1. ASEAN C OOPERATION ON H EALTH Health and Communicable Diseases Division ASEAN Secretariat

2. Proposed components & activities Regional Strategies Lead country 1) The 3 rd Standard of ASEAN Herbal Medicine Area 1 & 3Indonesia & Thailand Proposal 2011 2) Development Programme to strengthen QA and Non-Pharmacopial Analytical Methods Area 1 & 3Malaysia 3) Building up & strengthening of PV Area 1 & 2Singapore & Thailand 2012

3. Proposed componentsRegional strategies Lead country 4) Rational Use of Drug ASEAN – WHO Consultative Meeting on RUM, 12 July 2011 Area 2 & 3Brunei, Singapore, Indonesia 4.1 Workshop on Rational Use of Anti-Microbial Agents Brunei, Singapore 4.2 ASEAN – WHO Collaborative Study on RUM in ASEAN Singapore WHO 4.3 To conduct an ASEAN Forum on Pharmaceutical Care and its Effective Implementation in ASEAN (2013) Indonesia WHO

4. Proposed components/activities Regional strategies Lead countries/ $ 5) Proficiency TestingArea 1 & 3Thailand Ongoing activity, donor - 2011 6) Production of ARS Certified Reference Material Area I & 3Thailand Ongoing activity, donor - 2011 7) Technical cooperation with USP Area I & 3Thailand/USP 2011 REMARKS: Activity 6 and 7 were combined: Thailand

5. R ELEVANT M ESSAGES TO BE CONSIDERED BY ASEAN G ROUPS BASED FROM THE J OINT A SSESSMENT OF THE R ESPONSE TO A RTEMISININ R ESISTANCE _1 Engage with the pharmaceutical sector; Enforcement of policies on counterfeit drugs Information Sharing: Information on Drug Resistance should be shared to higher bodies in health of the region Funding from External Sources are available but complementary support from dialogue partners can be encouraged

6. Cross border issues on infectious diseases should also include the concern on artemisinin- resistance Identify main technical issues and gaps to be covered concerning artemisinin resistance and seek appropriate support from concerned partners ASEAN Community by 2015: ASEAN has a critical role in raising political commitment and economic implications in addressing concerns relevant to issues on artemisinin resistance R ELEVANT M ESSAGES TO BE CONSIDERED BY ASEAN G ROUPS BASED FROM THE J OINT A SSESSMENT OF THE R ESPONSE TO A RTEMISININ R ESISTANCE _1

7. F EEDBACK : R EGIONAL F RAMEWORK _1 Consider the framework to be inclusive of the ASEAN region rather than the GMS Flexibility in the use of the funds beyond GMS to address issues on artemisinin resistance and malarial initiatives in the region Elevate to appropriate and higher bodies the issues on malaria initiatives and the challenge faced with artemisinin resistance with leadership from ASEAN Member States Consider the economic impact: Elevating the issue of malaria to be one of the point of interest of the national agenda can be a concern if it is not a priority by the national government. But if we link this health issue to economic implications, then we can make this one of the priorities.

8. F EEDBACK : R EGIONAL F RAMEWORK _1 Consider the framework to be inclusive of the ASEAN region rather than the GMS Flexibility in the use of the funds beyond GMS to address issues on artemisinin resistance and malarial initiatives in the region Elevate to appropriate and higher bodies the issues on malaria initiatives and the challenge faced with artemisinin resistance with leadership from ASEAN Member States Consider the economic impact: Elevating the issue of malaria to be one of the point of interest of the national agenda can be a concern if it is not a priority by the national government. But if we link this health issue to economic implication, then we can make this one of the priorities.

9. F EEDBACK : R EGIONAL F RAMEWORK _2 Objective 1: ASEAN has a comparative advantage in coordinating efforts on malaria initiatives Drug resistance can be placed in the context of ‘Elimination of Malaria’ Objective 2: Awareness and information sharing enhanced at the level of technical working groups initially and then to other higher bodies Objective 3: System of monitoring can be done for malaria initiatives that is similar to MS JMOIR Support mapping and strengthen surveillance Classify ASEAN Member States according to appropriate tiers

10. F EEDBACK : R EGIONAL F RAMEWORK _3 Objective 5: Vector control in the context of promotion of integrated vector management (IVM) Add a narrative that this objective will complement prevention of transmission of resistant strains

11. F EEDBACK : R EGIONAL F RAMEWORK _4 Objective 6: Elevate issue of malaria concerns to the focus area of Migrants Health and Increase Access to Health Care during the workshop led by Indonesia SOMHD Explore involvement of private sector in the open sessions of the AWGPD and AEGCD meeting on matters concerning malaria Objective 7: 7.1 consider ‘regional level’ rather the ‘GMS’ Include Economic Analysis of the impact of artemisinin resistance in the GMS and beyond