Evaluation of antimicrobial resistance governance across 193 countries to inform the 2026 Global Action Plan update - PubMed
8 hours ago
- #global governance
- #antimicrobial resistance
- #One Health
- A multidimensional One Health governance index was developed to evaluate antimicrobial resistance (AMR) governance across 193 countries from 2017 to 2022.
- Global governance scores improved from 30.7 to 44.5 out of 100, but implementation and monitoring lagged behind policy design, especially in animal and environmental sectors.
- A significant increase in AMR prevalence scores was observed only 5 years after National Action Plan (NAP) adoption, indicating a delayed policy impact.
- Multisector engagement and antimicrobial use surveillance systems showed the strongest associations with improvements in AMR outcomes.
- Sustained financing and integrated One Health surveillance, with stronger environmental and agricultural engagement, are essential for reducing resistance as the 2026 Global Action Plan update approaches.