Articulating citizen participation in national anti-microbial resistance plans: a comparison of European countries

Castro-Sánchez, Enrique; Iwami, Michiyo; Ahmad, Raheelah; Atun, Rifat; Holmes, Alison

doi:10.1093/eurpub/cky128

Cited by 7 publications

(4 citation statements)

References 29 publications

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“…The analysis of NAPs by Chua et al revealed varying levels of stakeholder participation across the ASEAN member states, with countries such as Singapore acknowledging a need for better engagement from a wide range of stakeholders, including those from the community [ 17 ]. This issue was also highlighted in other similar studies [ 23 , 24 ].…”

Section: Discussionsupporting

confidence: 66%

A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines

et al. 2022

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Antimicrobial resistance (AMR) is a global public health threat that warrants urgent attention. Countries developed their national action plans (NAPs) following the launch of the Global Action Plan on AMR in 2015. The development and implementation of NAPs are often complicated due to the multifaceted nature of AMR, and studies analyzing these aspects are lacking. We analyzed the development and implementation of the Philippine NAP on AMR with guidance from an AMR governance framework. We conducted in-depth interviews with 37 participants across the One Health spectrum. The interviews were transcribed verbatim and were analyzed thematically, adopting an interpretative approach. The enabling factors for NAP implementation include (1) a high level of governmental support and involvement of relevant stakeholders, (2) the development of policies to support improved responses in infection prevention and control and antimicrobial stewardship, and (3) better engagement and advocacy by professional associations and civil society groups. The challenges include (1) a lack of resources and regulatory capacity, (2) insufficient impetus for AMR research and surveillance, and (3) limited One Health engagement. Although there has been considerable progress for human health, strengthening the involvement and representation of the animal health and environment sectors in the AMR scene must be undertaken. Developing well-defined roles within policies will be paramount to the strong implementation of AMR strategies.

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Section: Discussionsupporting

confidence: 66%

A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines

et al. 2022

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“…On the other hand, citizen engagement in AMR research should be further stimulated at different levels. Within most national action plans for AMR, citizens are expected to be recipients of awareness activities or education interventions rather than actively engage in proactive self-care measures to reduce the need of antibiotics [ 50 ]. In some countries the societal mission of universities has been long neglected and the broadening of science-communication activities by academics should be strengthened.…”

Section: Discussionmentioning

confidence: 99%

Dog Owners’ Attitude toward Veterinary Antibiotic Use and Antibiotic Resistance with a Focus on Canine Diarrhea Management

Candellone

Badino

Girolami

et al. 2023

Animals

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An ad hoc questionnaire was designed in order to investigate AMR knowledge amongst Italian dog owners, owner expectations concerning pharmacological treatment of canine AD, and client attitudes towards and compliance with alternative strategies to antimicrobial administration. A total of 250 questionnaires were returned. Most of respondents were female, aged 36–70 and workers. More than a half of participants owned one dog with mixed breed, with Labrador retriever, golden retriever, dachshund, and border collie being the most represented breeds. On average, each dog was treated with an oral antibiotic 1.044 times per year. Intestinal diseases were among the main reasons (19%) for antibiotic prescription. Oral antibiotic courses without veterinary consultation (21%) and anticipated termination of the therapy (17.1%) were less common than reported elsewhere. The majority of respondents knew the meaning of AMR with a significant inverse association between the level of education and the tendency to administer antimicrobials without consulting a clinician (p = 0.004). Most of the owners expected a rapid recovery of clinical signs after a first episode of AD and accepted natural dietary supplementation for treating the condition. Ninety-five percent of the respondents believed that public funding should be spent to study AMR. Even though an acceptable degree of AMR awareness emerged, we feel that further efforts should be made to increase public AMR knowledge and to stimulate proactive measures to fight the phenomenon. On the other hand, the development of guidelines for the treatment of uncomplicated canine AD would help clinicians to rationalize antimicrobial use.

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“…To this end, the most basic governance strategy in the AMR field is to identify the key challenges, stakeholders and relevant policy sectors in a national action plan (NAP). 5 , 6 While NAPs vary extensively in style and substance in Europe—some directly mimicking while some are highly independent of the Global Action Plan (GAP) 7 , 8 —and the extent to which they are successfully implemented, 9 we know very little about how they address the international dimensions of AMR. Current scholarship has shown how countries vary in their overall policy design, implementation tools, and monitoring and evaluation mechanisms 10 , 11 ; and the extent to which NAPs manage to integrate and implement the OH perspective.…”

Section: Introductionmentioning

confidence: 99%

The best laid plans?: international governance perspectives in AMR national action plans in Europe

Carelli,

Mitsouli,

Ogne

et al. 2023

European Journal of Public Health

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Background There is a broad consensus in the European public health community that international collaboration and coordination are key in the fight against antimicrobial resistance (AMR). Yet, while experts typically testify the importance of cross-national learning and a coordinated effort to reduce the spread of multi-resistant bacteria, there are mixed views about how that is best realized in practice, particularly on the dichotomy between horizontal and vertical activities. Methods National action plans (NAP) from all EU member states were systematically overviewed by two independent researchers. We followed a fixed procedure for locating a broad and comparable content on the international dimensions, and letting these vary on scales. Results We find that countries adhere to four different strategies for international coordination, varying between ‘high’ and ‘low’ on values of vertical and horizontal activities. Most countries spend none or very little space to discuss international activities, while some countries use their NAPs to outline their aspiration for taking leading roles in the international struggle. Moreover, in line with previous research, we find that many countries directly mimic the Global Action Plan, but also that a large share of countries describe independent arrangements in their international strategies. Conclusions European countries recognize AMR and its inherent international governance challenge differently in their NAPs, which may have implications for coordinated action to address the issue.

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Articulating citizen participation in national anti-microbial resistance plans: a comparison of European countries

Abstract: Citizen roles in AMR plans are not fully articulated. Documents could employ direct language to emphasise social or collective responsibilities in optimal antibiotic use.

Cited by 7 publications

References 29 publications

A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines

A Qualitative Study on the Design and Implementation of the National Action Plan on Antimicrobial Resistance in the Philippines

Dog Owners’ Attitude toward Veterinary Antibiotic Use and Antibiotic Resistance with a Focus on Canine Diarrhea Management

The best laid plans?: international governance perspectives in AMR national action plans in Europe

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