This report examines global experiences in coordinated procurement of health technologies and explores their potential application for antibiotics in ASEAN. Drawing on a scoping review and stakeholder consultations, it analyses key determinants—including governance, financing, regulatory systems, and operational processes—and identifies lessons learned and recommendations for coordinated procurement mechanisms in the region. The report provides evidence-informed insights to support the design of self-reliant systems that improve access to antibiotics and move decisively towards Universal Health Coverage (UHC) in ASEAN.

The report was prepared by Dr. Shiela Marie Selisana, Ms. Chayapat Rachatan, Dr. Zin Nwe Win, and Ms. Saudamini Dabak from HITAP, with inputs from Dr. Yot Teerawattananon.

This report has been developed through the SECURE initiative being led by the World Health Organization (WHO) and the Global Antibiotic Research and Development Partnership (GARDP). The authors alone are responsible for the views expressed in this article and they do not necessarily represent the decisions, policy or views of the WHO or GARDP.

Funding for this report was provided by the European Commission Health Emergency Preparedness and Response Authority (HERA) as part of its support to WHO for SECURE. Its contents do not necessarily reflect the views of HERA nor of the European Union.

The authors sincerely thank the representatives from GARDP (Jean-Michel Piedagnel, Jennifer Cohn, and Robert Kimbui) and WHO (Alexandra Meagan Cameron and Marie Lamy) for their active engagement, valuable insights, and expert contributions, as well as their written inputs on the report. The authors would also like to extend their special thanks to Amandeep Singh (Asian Development Bank), Christopher Lim (Pan American Health Organization), Danny Havenith (MercurHosp, Belgium), Patricia Vella Bonanno (University of Malta), and Tan-Koi Wei Chuen (Centre of Regulatory Excellence at Duke-NUS Medical School) for their valuable inputs to the final report. Additionally, the authors are grateful to the participants in the consultations and survey respondents for dedicating their time, expertise, and experience, without which this report would not have been possible.

Document version: 04; 26 March 2026