Setting the standard: multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy
There is increasing concern globally about the enormity of the threats posed by antimicrobial resistance (AMR) to human, animal, plant and environmental health. A proliferation of international, national and institutional reports on the problems posed by AMR and the need for antibiotic stewardship h...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-09-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/5/9/e003091.full |
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| author | Alex Broom Steven J Hoffman Susan Rogers Van Katwyk Christoph Gradmann Claas Kirchhelle Paul Atkinson Komatra Chuengsatiansup Jorge Pinto Ferreira Nicolas Fortané Isabel Frost Stephen Hinchliffe Javier Lezaun Susan Nayiga Kevin Outterson Scott H Podolsky Stephanie Raymond Adam P Roberts Andrew C Singer Anthony D So Luechai Sringernyuang Elizabeth Tayler Clare I R Chandler |
| author_facet | Alex Broom Steven J Hoffman Susan Rogers Van Katwyk Christoph Gradmann Claas Kirchhelle Paul Atkinson Komatra Chuengsatiansup Jorge Pinto Ferreira Nicolas Fortané Isabel Frost Stephen Hinchliffe Javier Lezaun Susan Nayiga Kevin Outterson Scott H Podolsky Stephanie Raymond Adam P Roberts Andrew C Singer Anthony D So Luechai Sringernyuang Elizabeth Tayler Clare I R Chandler |
| author_sort | Alex Broom |
| collection | DOAJ |
| description | There is increasing concern globally about the enormity of the threats posed by antimicrobial resistance (AMR) to human, animal, plant and environmental health. A proliferation of international, national and institutional reports on the problems posed by AMR and the need for antibiotic stewardship have galvanised attention on the global stage. However, the AMR community increasingly laments a lack of action, often identified as an ‘implementation gap’. At a policy level, the design of internationally salient solutions that are able to address AMR’s interconnected biological and social (historical, political, economic and cultural) dimensions is not straightforward. This multidisciplinary paper responds by asking two basic questions: (A) Is a universal approach to AMR policy and antibiotic stewardship possible? (B) If yes, what hallmarks characterise ‘good’ antibiotic policy? Our multistage analysis revealed four central challenges facing current international antibiotic policy: metrics, prioritisation, implementation and inequality. In response to this diagnosis, we propose three hallmarks that can support robust international antibiotic policy. Emerging hallmarks for good antibiotic policies are: Structural, Equitable and Tracked. We describe these hallmarks and propose their consideration should aid the design and evaluation of international antibiotic policies with maximal benefit at both local and international scales. |
| format | Article |
| id | doaj-art-c61fb8a9a3b6472ba31319947c92e4c3 |
| institution | Kabale University |
| issn | 2059-7908 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-c61fb8a9a3b6472ba31319947c92e4c32024-12-07T20:20:09ZengBMJ Publishing GroupBMJ Global Health2059-79082020-09-015910.1136/bmjgh-2020-003091Setting the standard: multidisciplinary hallmarks for structural, equitable and tracked antibiotic policyAlex Broom0Steven J Hoffman1Susan Rogers Van Katwyk2Christoph Gradmann3Claas Kirchhelle4Paul Atkinson5Komatra Chuengsatiansup6Jorge Pinto Ferreira7Nicolas Fortané8Isabel Frost9Stephen Hinchliffe10Javier Lezaun11Susan Nayiga12Kevin Outterson13Scott H Podolsky14Stephanie Raymond15Adam P Roberts16Andrew C Singer17Anthony D So18Luechai Sringernyuang19Elizabeth Tayler20Clare I R Chandler2111 Sydney Centre for Healthy Societies, School of Social and Political Sciences, The University of Sydney, Sydney, New South Wales, AustraliaGlobal Strategy Lab, York University, Toronto, Ontario, CanadaGlobal Strategy Lab, York University, Toronto, Ontario, CanadaInstitute of Health and Society, Department of Community Medicine and Global Health, University of Oslo, Oslo, NorwayDepartment of History, University College Dublin, Dublin, IrelandDepartment of Public Health and Policy/ Institute of Infection and Global Health, University of Liverpool, Liverpool, Merseyside, UKPrincess Maha Chakri Sirindhorn Anthropology Center, Bangkok, ThailandAntimicrobial Resistance and Veterinary Products Department, World Organisation for Animal Health, Paris, Île-de-France, FranceIRISSO, CNRS, INRAE, Paris-Dauphine University, PSL, Paris, FranceDepartment of Immunization, Vaccines and Biologicals (IVB), World Health Organization, Geneva, SwitzerlandGeography, College of Life and Environmental Sciences and Wellcome Centre for Cultures and Environments of Health, University of Exeter, Exeter, Devon, UKInstitute for Science, Innovation and Society, University of Oxford School of Anthropology and Museum Ethnography, Oxford, Oxfordshire, UKDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UKSchool of Law, Social Innovation on Drug Program, Boston University, Boston, Massachusetts, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USASchool of Social and Political Sciences, Sydney Centre for Healthy Societies, The University of Sydney, Sydney, New South Wales, AustraliaDepartment of Tropical Disease Biology, Liverpool School of Tropical Medicine, Liverpool, Liverpool, UKPollution, UK Centre for Ecology & Hydrology, Wallingford, UKdirector, Program on Global Health and Technology AccessFaculty of Social Sciences, Mahidol University, Salaya, Nakhon Pathom, ThailandGlobal Coordination and Partnerships, AMR Division, World Health Organisation, Geneva, SwitzerlandDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UKThere is increasing concern globally about the enormity of the threats posed by antimicrobial resistance (AMR) to human, animal, plant and environmental health. A proliferation of international, national and institutional reports on the problems posed by AMR and the need for antibiotic stewardship have galvanised attention on the global stage. However, the AMR community increasingly laments a lack of action, often identified as an ‘implementation gap’. At a policy level, the design of internationally salient solutions that are able to address AMR’s interconnected biological and social (historical, political, economic and cultural) dimensions is not straightforward. This multidisciplinary paper responds by asking two basic questions: (A) Is a universal approach to AMR policy and antibiotic stewardship possible? (B) If yes, what hallmarks characterise ‘good’ antibiotic policy? Our multistage analysis revealed four central challenges facing current international antibiotic policy: metrics, prioritisation, implementation and inequality. In response to this diagnosis, we propose three hallmarks that can support robust international antibiotic policy. Emerging hallmarks for good antibiotic policies are: Structural, Equitable and Tracked. We describe these hallmarks and propose their consideration should aid the design and evaluation of international antibiotic policies with maximal benefit at both local and international scales.https://gh.bmj.com/content/5/9/e003091.full |
| spellingShingle | Alex Broom Steven J Hoffman Susan Rogers Van Katwyk Christoph Gradmann Claas Kirchhelle Paul Atkinson Komatra Chuengsatiansup Jorge Pinto Ferreira Nicolas Fortané Isabel Frost Stephen Hinchliffe Javier Lezaun Susan Nayiga Kevin Outterson Scott H Podolsky Stephanie Raymond Adam P Roberts Andrew C Singer Anthony D So Luechai Sringernyuang Elizabeth Tayler Clare I R Chandler Setting the standard: multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy BMJ Global Health |
| title | Setting the standard: multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy |
| title_full | Setting the standard: multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy |
| title_fullStr | Setting the standard: multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy |
| title_full_unstemmed | Setting the standard: multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy |
| title_short | Setting the standard: multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy |
| title_sort | setting the standard multidisciplinary hallmarks for structural equitable and tracked antibiotic policy |
| url | https://gh.bmj.com/content/5/9/e003091.full |
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