Antimicrobial resistance in China across human, animal, and environment sectors - a review of policy documents using a governance framework

Summary: Antimicrobial resistance (AMR) poses a multifaceted threat to the human, animal, and environment sectors. In response, China has formulated a series of policies since the 2000s. Thus far, there has been no comprehensive assessment of these policy documents. This study aims to review the con...

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Main Authors: Ding Yang (Author), Oliver James Dyar (Author), Jia Yin (Author), Wenwen Ma (Author), Qiang Sun (Author), Cecilia Stålsby Lundborg (Author)
Format: Book
Published: Elsevier, 2024-07-01T00:00:00Z.
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100 1 0 |a Ding Yang  |e author 
700 1 0 |a Oliver James Dyar  |e author 
700 1 0 |a Jia Yin  |e author 
700 1 0 |a Wenwen Ma  |e author 
700 1 0 |a Qiang Sun  |e author 
700 1 0 |a Cecilia Stålsby Lundborg  |e author 
245 0 0 |a Antimicrobial resistance in China across human, animal, and environment sectors - a review of policy documents using a governance framework 
260 |b Elsevier,   |c 2024-07-01T00:00:00Z. 
500 |a 2666-6065 
500 |a 10.1016/j.lanwpc.2024.101111 
520 |a Summary: Antimicrobial resistance (AMR) poses a multifaceted threat to the human, animal, and environment sectors. In response, China has formulated a series of policies since the 2000s. Thus far, there has been no comprehensive assessment of these policy documents. This study aims to review the content of AMR policy documents at the national level using a governance framework covering three areas: Policy Design; Implementation Tools; and Monitoring and Evaluation. We identified 44 AMR documents from 2003 to 2022 sourced from government agency websites. Our findings have revealed noticeable discrepancies across the three governance areas. The Policy Design and Monitoring and Evaluation areas should be strengthened, particularly in the domains of 'Coordination', 'Accountability', 'Sustainability', and 'Effectiveness'. From a 'One Health' perspective, the environment sector has received less attention compared to the human and animal sectors. Effectively addressing these challenges requires a stronger commitment and widespread support from diverse stakeholders. 
546 |a EN 
690 |a Antimicrobial resistance 
690 |a Health policy 
690 |a Global health 
690 |a China 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n The Lancet Regional Health. Western Pacific, Vol 48, Iss , Pp 101111- (2024) 
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