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Attention to the Tripartite’s one health measures in national action plans on antimicrobial resistance

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Abstract

The WHO, FAO, and OIE (the Tripartite) promote One Health (OH) as the guiding frame for national responses to antimicrobial resistance (AMR). Little is known, however, about how much national action plans (NAPs) on AMR actually rely on the OH measures outlined by the Tripartite. The paper investigates attention to OH through a systematic content analysis of 77 AMR NAPs to discern regional and income patterns in the integration of these OH measures. Our findings suggest that (1) AMR NAPs almost universally address the three key sectors of OH, namely, human, animal, and environmental health; (2) AMR NAPs primarily apply OH measures in policies related to human health care, food production, hygiene, and agriculture, whereas the level of attention to OH measures in sanitation, aquaculture, waste management, and water governance is generally low and mainly present in NAPs from low-income countries; (3) AMR NAPs of low-income and lower-middle-income countries’ display greater congruence with OH measures than NAPs from upper-middle-income and high-income countries; and (4) the level of OH attention on paper appears to matter little for the extent of multisectoral collaboration in practice.

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References

  1. O’Neill J. Tackling Drug-Resistant Infections Globally: Final report and recommendations. 2016. https://amr-review.org/sites/default/files/160525_Finalpaper_withcover.pdf. Accessed 15 Aug 2020.

  2. Naylor N, Atun R, Zhu N, Al E. Estimating the burden of antimicrobial resistance: a systematic literature review. Antimicrob Resist Infect Control. 2018;7:1–17.

    Article  Google Scholar 

  3. Interagency Coordination Group on Antimicrobial Resistance (IACG). No Time to Wait: Securing the future from drug-resistant infections. Report to the Secretary-General of the United Nations. 2019.

  4. Laxminarayan R, Matsoso P, Pant S, Brower C, Røttingen JA, Klugman K, et al. Access to effective antimicrobials: a worldwide challenge. Lancet. 2016;387:168–75.

    Article  Google Scholar 

  5. Hoffman SJ, Outterson K. Introduction: what will it take to address the global threat of antibiotic resistance? J Law Med Ethics. 2015;43(S3):6–11.

    Article  Google Scholar 

  6. Padiyara P, Inoue H, Sprenger M. Global governance mechanisms to address antimicrobial resistance. Infect Dis Res Treat. 2018;11:1–4.

    Google Scholar 

  7. Rochford C, Sridhar D, Woods N, Saleh Z, Hartenstein L, Ahlawat H, et al. Global governance of antimicrobial resistance. Lancet. 2018;391:1976–8.

    Article  Google Scholar 

  8. Rubin O. The globalization of antimicrobial stewardship. Global Health. 2019;15:54–7.

    Article  Google Scholar 

  9. Van Katwyk SR, Giubilini A, Kirchhelle C, Weldon I, Harrison M, McLean A, et al. Exploring models for an international legal agreement on the global antimicrobial commons: lessons from climate agreements. Heal Care Anal. 2020. https://doi.org/10.1007/s10728-019-00389-3.

    Article  Google Scholar 

  10. WHO, FAO, OIE. Taking a Multisectoral, One Health Approach: A Tripartite Guide to Addressing Zoonotic Diseases in Countries. 2019.

  11. Van Puyvelde S, Deborggraeve S, Jacobs J. Why the antibiotic resistance crisis requires a One Health approach. Lancet Infect Dis. 2018;18(2):132–4.

    Article  Google Scholar 

  12. Bloomer E, McKee M. Policy options for reducing antibiotics and antibiotic-resistant genes in the environment. J Public Health Policy. 2018;39:389–406.

    Article  Google Scholar 

  13. Ferreira JP, Staerk K. Antimicrobial resistance and antimicrobial use animal monitoring policies in Europe: where are we? J Public Health Policy. 2017;38:185–202.

    Article  Google Scholar 

  14. WHO, FAO, OIE. Global action plan on antimicrobial resistance. 2015.

  15. WHO, FAO, OIE. Global database for antimicrobial resistance country self-assessment. 2020. https://amrcountryprogress.org/. Accessed 15 Aug 2020.

  16. Tsai F, Tipayamongkholgul M. Are countries’ self-reported assessments of their capacity for infectious disease control reliable? Associations among countries’ self-reported international health regulation 2005 capacity assessments and infectious disease control outcomes. Global Health. 2020. https://doi.org/10.1186/s12889-020-8359-8.

    Article  Google Scholar 

  17. Brown B, Crawford P. “Post antibiotic apocalypse”: discourses of mutation in narratives of MRSA. Sociol Heal Illn. 2009;31(4):508–24.

    Article  Google Scholar 

  18. World Bank. World Bank Country and Lending Groups: Country Classification. 2018. https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups. Accessed 15 Aug 2020.

  19. WHO. Definition of regional groupings 2020. https://www.who.int/healthinfo/global_burden_disease/definition_regions/en/. Accessed 15 Aug 2020.

  20. WHO. Monitoring progress on antimicrobial resistance. 2020. https://www.who.int/activities/monitoring-progress-antimicrobial-resistance. Accessed 15 Aug 2020.

  21. WHO. Library of national action plans. 2020. www.who.int/antimicrobial-resistance/national-action-plans/library/en/. Accessed 15 Aug 2020.

  22. Interministerial Committee on Health, Republic of France. Interministerial Roadmap for Controlling Antimicrobial Resistance. 13 Overarching Interministerial Measures. 40 Actions. 2016.

  23. Ministry of Health and Ministry of Agriculture & Fisheries. Sultanate of Oman. Antimicrobial Resistance (AMR) National Action Plan. Version 1. 2017.

  24. Department of Health Services and Ministry of Health. National Antimicrobial Resistance Containment Action Plan Nepal 2016. 2016.

  25. Government of Zimbabwe. Zimbabwe One Health Antimicrobial Resistance National Action Plan 2017–2021. Strategic Framework: Operational Plan, and Monitoring and Evaluation Plan; 2017.

    Google Scholar 

  26. Lebov J, Grieger K, Womack D, Zaccaro D, Whitehead N, Kowalcyk B, et al. A framework for One Health research. One Heal. 2017;3:44–50.

    Article  Google Scholar 

  27. Khan MS, Rothman-Ostrow P, Spencer J, Hasan N, Sabirovic M, Rahman-Shepherd A, et al. The growth and strategic functioning of One Health networks: a systematic analysis. Lancet Planet Heal. 2018;2:e264–73.

    Article  Google Scholar 

  28. Destoumieux-Garzón D, Mavingui P, Boetsch G, Boissier J, Darriet F, Duboz P, et al. The one health concept: 10 years old and a long road ahead. Front Vet Sci. 2018;5:1–13.

    Article  Google Scholar 

  29. Index Mundi. Aquaculture production (metric tons) - Country Ranking. https://www.indexmundi.com/facts/indicators/ER.FSH.AQUA.MT/rankings. Accessed 15 Aug 2020.

  30. Government of Canada. Ministry of Health. Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action; 2017.

    Google Scholar 

  31. The Federal Council of Switzerland. Strategy on Antibiotic Resistance Switzerland. 2015.

  32. Government of the UK. Tackling antimicrobial resistance 2019–2024. The UK’s five-year national action plan. 2019.

  33. Norwegian Ministries. National Strategy against Antibiotic Resistance 2015–2020. 2015.

  34. Andrews M, Pritchett L, Woolcock M. Looking like a state. Building State Capability: Evidence, Analysis, Action. Oxford: Oxford University Press; 2017.

    Book  Google Scholar 

  35. Schnell S. Mimicry, persuasion, or learning? The case of two transparency and anti-corruption policies in Romania. Public Adm Dev. 2015;35:277–87.

    Article  Google Scholar 

  36. Guinn D, Straussman J. Is best practice in development still viable? The case of financial management in fragile Afghanistan. Public Manag Rev. 2018;20:1722–39.

    Article  Google Scholar 

  37. Andrews M, Pritchett L, Woolcock M. Escaping capability traps through problem driven iterative adaptation (PDIA). World Dev. 2013;51:234–44.

    Article  Google Scholar 

  38. Wild L, Booth D, Cummings C, et al. Adapting development: Improving services to the poor. 2015. http://themimu.info/sites/themimu.info/files/documents/Report_Improving_Services_to_the_Poor_ODI_Feb2015.pdf. Accessed 15 Aug 2020.

  39. Sakeena MHF, Bennett AA, McLachlan AJ. Non-prescription sales of antimicrobial agents at community pharmacies in developing countries: a systematic review. Int J Antimicrob Agents. 2018;52:771–82.

    Article  Google Scholar 

  40. Moran D. A framework for improved one health governance and policy making for antimicrobial use. BMJ Glob Heal. 2019;4:1–6.

    Article  Google Scholar 

  41. Craddock S, Hinchliffe S. One world, one health? Social science engagements with the one health agenda. Soc Sci Med. 2015;129:1–4.

    Article  Google Scholar 

  42. Rüegg SR, Nielsen LR, Buttigieg SC, Santa M, Aragrande M, Canali M, et al. A systems approach to evaluate One Health initiatives. Front Vet Sci. 2018;5:1–18.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Social Sciences and Business, Roskilde University, Roskilde, Denmark

    Louise Munkholm, Olivier Rubin & Sarah Humboldt-Dachroeden

  2. School of Social and Political Sciences, University of Melbourne, Parkville, Australia

    Erik Bækkeskov

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  1. Louise Munkholm
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  2. Olivier Rubin
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  3. Erik Bækkeskov
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  4. Sarah Humboldt-Dachroeden
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Correspondence to Louise Munkholm.

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Munkholm, L., Rubin, O., Bækkeskov, E. et al. Attention to the Tripartite’s one health measures in national action plans on antimicrobial resistance. J Public Health Pol 42, 236–248 (2021). https://doi.org/10.1057/s41271-021-00277-y

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