RT Journal Article
SR Electronic
T1 National action to combat AMR: a One-Health approach to assess policy priorities in action plans
JF BMJ Global Health
JO BMJ Global Health
FD BMJ Publishing Group Ltd
SP e002427
DO 10.1136/bmjgh-2020-002427
VO 5
IS 7
A1 Anju Ogyu
A1 Olivia Chan
A1 Jasper Littmann
A1 Herbert H Pang
A1 Xia Lining
A1 Ping Liu
A1 Nobuaki Matsunaga
A1 Norio Ohmagari
A1 Keiji Fukuda
A1 Didier Wernli
YR 2020
UL http://gh.bmj.com/content/5/7/e002427.abstract
AB 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.