Development of a cross-sectoral antimicrobial resistance capability assessment framework

Bibliographic Data

ID21880456
AuthorsAngeline Ferdinand (0000-0002-4816-5539, The University of Melbourne, corresponding author), Callum McEwan (0000-0001-9415-2483, The University of Melbourne), Chantel Lin (0000-0003-4081-7122, The University of Melbourne), Kassandra Betham (The University of Melbourne), Karishma Kandan (The University of Melbourne), Gilam Tamolsaian (Burnet Institute), Barry Pugeva (Burnet Institute), Joanna McKenzie (0000-0002-6533-4197, Massey University), Glenn Browning (The University of Melbourne), Glenn F Browning (0000-0002-0903-2469, The University of Melbourne), James Gilkerson (The University of Melbourne), James R Gilkerson (0000-0003-1801-4817, The University of Melbourne), Mauricio Coppo (The University of Melbourne), Mauricio J C Coppo (0000-0002-4344-9532, Universidad Andres Bello), Rodney James (0000-0003-1425-029X, The University of Melbourne), Trisha Peel (0000-0003-2370-2438, Alfred Health), Steph Levy (Burnet Institute), Nicola Townell (Sunshine Coast University Hospital), Adam Jenney (0000-0002-5237-2506, Monash University), Andrew J Stewardson (0000-0001-6805-1224, Alfred Health), Andrew Stewardson (Alfred Health), Donna Cameron (The University of Melbourne), Alison Macintyre (The University of Melbourne), Kirsty Buising (0000-0001-6090-4931, Peter Doherty Institute), Benjamin P Howden (0000-0003-0237-1473, The University of Melbourne)
Year2024
Volume9
Issue1
Pagese013280
Publication date2024-01-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2023-013280
PMID38232993
OpenAlexW4390952080
LanguageEN
Citations received2
References cited10

Antimicrobial resistance (AMR) is an urgent and growing global health concern, and a clear understanding of existing capacities to address AMR, particularly in low-income and middle-income countries (LMICs), is needed to inform national priorities, investment targets and development activities. Across LMICs, there are limited data regarding existing mechanisms to address AMR, including national AMR policies, current infection prevention and antimicrobial prescribing practices, antimicrobial use in animals, and microbiological testing capacity for AMR. Despite the development of numerous individual tools designed to inform policy formulation and implementation or surveillance interventions to address AMR, there is an unmet need for easy-to-use instruments that together provide a detailed overview of AMR policy, practice and capacity. This paper describes the development of a framework comprising five assessment tools which provide a detailed assessment of country capacity to address AMR within both the human and animal health sectors. The framework is flexible to meet the needs of implementers, as tools can be used separately to assess the capacity of individual institutions or as a whole to align priority-setting and capacity-building with AMR National Action Plans (NAPs) or national policies. Development of the tools was conducted by a multidisciplinary team across three phases: (1) review of existing tools; (2) adaptation of existing tools; and (3) piloting, refinement and finalisation. The framework may be best used by projects which aim to build capacity and foster cross-sectoral collaborations towards the surveillance of AMR, and by LMICs wishing to conduct their own assessments to better understand capacity and capabilities to inform future investments or the implementation of NAPs for AMR

Business · Capacity building · Economic growth · Economics · Multidisciplinary approach · Political science · Process management · Psychological intervention · Antibiotic Resistance in Bacteria · Antibiotic Use and Resistance · Global Maternal and Child Health · Medicine · Nursing

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