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

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 fr...

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Bibliographic Details
Published in:BMJ Global Health Vol. 5; no. 7; p. e002427
Main Authors: Ogyu, Anju, Chan, Olivia, Littmann, Jasper, Pang, Herbert H, Lining, Xia, Liu, Ping, Matsunaga, Nobuaki, Ohmagari, Norio, Fukuda, Keiji, Wernli, Didier
Format: Journal Article
Language:English
Published: England BMJ Publishing Group Ltd 01.07.2020
BMJ
BMJ Publishing Group LTD
BMJ Publishing Group
Subjects:
Animals
Anti-Bacterial Agents
Anti-Bacterial Agents - pharmacology
Anti-Bacterial Agents - therapeutic use
Antibiotics
Antimicrobial agents
China
Drug resistance
Drug Resistance, Bacterial
Drug Resistance, Bacterial - drug effects
Environmental policy
Global health
Health Policy
Hong Kong
Humans
Infectious and parasitic diseases
info:eu-repo/classification/ddc/320
Interdisciplinary aspects
medical microbiology
Medicine (General)
One Health
Original Research
other study design
R5-920
RC109-216
Variables
Hong Kong
China
Hong Kong China
medical microbiology
other study design
health policy
ISSN:2059-7908, 2059-7908
Online Access:Get full text
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Summary: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.
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ISSN:2059-7908
2059-7908
DOI:10.1136/bmjgh-2020-002427