animal health sectors,respectively [6]. Though the national plan envisions a rigorousand nationwide surveillance of AMR, it is not being prioritizedby the Government of Nepal while developing the action plansowing to the lack of adequate/sufficient resources allocated forsurveillance [7, 8]. Still, some surveillance has been carried outso far with the aid of foreign agencies like GARP (GlobalAntibiotic Resistance Partnership) [9, 10], Fleming fund [7]which are at very low scale and is not sufficient. published literature has warned that Nepal is not prepared to detect,prevent, and respond AMR on time [7, 8, 11] that could have adevastating effect on public health and national economy of thecountry.
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