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Scientific article
Open access
English

National action to combat AMR: a One-Health approach to assess policy priorities in action plans

Published inBMJ global health, vol. 5, no. 7, p. 1-10
Publication date2020-07-13
First online date2020-07-13
Abstract

Little is known about the overall trend and prioritisations of past and current antimicrobial resistance (AMR) policies. Here we introduce a quantitative method to analyse AMR policies. The AMR-Policy Analysis Coding Toolkit (AMR-PACT) uses several categorical variables. Thirteen AMR action plans from five countries (China, Japan, Norway, the UK and the USA) were used to develop the tool and identify possible values for each variable. The scope and capability of AMR-PACT is demonstrated through the 2015 WHO's Global Action Plan and 2017 Hong Kong AMR Action Plan (HKAP). Majority of policies were aimed at either human or animal sector with less attention given to the environment, plant or food sector. Both plans shared the same two strategic focus areas, namely the conservation of antibiotics and the improved surveillance of resistance. There were no policies dedicated to improving access to antibiotics in the HKAP. These empirical results provide useful insights into the priorities and gaps of AMR policies. The method proposed here can help understand countries' priorities regarding AMR, support the creation of AMR policy database and foster innovative policymaking.

Keywords
  • health policy
  • medical microbiology
  • other study design
Citation (ISO format)
OGYU, Anju et al. National action to combat AMR: a One-Health approach to assess policy priorities in action plans. In: BMJ global health, 2020, vol. 5, n° 7, p. 1–10. doi: 10.1136/bmjgh-2020-002427
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ISSN of the journal2059-7908
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