A governance framework for development and assessment of national action plans on antimicrobial resistance

Strengthening governance is an essential strategy to tackling antimicrobial resistance (AMR) at all levels: global, national, regional, and local. To date, no systematic approach to governance of national action plans on AMR exists. To address this issue, we aimed to develop the first governance fra...

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Bibliographic Details
Published in:The Lancet infectious diseases Vol. 19; no. 11; pp. e371 - e384
Main Authors: Anderson, Michael, Schulze, Kai, Cassini, Alessandro, Plachouras, Diamantis, Mossialos, Elias
Format: Journal Article
Language:English
Published: United States Elsevier Ltd 01.11.2019
Elsevier Limited
Subjects:
Academic publications
Accountability
Animal health
Antibiotics
Antiinfectives and antibacterials
Antimicrobial agents
Antimicrobial resistance
Continuous improvement
Domains
Drug resistance
Education
Environmental health
Feedback
Grey literature
Health surveillance
Infections
Infectious diseases
National plans
Perceptions
Prevention
Public health
R&D
Research & development
Systematic review
ISSN:1473-3099, 1474-4457, 1474-4457
Online Access:Get full text
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Summary:Strengthening governance is an essential strategy to tackling antimicrobial resistance (AMR) at all levels: global, national, regional, and local. To date, no systematic approach to governance of national action plans on AMR exists. To address this issue, we aimed to develop the first governance framework to offer guidance for both the development and assessment of national action plans on AMR. We reviewed health system governance framework reviews to inform the basic structure of our framework, international guidance documents from WHO, the Food and Agriculture Organization, the World Organisation for Animal Health, and the European Commission, and sought the input of 25 experts from international organisations, government ministries, policy institutes, and academic institutions to develop and refine our framework. The framework consists of 18 domains with 52 indicators that are contained within three governance areas: policy design, implementation tools, and monitoring and evaluation. To consider the dynamic nature of AMR, the framework is conceptualised as a cyclical process, which is responsive to the context and allows for continuous improvement and adaptation of national action plans on AMR.
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ISSN:1473-3099
1474-4457
1474-4457
DOI:10.1016/S1473-3099(19)30415-3