Strengthening One Health governance for AMR surveillance
Lessons from the Fleming Fund
Strong One Health governance provides a coherent framework that brings together the human health, animal health, food safety, and environmental sectors under a shared vision. This integrated approach is especially critical in low- and middle-income countries, where fragmented systems and limited resources can slow progress on combating AMR.
As part of strengthening national AMR surveillance systems, the Fleming Fund has invested in developing and supporting One Health coordination and collaboration mechanisms to improve AMR and antimicrobial use governance structures at both national and subnational levels.
Reflecting on the global programme’s implementation strategy, the Management Agent Mott MacDonald has produced a report that presents key lessons for establishing and operationalising One Health governance structures to enhance participation, management, sustainability, accountability, transparency, and equity.
The report outlines the key functions of National One Health platforms, National AMR Committees, AMR Technical Working Groups, and subnational AMR governance mechanisms. It also identifies the barriers and enablers of effective One Health governance for AMR surveillance, and the essential elements to strengthen sustainable AMR governance:
Essential elements to strengthen sustainable AMR governance:
- Ensure strong institutionalisation and government ownership by securing operational budgets, establishing clear terms of reference, and maintaining a functional Secretariat. National Action Plans should clearly define the structure, roles, and support mechanisms for national committees and technical working groups.
- Design AMR governance structures around national priorities, recognising that country contexts vary and that national AMR champions play a critical role in driving and sustaining progress.
- Promote equity and inclusive participation by engaging subnational and non-state actors, including civil society and the public, to enhance collaboration, relevance, and shared ownership.
Strengthening One Health governance for AMR surveillance: Lessons from the Fleming Fund
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On One Health Day, we introduce the AMROH SEA project, which is a Fleming Fund Regional Grant led by the Asia-Pacific Centre for Animal Health, University of Melbourne.
Knowledge Notes
From Knowledge Notes, One Health: breaking down silos and driving the Fleming Fund forward , Date: 03/11/2023
To mark One Health Day, we revisit the holistic concept spanning human, animal, and environmental health, which is one of the Fleming Fund’s guiding principles.