An analysis of national action plans on antimicrobial resistance in Southeast Asia using a governance framework approach
Summary: The complex problem of antimicrobial resistance (AMR) is spread across human health, animal health, and the environment. The Global Action Plan (GAP) on AMR and context-specific national action plans (NAPs) were developed to combat this problem. To date, there is no systematic content analy...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2021-02-01
|
Series: | The Lancet Regional Health. Western Pacific |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2666606520300845 |
id |
doaj-30f2dfab88894f35b18647730e34eea0 |
---|---|
record_format |
Article |
spelling |
doaj-30f2dfab88894f35b18647730e34eea02021-03-19T07:31:56ZengElsevierThe Lancet Regional Health. Western Pacific2666-60652021-02-017100084An analysis of national action plans on antimicrobial resistance in Southeast Asia using a governance framework approachAlvin Qijia Chua0Monica Verma1Li Yang Hsu2Helena Legido-Quigley3Saw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore 117549, Singapore; Corresponding author.Saw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore 117549, SingaporeSaw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore 117549, SingaporeSaw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore 117549, Singapore; London School of Hygiene and Tropical Medicine, WC1H 9SH, London, UKSummary: The complex problem of antimicrobial resistance (AMR) is spread across human health, animal health, and the environment. The Global Action Plan (GAP) on AMR and context-specific national action plans (NAPs) were developed to combat this problem. To date, there is no systematic content analysis of NAPs from countries of the Association of Southeast Asia Nations (ASEAN). As the validity periods of most NAPs are ending, an analysis now will provide an opportunity to improve subsequent iterations of these NAPs. We analysed the current NAPs of ten ASEAN countries. We explored their objective alignment with GAP and performed content analysis using an AMR governance framework. Themes were broadly classified under five governance areas: policy design, implementation tools, monitoring and evaluation, sustainability, and One Health engagement. We identified policy priorities, useful features of NAPs, and specific areas that should be strengthened, including accountability, sustained engagement, equity, behavioural economics, sustainability plans and transparency, international collaboration, as well as integration of the environmental sector. Enhancement of these areas and adoption of best practices will drive improved policy formulation and its translation into effective implementation.http://www.sciencedirect.com/science/article/pii/S2666606520300845Antimicrobial resistanceGlobal healthHealth policySoutheast AsiaGovernance |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alvin Qijia Chua Monica Verma Li Yang Hsu Helena Legido-Quigley |
spellingShingle |
Alvin Qijia Chua Monica Verma Li Yang Hsu Helena Legido-Quigley An analysis of national action plans on antimicrobial resistance in Southeast Asia using a governance framework approach The Lancet Regional Health. Western Pacific Antimicrobial resistance Global health Health policy Southeast Asia Governance |
author_facet |
Alvin Qijia Chua Monica Verma Li Yang Hsu Helena Legido-Quigley |
author_sort |
Alvin Qijia Chua |
title |
An analysis of national action plans on antimicrobial resistance in Southeast Asia using a governance framework approach |
title_short |
An analysis of national action plans on antimicrobial resistance in Southeast Asia using a governance framework approach |
title_full |
An analysis of national action plans on antimicrobial resistance in Southeast Asia using a governance framework approach |
title_fullStr |
An analysis of national action plans on antimicrobial resistance in Southeast Asia using a governance framework approach |
title_full_unstemmed |
An analysis of national action plans on antimicrobial resistance in Southeast Asia using a governance framework approach |
title_sort |
analysis of national action plans on antimicrobial resistance in southeast asia using a governance framework approach |
publisher |
Elsevier |
series |
The Lancet Regional Health. Western Pacific |
issn |
2666-6065 |
publishDate |
2021-02-01 |
description |
Summary: The complex problem of antimicrobial resistance (AMR) is spread across human health, animal health, and the environment. The Global Action Plan (GAP) on AMR and context-specific national action plans (NAPs) were developed to combat this problem. To date, there is no systematic content analysis of NAPs from countries of the Association of Southeast Asia Nations (ASEAN). As the validity periods of most NAPs are ending, an analysis now will provide an opportunity to improve subsequent iterations of these NAPs. We analysed the current NAPs of ten ASEAN countries. We explored their objective alignment with GAP and performed content analysis using an AMR governance framework. Themes were broadly classified under five governance areas: policy design, implementation tools, monitoring and evaluation, sustainability, and One Health engagement. We identified policy priorities, useful features of NAPs, and specific areas that should be strengthened, including accountability, sustained engagement, equity, behavioural economics, sustainability plans and transparency, international collaboration, as well as integration of the environmental sector. Enhancement of these areas and adoption of best practices will drive improved policy formulation and its translation into effective implementation. |
topic |
Antimicrobial resistance Global health Health policy Southeast Asia Governance |
url |
http://www.sciencedirect.com/science/article/pii/S2666606520300845 |
work_keys_str_mv |
AT alvinqijiachua ananalysisofnationalactionplansonantimicrobialresistanceinsoutheastasiausingagovernanceframeworkapproach AT monicaverma ananalysisofnationalactionplansonantimicrobialresistanceinsoutheastasiausingagovernanceframeworkapproach AT liyanghsu ananalysisofnationalactionplansonantimicrobialresistanceinsoutheastasiausingagovernanceframeworkapproach AT helenalegidoquigley ananalysisofnationalactionplansonantimicrobialresistanceinsoutheastasiausingagovernanceframeworkapproach AT alvinqijiachua analysisofnationalactionplansonantimicrobialresistanceinsoutheastasiausingagovernanceframeworkapproach AT monicaverma analysisofnationalactionplansonantimicrobialresistanceinsoutheastasiausingagovernanceframeworkapproach AT liyanghsu analysisofnationalactionplansonantimicrobialresistanceinsoutheastasiausingagovernanceframeworkapproach AT helenalegidoquigley analysisofnationalactionplansonantimicrobialresistanceinsoutheastasiausingagovernanceframeworkapproach |
_version_ |
1724213179792228352 |