14 February - 14 March 2023 11:59 PM CET
WHO is calling for input on the draft People-centred framework for addressing antimicrobial resistance (AMR) in the human health sector.
The target audience for this consultation includes both experts and organizations working in the field of AMR at the country, regional, and global levels:
- Ministry of Health officials working at the national or sub-national levels, including policy makers and programme managers
- Members of the AMR Multi-sectoral coordination mechanism
- Health workers in the community, primary, secondary/tertiary or long-term care facilities and laboratories
- Professional associations, including medical, nursing, and pharmacist associations
- Civil society, including patient advocacy groups, youth organizations, etc.
- Private sector organizations, including healthcare providers
- Non-governmental organizations with a focus on AMR
- Faith-based organizations
- Intergovernmental organizations supporting countries on AMR
- Donors supporting AMR national action plan implementation
- Other implementing partners working on AMR
The consultation aims to collect comments on the draft people-centred framework, including: 1) the structure of the framework and 2) the 13 high-level interventions and their priority implementation steps. Comments can be provided through the online survey.
Organizations can use the Word version of the survey to facilitate the compilation of input and submit to AMR_PCF@who.int
The draft document and consultation survey are being translated in all UN languages and will be made available as soon as possible. For further information about the people-centred framework, please register for the upcoming webinar on 14 February 2023.
Background
Since 2015 when WHO Member States endorsed the Global Action Plan (GAP) on AMR, 170 countries have now developed a national action plan (NAP) on AMR. However, the number of countries effectively implementing these plans has been quite low, and the focus has been on a few activities while disregarding the interdependencies of the various technical areas. In order to effectively and sustainably address AMR, a more comprehensive and programmatic approach is needed that places people and their health needs and challenges at the centre of the response.
With many countries looking to revise their current NAPs on AMR and given the urgent need to expedite the implementation of these plans, this framework provides a core set of 13 high-level interventions focused on the human health sector that can inform the development and revision of multisectoral NAPs (2.0). This framework is also guided by the “leave no one behind” principle of the SDGs and provides opportunities to enhance community participation, and address critical health inequities, especially dealing with gender, equity, disability inclusiveness, and those faced by other key vulnerable populations like migrants and refugees.
Objectives of the People-centred framework
Building on the Global action plan (GAP) on AMR, the People-centred framework for addressing AMR in the human health sector strives to provide a programmatic approach to addressing AMR that focuses on the health needs, expectations and challenges faced by people and communities along their AMR journey from exposure to infections, through to their attempts to access health services, diagnosis and treatment, as well as addressing key health systems gaps that contribute to challenges along this AMR journey. It aims to facilitate the mainstreaming of AMR interventions into broader efforts to strengthen health systems through Primary Health Care (PHC) strategies, and to build country capacities for implementation of the International Health Regulations (IHR) and pandemic preparedness and response initiatives.
Ultimately, the people-centred framework strives to reduce the negative impact of AMR on patients in terms of morbidity, mortality, and disability, while leaving no one behind and ensuring equitable access to preventative services, timely and quality diagnosis, treatment, and care.
Process and next steps
The draft framework structure and 13 high-level interventions were developed based on internal WHO consultations, multidisciplinary expert opinion, and through review of existing evidence. Inputs received during the public consultation will help inform the further refinement of the framework, high-level interventions and priority steps.
To support country implementation, WHO is also developing more detailed implementation guidance for each of the high-level interventions. The framework will then be tested at the country level and revised accordingly.