Management of the health care system in Ecuador to confront the antimicrobial resistance

Abstract

Introduction: the Ecuadorian Health System has a National Plan for the Prevention and Control of Antimicrobial Resistance (AMR), which seeks to improve the quality of medical care and, from there, to draw attention to the increase in microbial resistance, which has become a highly relevant problem for the world public health. Objective: to systematize knowledge on the management of the Ecuadorian health system in the face of antimicrobial resistance. Method: an exhaustive bibliographic review was carried out in bibliographic search engines such as Scopus, Google Scholar and PubMed, with the search for key words. The research was carried out on May 20, 2022. Of the 39 articles, only 20 were selected according to criteria. Results: Ecuador has a mixed health system, made up of the public sector of the Ministry of Public Health (MSP), the Ecuadorian Social Security Institute (IESS), the Armed Forces Security Institute (ISSFA) and the National Institute of Police Security (ISSPOL); on the other hand, there is the private sector, integrated by the National Association of Private Clinics and Hospitals of Ecuador. Both are integrated in order to guarantee the integral health development of the entire Ecuadorean population, regulate and control the activities carried out by both public and private entities, without distinction, to face the threat posed by the increase in the indiscriminate use of antimicrobials, with repercussions on human and animal health. Final considerations: the inefficient way of combating the health risk due to antimicrobial resistance affects the Ecuadorian population as a consequence of the indiscriminate and inadequate use of antibiotics, and the insufficient use of conventional treatments.

Keywords

• sistema nacional de salud
• resistencia antimicrobiana
• plan nacional de salud
• ministerio público
• ecuador