7 National multi-sectoral organisations that address AMR

There is a range of multi-sectoral organisational structures across different countries to address the major functions needed for a One Health approach to control AMR. The five major functions are described in Table 2 with a description and examples of the name of national organisations addressing each function.

Table 2 Multi-sectoral functions needed for a One Health approach to control AMR.

FunctionDescriptionExample

Policy and budgetary allocation

Ministerial-level collaboration that endorses AMR policies in each sector and agrees on budgetary allocation.

Some countries have a designated organisation to support policy-making related to One Health programmes (which includes AMR), while in others the senior government members of the national AMR committee may agree on policy. In other countries, AMR policy may be endorsed through other government mechanisms.

Inter-Ministerial Committee for One Health (IMCOH), Bhutan

National leadership of the AMR programme

A multi-sectoral committee responsible for strategic planning and oversight of the National Action Plan for AMR, e.g. National AMR Coordination Committee (AMRCC).

Multi-sectoral Coordinating Committee (MCC), Tanzania

Antimicrobial Resistance Multisectoral Steering Committee (AMRMSC), Nepal

Stakeholder engagement

Some countries have a designated platform for engaging with the broad range of AMR stakeholders, which may include government, academic, non-government, professional, community and industry organisations. This platform functions to support awareness of AMR and the design and implementation of programmes to mitigate AMR.

One Health AMR platform, Uganda

AMR technical leadership

One Health Technical Working Committees (TWCs) or Technical Working Groups (TWGs) that comprise experts from AMR-related disciplines from each sector provide multi-sectoral technical leadership for AMR management and advise the AMRCC on policies and programmes.

In some countries the TWC or TWG is a sub-committee of the national AMRCC.

National Technical Working Committee (NTWC), Nepal

National drug administration

Organisation(s) responsible for the national administration of drug importation and overseeing the responsible use of antimicrobials to preserve their effectiveness to treat human, animal and plant diseases.

In many countries a single authority administers drugs for both humans and animals, while in others, separate organisations administer drug importation and use in human and animals.

National Drug Authority, Uganda

National Drug Technical Advisory Committee, Bhutan

Activity 7: Multi-sectoral organisations that address AMR in your country

Timing: Allow about 15 minutes

Look again at Table 2 use the space below to note down the names of the national organisation(s) in your country that address each of these functions.

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8 One Health AMR surveillance programmes