Bridging the gaps in the global governance of antimicrobial resistance: the UN sustainable development goals and global health security agenda [version 2; peer review: 2 approved]

Background This paper examines the suitability of extant governance frameworks at an international level for addressing antimicrobial resistance (AMR), which is a creeping crisis for global health security. Methods Our study begins by evaluating the place of antimicrobial resistance (AMR) within Uni...

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Main Authors: Soumyo Mukherji, Andrew Hursthouse, Anjali Parasnis, Suparna Mukherji, Fiona Henriquez, Kavita Sachwani, Regina Esiovwa, John Connolly
Format: Article
Language:English
Published: F1000 Research Ltd 2023-08-01
Series:Routledge Open Research
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Online Access:https://routledgeopenresearch.org/articles/1-8/v2
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author Soumyo Mukherji
Andrew Hursthouse
Anjali Parasnis
Suparna Mukherji
Fiona Henriquez
Kavita Sachwani
Regina Esiovwa
John Connolly
author_facet Soumyo Mukherji
Andrew Hursthouse
Anjali Parasnis
Suparna Mukherji
Fiona Henriquez
Kavita Sachwani
Regina Esiovwa
John Connolly
author_sort Soumyo Mukherji
collection DOAJ
description Background This paper examines the suitability of extant governance frameworks at an international level for addressing antimicrobial resistance (AMR), which is a creeping crisis for global health security. Methods Our study begins by evaluating the place of antimicrobial resistance (AMR) within United Nations (UN) Sustainable Development Goals (SDG) targets and indicators. This is followed by a discussion of the global health security agenda (GHSA). We examine how AMR needs to be taken more seriously within global policy frameworks based on adopting a One Health approach. The research is supported by a systematic analysis of the national action plans for addressing AMR published by the World Health Organisation (WHO). Results We determine that political leaders need to do more to promote the problem of AMR and that global health institutions need to invest more energy in thinking about how AMR is governed as part of an already busy global health security agenda. This includes building capacities within health systems, embedding evaluation processes, and enhancing public service leadership within this area. Conclusions Our review of global policy frameworks and the national plans for AMR highlight the patchy coverage of AMR strategies globally and nationally. This article represents a springboard for future research including whether and to what extent a One Health approach to AMR in the environment has been implemented in practice within national health and environmental systems.
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spelling doaj-art-ba775078ef1b4b1baac4d3ccf1acbdce2025-08-20T02:50:29ZengF1000 Research LtdRoutledge Open Research2755-12452023-08-01110.12688/routledgeopenres.17407.219235Bridging the gaps in the global governance of antimicrobial resistance: the UN sustainable development goals and global health security agenda [version 2; peer review: 2 approved]Soumyo Mukherji0Andrew Hursthouse1Anjali Parasnis2Suparna Mukherji3https://orcid.org/0000-0001-5722-3369Fiona Henriquez4https://orcid.org/0000-0002-5534-1019Kavita Sachwani5Regina Esiovwa6John Connolly7https://orcid.org/0000-0002-5563-4970Environmental Science and Engineering Department, IIT Bombay, Mumbai, IndiaSchool of Computing Engineering and Physical Sciences, University of the West of Scotland, Paisley, PA1 2BE, UK2030 Water Resource Group, World Bank, Maharashtra, IndiaEnvironmental Science and Engineering Department, IIT Bombay, Mumbai, IndiaSchool of Health and Life Sciences, University of the West of Scotland, Paisley, Renfrewshire, PA1 2BE, UK2030 Water Resource Group, World Bank, Maharashtra, IndiaSchool of Education and Social Sciences, University of the West of Scotland, Paisley, Renfrewshire, PA1 2BE, UKHead of Department of Social Sciences, Glasgow School for Business and Society, Glasgow Caledonian University, Glasgow, Scotland, UKBackground This paper examines the suitability of extant governance frameworks at an international level for addressing antimicrobial resistance (AMR), which is a creeping crisis for global health security. Methods Our study begins by evaluating the place of antimicrobial resistance (AMR) within United Nations (UN) Sustainable Development Goals (SDG) targets and indicators. This is followed by a discussion of the global health security agenda (GHSA). We examine how AMR needs to be taken more seriously within global policy frameworks based on adopting a One Health approach. The research is supported by a systematic analysis of the national action plans for addressing AMR published by the World Health Organisation (WHO). Results We determine that political leaders need to do more to promote the problem of AMR and that global health institutions need to invest more energy in thinking about how AMR is governed as part of an already busy global health security agenda. This includes building capacities within health systems, embedding evaluation processes, and enhancing public service leadership within this area. Conclusions Our review of global policy frameworks and the national plans for AMR highlight the patchy coverage of AMR strategies globally and nationally. This article represents a springboard for future research including whether and to what extent a One Health approach to AMR in the environment has been implemented in practice within national health and environmental systems.https://routledgeopenresearch.org/articles/1-8/v2Global health security Antimicrobial resistance governance One Health Sustainable Development Goals (SDGs); United Nations (UN)eng
spellingShingle Soumyo Mukherji
Andrew Hursthouse
Anjali Parasnis
Suparna Mukherji
Fiona Henriquez
Kavita Sachwani
Regina Esiovwa
John Connolly
Bridging the gaps in the global governance of antimicrobial resistance: the UN sustainable development goals and global health security agenda [version 2; peer review: 2 approved]
Routledge Open Research
Global health security
Antimicrobial resistance
governance
One Health
Sustainable Development Goals (SDGs); United Nations (UN)
eng
title Bridging the gaps in the global governance of antimicrobial resistance: the UN sustainable development goals and global health security agenda [version 2; peer review: 2 approved]
title_full Bridging the gaps in the global governance of antimicrobial resistance: the UN sustainable development goals and global health security agenda [version 2; peer review: 2 approved]
title_fullStr Bridging the gaps in the global governance of antimicrobial resistance: the UN sustainable development goals and global health security agenda [version 2; peer review: 2 approved]
title_full_unstemmed Bridging the gaps in the global governance of antimicrobial resistance: the UN sustainable development goals and global health security agenda [version 2; peer review: 2 approved]
title_short Bridging the gaps in the global governance of antimicrobial resistance: the UN sustainable development goals and global health security agenda [version 2; peer review: 2 approved]
title_sort bridging the gaps in the global governance of antimicrobial resistance the un sustainable development goals and global health security agenda version 2 peer review 2 approved
topic Global health security
Antimicrobial resistance
governance
One Health
Sustainable Development Goals (SDGs); United Nations (UN)
eng
url https://routledgeopenresearch.org/articles/1-8/v2
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