Antimicrobial resistance

Tripartite Monitoring and Evaluation (M&E) framework for the Global Action Plan on Antimicrobial Resistance


Publication details

Number of pages: 68
Publication date: May 2019
Languages: English
ISBN: 978-92-4-151442-2 (WHO)


Robust monitoring and evaluation are needed in order to measure progress towards the delivery of the global action plan on antimicrobial resistance (GAP) objectives, and help identify key achievements and persisting gaps across human, animal, plant, food, and environment sectors in efforts to tackle antimicrobial resistance (AMR).

The Tripartite have co-developed a monitoring and evaluation (M&E) framework for the GAP, which aims to generate data to assess the delivery of GAP objectives, and inform operational and strategic decision making on AMR for the next five years. The framework includes two parallel tracks of M&E activities. Track 1 focuses on the inputs, activities, and outputs of the GAP. It is designed to monitor the progress of different stakeholders in implementing the GAP, and to evaluate how to improve the collective response. Track 2 focuses on GAP outcomes and impact goals. It is designed to assess the effectiveness of GAP implementation efforts, including monitoring their results, and evaluating their impact on, for example, AMR, appropriate use of antimicrobials, and burden of disease.

The framework includes recommended core indicators that have been agreed across the Tripartite, including UNEP, which needs to be collected and monitored at national, regional, and global levels. There was significant consultations over two years with governments, experts, academia, civil society and the public to help develop the list of indicators to be monitored. The framework also includes country level evaluations, monitoring of research and development, and a proposed global-level independent evaluation. The applicability of this framework will initially be tested in a few targeted countries; the framework will be refined periodically based on lessons learnt during its implementation over the next 3-5 years. The Framework and the indicators are expected to guide and support the development of relevant AMR monitoring systems in countries, help produce data for monitoring progress at the national and global level, and support strategic decision making.

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