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Understanding and designing multi-sectoral, collaborative approaches for AMR governance: policy, practice and research from a one health perspective in five countries.

Geise, M., Heuvel, L. van, Paget, J. Understanding and designing multi-sectoral, collaborative approaches for AMR governance: policy, practice and research from a one health perspective in five countries. Tropical Medicine and International Health: 2023, 28(S1), p. 36.
ABSTRACT:

Introduction
Antimicrobial resistance (AMR) is a major and complex threat to global health, urging a multi-sector, cross-disciplinary and multi-species approach for AMR policy and practice. We provide insights from a policy and social science study that analyzes AMR governance from a One Health perspective in five high-, middle- and low-income countries, and uses these insights to co-design robust integral policy and practice with actors working on human, animal and environmental health.

Methods
Our study uses both a national context analysis and comparative framework between the five countries. Each country research team uses in-depth interviews with key informants working on AMR policy and practice in the human, animal and environmental health sectors. Building on insights from these interviews, recommendations for policy and practice will then be co-created with participants from all sectors. In this presentation, we will highlight key insights from the interviews from the Netherlands national analysis.

Results
Preliminary results show that while there are collaborations between human and animal health sectors, the human-centred perspective still dominates AMR control and, to a somewhat lesser extent, surveillance. We will present clues as to how more attention to all sectors and integrated and aligned ways of working among national and supranational policy makers as well as local actors can benefit better planetary health.

Conclusion
We offer insights into how actors working on AMR collaborate and how integrated One Health governance can be stimulated by designing policies and practices around a holistic picture of AMR that emphasises the interdependency between animals, humans and the environment.