Exploring the factors that contribute to the successful implementation of antimicrobial resistance interventions: a comparison of high-income and low-middle-income countries

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Graells, TiscarStockholms universitet,Stockholm Resilience Centre,Royal Swedish Academy of Sciences, Sweden (author)

Exploring the factors that contribute to the successful implementation of antimicrobial resistance interventions : a comparison of high-income and low-middle-income countries

Article/chapterEnglish2023

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2023
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LIBRIS-ID:oai:DiVA.org:su-223756
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-223756URI
https://doi.org/10.3389/fpubh.2023.1230848DOI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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IntroductionAntimicrobial resistance (AMR) is a challenge to modern medicine. Interventions have been applied worldwide to tackle AMR, but these actions are often not reported to peers or published, leading to important knowledge gaps about what actions are being taken. Understanding factors that influence the implementation of AMR interventions and what factors are relevant in low-middle-income countries (LMICs) and high-income countries (HICs) were the key objectives of this exploratory study, with the aim to identifying which priorities these contexts need.MethodsA questionnaire was used to explore context, characteristics, and success factors or obstacles to intervention success based on participant input. The context was analyzed using the AMR-Intervene framework, and success factors and obstacles to intervention success were identified using thematic analysis.ResultsOf the 77 interventions, 57 were implemented in HICs and 17 in LMICs. Interventions took place in the animal sector, followed by the human sector. Public organizations were mainly responsible for implementation and funding. Nine themes and 32 sub-themes emerged as important for intervention success. The themes most frequently reported were 'behavior', 'capacity and resources', 'planning', and 'information'. Five sub-themes were key in all contexts ('collaboration and coordination', 'implementation', 'assessment', 'governance', and 'awareness'), two were key in LMICs ('funding and finances' and 'surveillance, antimicrobial susceptibility testing and preventive screening'), and five were key in HICs ('mandatory', 'multiple profiles', 'personnel', 'management', and 'design').ConclusionLMIC sub-themes showed that funding and surveillance were still key issues for interventions, while important HIC sub-themes were more specific and detailed, including mandatory enforcement, multiple profiles, and personnel needed for good management and good design. While behavior is often underrated when implementing AMR interventions, capacity and resources are usually considered, and LMICs can benefit from sub-themes captured in HICs if tailored to their contexts. The factors identified can improve the design, planning, implementation, and evaluation of interventions.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
antimicrobial resistance
antibiotic resistance
resilience
success factors
interventions
public health
global health
high and low-middle-income countries

Added entries (persons, corporate bodies, meetings, titles ...)

Lambraki, Irene A. (author)
Cousins, Melanie (author)
Leger, Anais (author)
Henriksson, Patrik J. G.Stockholms universitet,Stockholm Resilience Centre,Royal Swedish Academy of Sciences, Sweden; WorldFish, Malaysia(Swepub:su)pahe6853 (author)
Troell, Max,1962-Stockholms universitet,Stockholm Resilience Centre,Royal Swedish Academy of Sciences, Sweden(Swepub:su)troel (author)
Carson, Carolee A. (author)
Parmley, Elizabeth Jane (author)
Majowicz, Shannon E. (author)
Wernli, Didier (author)
Søgaard Jørgensen, PeterStockholms universitet,Stockholm Resilience Centre,Royal Swedish Academy of Sciences, Sweden(Swepub:su)psoga (author)
Stockholms universitetStockholm Resilience Centre (creator_code:org_t)

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In:Frontiers In Public Health112296-2565

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