A Pandemic Instrument can Optimize the Regime Complex for AMR by Striking a Balance between Centralization and Decentralization

Weldon, Isaac; Yaseen, Safaa; Hoffman, Steven J.

doi:10.1017/jme.2022.76

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…As described in depth in a complementary study, AMR is currently governed by a global regime complex (Weldon, Yaseen, and Hoffman 2022). Regime complexes have emerged as a defining feature of global governance in the twenty-first century (Alter and Raustiala 2018).…”

Section: Part 2: Existing Governance Systems For Amrmentioning

confidence: 99%

“…The far-reaching nature of AMR makes it simultaneously a human health, animal health, agricultural, environmental, developmental, and trade issue, with no single global institution poised to comprehensively address it Weldon, Yaseen, and Hoffman 2022). Instead, there are at least seven elemental international regimes coalescing in what can be identified as a textbook example of a global regime complex.…”

Section: The Anatomy Of the Regime Complex For Amr Governancementioning

confidence: 99%

“…It begins by reviewing emerging ecological scholarship to frame AMR as an enduring, intersectoral, and widespread problem inextricably linked to other ecological processes. Next, drawing on research conducted in a complementary study (Weldon, Yaseen, and Hoffman 2022), it adopts the concept of the regime complex for AMR governance, which is defined as the array of global institutions converging around the problem, to frame the current social systems that govern human behavior around the challenge. By systematically comparing the logics of AMR governance with the ecological features of the problem, this article identifies 18 spatial, temporal, threshold, and cascading misfits.…”

Section: Introductionmentioning

confidence: 99%

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“Fit for Purpose?” Assessing the Ecological Fit of the Social Institutions that Globally Govern Antimicrobial Resistance

Weldon,

Hoffman

2024

Perspect. polit.

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Antimicrobial resistance (AMR) is a natural process where microbes develop the ability to survive the antimicrobial drugs we depend upon to treat and prevent deadly infections, such as antibiotics. This microscopic evolution is further propelled by human activities, where each use of an antimicrobial drug potentially induces AMR. As microbes can spread quickly from animals to humans and travel around the world through humanity’s global circuits of movement, the use of any antimicrobial drug has potentially global consequences. As human-induced AMR occurs, mortality and morbidity increase due to increasingly or sometimes completely ineffective antimicrobial treatments. This article considers AMR as a product of the evolving and complex interplay between human societies and invisible microbial worlds. It argues that as a political challenge, AMR requires robust institutions that can manage human–microbial interactions to minimize the emergence of drug resistance and maximize the likelihood of achieving effective antimicrobial use for all. Yet, current governance systems for AMR are ill-equipped to meet these goals. We propose a conceptual paradigm shift for global AMR governance efforts, arguing that global governance could better address AMR if approached as a socioecological problem in need of sustainable management rather than solely as a medical problem to be solved. In biodiversity governance, institutions are designed to fit the biological features of the ecosystems that they are attempting to manage. We consider how a similar approach can improve global AMR governance. Employing the concept of ecological fit, which is defined as the alignment between human social systems and biological ecosystems, we diagnose 18 discrepancies between the social institutions that currently govern AMR and the ecological nature of this problem. Drawing from lessons learned in biodiversity governance, the article proposes five institutional design principles for improving the fit and effectiveness of global AMR governance.

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Section: Part 2: Existing Governance Systems For Amrmentioning

confidence: 99%

Section: The Anatomy Of the Regime Complex For Amr Governancementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

“Fit for Purpose?” Assessing the Ecological Fit of the Social Institutions that Globally Govern Antimicrobial Resistance

Weldon,

Hoffman

2024

Perspect. polit.

Self Cite

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Analyzing antimicrobial resistance as a series of collective action problems

Weldon,

Liddell,

Rogers Van Katwyk

et al. 2024

Policy Studies Journal

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Antimicrobial resistance (AMR) causes over 1.27 million deaths annually, making it one of today's most urgent health threats. Given its urgency, there are often calls for large‐scale global initiatives to address AMR. However, theories of collective action have yet to be applied to the problem in a systematic and holistic manner. Fuller engagement with collective action theory is necessary to avoid three risks, namely: mischaracterizing the kinds of challenges that AMR presents; over‐simplifying the problem by reducing it to a single type of collective action problem while ignoring others; and overstating the ability of collective action theory to formulate effective solutions. This article relies on the work of Elinor Ostrom to develop an analytical framework for collective action problems around public and common goods. When analyzed through this framework, we find that AMR poses at least nine distinct collective action problems. This more granular framing of AMR provides, in our view, a better basis to develop policy solutions to address this multifaceted challenge. We conclude with proposals for future research.

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A Pandemic Instrument can Optimize the Regime Complex for AMR by Striking a Balance between Centralization and Decentralization

Cited by 2 publications

References 17 publications

“Fit for Purpose?” Assessing the Ecological Fit of the Social Institutions that Globally Govern Antimicrobial Resistance

“Fit for Purpose?” Assessing the Ecological Fit of the Social Institutions that Globally Govern Antimicrobial Resistance

Analyzing antimicrobial resistance as a series of collective action problems

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