Tackling Antimicrobial Resistance Together
Working paper 1.0: Multisectoral coordination
Antimicrobial resistance (AMR) is one of the most complex public health threats the world has faced. No single government department or independent organization can tackle it alone. Containing and controlling AMR demands coordinated action across diverse sectors and disciplines, with a broad range of stakeholders.
This working paper was conceived to offer practical tips and suggestions on how to establish and sustain the multisectoral coordination needed to develop and implement National Action Plans on AMR (NAPs). It is intended for anyone with responsibility for addressing AMR at country level. Drawing on both the published literature and the operational experience of four ‘focal countries’ (Ethiopia, Kenya, Philippines and Thailand), it summarizes lessons learned and the latest thinking on multisectoral working to achieve effective AMR action. The experience in focal countries points to a number of tools and tactics that can be used to help establish and enhance sustainable multisectoral collaboration for AMR action. These can be grouped into four categories: political commitment, resources, governance mechanisms, and practical management.
This working paper is the first to emerge from a stream of work by WHO, the Food and Agriculture Organization of the United Nations (FAO) and the World Organisation for Animal Health (OIE) to build a better global evidence base for implementing NAPs. As it stands, it draws predominantly on experiences in the health sector but will be updated with lessons from food and animal sectors as and when these become available.