One health governance of antimicrobial resistance seen through an Urban Political Ecology lens: a critical interpretive synthesis
Antimicrobial resistance (AMR) is a threat to animal and ecosystem health, agriculture, water, and sanitation systems, posing risks not only to human health, but also to society and the systems upon which it depends. Global health governance draws on the One Health (OH) approach to combat AMR. Howev...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Critical Public Health |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/09581596.2024.2395825 |
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| author | Raphael Aguiar Roger Keil Ryan Gray Mary Wiktorowicz |
| author_facet | Raphael Aguiar Roger Keil Ryan Gray Mary Wiktorowicz |
| author_sort | Raphael Aguiar |
| collection | DOAJ |
| description | Antimicrobial resistance (AMR) is a threat to animal and ecosystem health, agriculture, water, and sanitation systems, posing risks not only to human health, but also to society and the systems upon which it depends. Global health governance draws on the One Health (OH) approach to combat AMR. However, the effective implementation of these approaches faces several constraints, including governance and implementation challenges arising from the interconnected nature of AMR with other global health threats, as well as local and structural socioecological factors that affect policy outcomes, that are often overlooked in governance approaches. This article aims to clarify how scientific literature has situated OH-AMR governance responses in relation to six socioecological dimensions: global health threats, broader concerns, governance frameworks, socioeconomic factors, health equity, and environmental justice. Informed by an Urban Political Ecology (UPE) lens and guided by the Critical Interpretive Synthesis (CIS) methodology of Dixon-Woods et al., our critical interpretive synthesis identified 18 articles situating OH-AMR arrangements within these socioecological dimensions. The role of global governance frameworks in shaping state governance arrangements has rarely been the object of analysis in the selected studies. The synthesis highlights the connections between urbanization, AMR risks, global health threats, and broader ecological challenges, calling for a reassessment of current global and state governance approaches. The study also offers a case for the adoption of a UPE lens to address AMR and related global health challenges. |
| format | Article |
| id | doaj-art-ceeeed85b09a4abcb794cfa92b694c1c |
| institution | OA Journals |
| issn | 0958-1596 1469-3682 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Critical Public Health |
| spelling | doaj-art-ceeeed85b09a4abcb794cfa92b694c1c2025-08-20T01:58:28ZengTaylor & Francis GroupCritical Public Health0958-15961469-36822024-12-0134112310.1080/09581596.2024.2395825One health governance of antimicrobial resistance seen through an Urban Political Ecology lens: a critical interpretive synthesisRaphael Aguiar0Roger Keil1Ryan Gray2Mary Wiktorowicz3School of Health Policy and Management and Dahdaleh Institute for Global Health Research, York University, Toronto, Ontario, CanadaFaculty of Environmental and Urban Change and Dahdaleh Institute for Global Health Research, York University, Toronto, Ontario, CanadaDahdaleh Institute for Global Health Research, York University, Toronto, Ontario, CanadaSchool of Global Health and Dahdaleh Institute for Global Health Research, York University, Toronto, Ontario, CanadaAntimicrobial resistance (AMR) is a threat to animal and ecosystem health, agriculture, water, and sanitation systems, posing risks not only to human health, but also to society and the systems upon which it depends. Global health governance draws on the One Health (OH) approach to combat AMR. However, the effective implementation of these approaches faces several constraints, including governance and implementation challenges arising from the interconnected nature of AMR with other global health threats, as well as local and structural socioecological factors that affect policy outcomes, that are often overlooked in governance approaches. This article aims to clarify how scientific literature has situated OH-AMR governance responses in relation to six socioecological dimensions: global health threats, broader concerns, governance frameworks, socioeconomic factors, health equity, and environmental justice. Informed by an Urban Political Ecology (UPE) lens and guided by the Critical Interpretive Synthesis (CIS) methodology of Dixon-Woods et al., our critical interpretive synthesis identified 18 articles situating OH-AMR arrangements within these socioecological dimensions. The role of global governance frameworks in shaping state governance arrangements has rarely been the object of analysis in the selected studies. The synthesis highlights the connections between urbanization, AMR risks, global health threats, and broader ecological challenges, calling for a reassessment of current global and state governance approaches. The study also offers a case for the adoption of a UPE lens to address AMR and related global health challenges.https://www.tandfonline.com/doi/10.1080/09581596.2024.2395825Urban political ecologygovernanceAMRsocioecological dimensions |
| spellingShingle | Raphael Aguiar Roger Keil Ryan Gray Mary Wiktorowicz One health governance of antimicrobial resistance seen through an Urban Political Ecology lens: a critical interpretive synthesis Critical Public Health Urban political ecology governance AMR socioecological dimensions |
| title | One health governance of antimicrobial resistance seen through an Urban Political Ecology lens: a critical interpretive synthesis |
| title_full | One health governance of antimicrobial resistance seen through an Urban Political Ecology lens: a critical interpretive synthesis |
| title_fullStr | One health governance of antimicrobial resistance seen through an Urban Political Ecology lens: a critical interpretive synthesis |
| title_full_unstemmed | One health governance of antimicrobial resistance seen through an Urban Political Ecology lens: a critical interpretive synthesis |
| title_short | One health governance of antimicrobial resistance seen through an Urban Political Ecology lens: a critical interpretive synthesis |
| title_sort | one health governance of antimicrobial resistance seen through an urban political ecology lens a critical interpretive synthesis |
| topic | Urban political ecology governance AMR socioecological dimensions |
| url | https://www.tandfonline.com/doi/10.1080/09581596.2024.2395825 |
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