Barriers to the effective implementation of One health policies against AMR in the EU

Abstract Funded by the EU4Health 2021 Programme, Tetra Tech conducted a study for the European Commission on the “Barriers to the effective implementation of policies against antimicrobial resistance (AMR)” in the EU Member States, Norway and Iceland. The study provides input to support the EU'...

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Published in:European Journal of Public Health
Main Authors: Dates, M, Davies, M
Format: Article in Journal/Newspaper
Language:English
Published: Oxford University Press (OUP) 2023
Subjects:
Online Access:http://dx.doi.org/10.1093/eurpub/ckad160.085
https://academic.oup.com/eurpub/article-pdf/33/Supplement_2/ckad160.085/52416410/ckad160.085.pdf
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spelling croxfordunivpr:10.1093/eurpub/ckad160.085 2023-12-31T10:08:25+01:00 Barriers to the effective implementation of One health policies against AMR in the EU Dates, M Davies, M 2023 http://dx.doi.org/10.1093/eurpub/ckad160.085 https://academic.oup.com/eurpub/article-pdf/33/Supplement_2/ckad160.085/52416410/ckad160.085.pdf en eng Oxford University Press (OUP) https://creativecommons.org/licenses/by-nc/4.0/ European Journal of Public Health volume 33, issue Supplement_2 ISSN 1101-1262 1464-360X Public Health, Environmental and Occupational Health journal-article 2023 croxfordunivpr https://doi.org/10.1093/eurpub/ckad160.085 2023-12-06T08:45:45Z Abstract Funded by the EU4Health 2021 Programme, Tetra Tech conducted a study for the European Commission on the “Barriers to the effective implementation of policies against antimicrobial resistance (AMR)” in the EU Member States, Norway and Iceland. The study provides input to support the EU's overall goal to combat AMR by improving the development and implementation of One Health national action plans (NAPs) which, in turn, shall contain effective measures in infection prevention and control and prudent use of antimicrobials. The research was conducted under the following study areas: development and implementation of One Health NAPs, infection prevention and control (IPC) measures in hospitals and long-term care facilities (LTCFs); antimicrobial stewardship measures (AMS) in hospitals, LTCFs, primary care and pharmacies. The research revealed some common problems across all countries, such as insufficient funding to deliver on the measures foreseen in the NAPs, the shortages of qualified staff at all levels of care, the lack of measures targeting LTCFs specifically, the limited involvement of pharmacies in AMS, and the disruptions caused by the COVID-19 pandemic in the health sector. The barriers affect each country differently but they are nevertheless common to all, independently of their size and socio-economic situation. Limitations to deliver on the NAPs objectives were also due to lack of other resources besides funding and staff: old infrastructure, insufficient material and equipment, as well as testing capacity, inadequate information systems. Other barriers identified include: limited political focus and awareness of the challenges brought by AMR; lack of operational plans for delivering on the NAPs; lack of harmonised indicators for monitoring the implementation of plans; limited coverage of AMR, AMS and IPC in education and training; and limited public awareness of AMR. Key messages • Countries face common barriers to the effective implementation of One health policies against AMR, such as lack ... Article in Journal/Newspaper Iceland Oxford University Press (via Crossref) European Journal of Public Health 33 Supplement_2
institution Open Polar
collection Oxford University Press (via Crossref)
op_collection_id croxfordunivpr
language English
topic Public Health, Environmental and Occupational Health
spellingShingle Public Health, Environmental and Occupational Health
Dates, M
Davies, M
Barriers to the effective implementation of One health policies against AMR in the EU
topic_facet Public Health, Environmental and Occupational Health
description Abstract Funded by the EU4Health 2021 Programme, Tetra Tech conducted a study for the European Commission on the “Barriers to the effective implementation of policies against antimicrobial resistance (AMR)” in the EU Member States, Norway and Iceland. The study provides input to support the EU's overall goal to combat AMR by improving the development and implementation of One Health national action plans (NAPs) which, in turn, shall contain effective measures in infection prevention and control and prudent use of antimicrobials. The research was conducted under the following study areas: development and implementation of One Health NAPs, infection prevention and control (IPC) measures in hospitals and long-term care facilities (LTCFs); antimicrobial stewardship measures (AMS) in hospitals, LTCFs, primary care and pharmacies. The research revealed some common problems across all countries, such as insufficient funding to deliver on the measures foreseen in the NAPs, the shortages of qualified staff at all levels of care, the lack of measures targeting LTCFs specifically, the limited involvement of pharmacies in AMS, and the disruptions caused by the COVID-19 pandemic in the health sector. The barriers affect each country differently but they are nevertheless common to all, independently of their size and socio-economic situation. Limitations to deliver on the NAPs objectives were also due to lack of other resources besides funding and staff: old infrastructure, insufficient material and equipment, as well as testing capacity, inadequate information systems. Other barriers identified include: limited political focus and awareness of the challenges brought by AMR; lack of operational plans for delivering on the NAPs; lack of harmonised indicators for monitoring the implementation of plans; limited coverage of AMR, AMS and IPC in education and training; and limited public awareness of AMR. Key messages • Countries face common barriers to the effective implementation of One health policies against AMR, such as lack ...
format Article in Journal/Newspaper
author Dates, M
Davies, M
author_facet Dates, M
Davies, M
author_sort Dates, M
title Barriers to the effective implementation of One health policies against AMR in the EU
title_short Barriers to the effective implementation of One health policies against AMR in the EU
title_full Barriers to the effective implementation of One health policies against AMR in the EU
title_fullStr Barriers to the effective implementation of One health policies against AMR in the EU
title_full_unstemmed Barriers to the effective implementation of One health policies against AMR in the EU
title_sort barriers to the effective implementation of one health policies against amr in the eu
publisher Oxford University Press (OUP)
publishDate 2023
url http://dx.doi.org/10.1093/eurpub/ckad160.085
https://academic.oup.com/eurpub/article-pdf/33/Supplement_2/ckad160.085/52416410/ckad160.085.pdf
genre Iceland
genre_facet Iceland
op_source European Journal of Public Health
volume 33, issue Supplement_2
ISSN 1101-1262 1464-360X
op_rights https://creativecommons.org/licenses/by-nc/4.0/
op_doi https://doi.org/10.1093/eurpub/ckad160.085
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