Grant: Operating Grant: 13th JPIAMR transnational call for research projects

Antimicrobial resistance (AMR) is a problem of the global commons, whose resolution depends on coordination of collective global strategy. Addressing the challenges posed by AMR through a One Health approach relies on intersectoral policy coordination across public health, agricultural, and environmental policy networks, making stewardship complex and necessitating new policy approaches. Identifying innovations in effective governance strategies will support the development of global, regional and national policies, regulations and laws to improve the global commons. Our research seeks to address these issues through a comparative analysis that will identify innovative policy, legal, design and regulatory approaches in high-, medium- and low-income case study countries at local, regional, national,and national and international scales. In a second step, we will apply systems analysis to understand the complex contingencies inherent in local and international contexts in order to clarify the manner in which global and national systems could better coordinate and support the efforts of public health, the agricultural and environmental sectors, professional groups, public and private sectors, and civil society to secure their cooperation. Design-thinking workshops will be informed by evidence emerging from the situational, institutional and systems analysis and engage decision-makers and local stakeholders. Design workshops will clarify the innovations and incentives that foster a One Health approach to antibiotic stewardship to inform state and transnational governance and policy solutions that foster implementation of a One Health approach to address AMR.