The governance of antimicrobial resistance in Brazil: Challenges for developing and implementing a one health agenda
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The governance of antimicrobial resistance in Brazil : Challenges for developing and implementing a one health agenda. / Corrêa, Juliana Silva; Zago, Luiz Felipe; Da Silva-Brandão, Roberto Rubem; de Oliveira, Sandi Michele; Fracolli, Lislaine Aparecida; Padoveze, Maria Clara; Cordoba, Gloria.
In: Global Public Health, Vol. 18, No. 1, 2190381, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The governance of antimicrobial resistance in Brazil
T2 - Challenges for developing and implementing a one health agenda
AU - Corrêa, Juliana Silva
AU - Zago, Luiz Felipe
AU - Da Silva-Brandão, Roberto Rubem
AU - de Oliveira, Sandi Michele
AU - Fracolli, Lislaine Aparecida
AU - Padoveze, Maria Clara
AU - Cordoba, Gloria
N1 - Publisher Copyright: © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023
Y1 - 2023
N2 - This article explores stakeholders’ perceptions of the challenges for developing a One Health agenda to tackle antimicrobial resistance (AMR) in Brazil, including the development and implementation of the Brazilian National Action Plan (BR-NAP). The data originate from 27 interviews conducted with human, environmental, and animal health stakeholders, including academics, managers, and policymakers involved in developing the BR-NAP. Through thematic analysis, we identified three interconnected themes: governance, the health system, and technical and scientific challenges. The findings draw particular attention to failures in the agenda-setting process, revealed by interviewees strongly emphasising that AMR is not considered a policy priority in Brazil. The lack of political will and awareness of the clinical, social, and economic impacts of AMR are considered the main impediments to the agenda’s progress. The joint work across disciplines and ministries must be reinforced through policymaker engagement and better environmental sector integration. The agenda must include sustainable governance structures less affected by political winds. Policies should be designed jointly with state and local governments to create strategies to engage communities and improve their translation into effective implementation.
AB - This article explores stakeholders’ perceptions of the challenges for developing a One Health agenda to tackle antimicrobial resistance (AMR) in Brazil, including the development and implementation of the Brazilian National Action Plan (BR-NAP). The data originate from 27 interviews conducted with human, environmental, and animal health stakeholders, including academics, managers, and policymakers involved in developing the BR-NAP. Through thematic analysis, we identified three interconnected themes: governance, the health system, and technical and scientific challenges. The findings draw particular attention to failures in the agenda-setting process, revealed by interviewees strongly emphasising that AMR is not considered a policy priority in Brazil. The lack of political will and awareness of the clinical, social, and economic impacts of AMR are considered the main impediments to the agenda’s progress. The joint work across disciplines and ministries must be reinforced through policymaker engagement and better environmental sector integration. The agenda must include sustainable governance structures less affected by political winds. Policies should be designed jointly with state and local governments to create strategies to engage communities and improve their translation into effective implementation.
KW - Antimicrobial resistance
KW - global public health
KW - governance
KW - health policy
KW - one health
U2 - 10.1080/17441692.2023.2190381
DO - 10.1080/17441692.2023.2190381
M3 - Journal article
C2 - 36934430
AN - SCOPUS:85150483747
VL - 18
JO - Global Public Health
JF - Global Public Health
SN - 1744-1692
IS - 1
M1 - 2190381
ER -
ID: 341218290