Policies and strategies to control antimicrobial resistance in livestock production: A comparative analysis of national action plans in European Union Member States

IF 3.6 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Policy Pub Date : 2025-02-01 DOI:10.1016/j.healthpol.2024.105238
Caetano Luiz Beber , Maurizio Aragrande , Massimo Canali
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Abstract

Policy strategies targeting imprudent antimicrobial use (AMU) in livestock farming have been established at the global and country levels, recognising the risks associated with antimicrobial resistance (AMR). This study evaluates the strategies addressing AMU and AMR in animal farms and the food supply chain in EU Member States using a multimethod approach. Our aim is to contribute to the debates surrounding the goals set by the EU Commission and the ‘Strategic framework for collaboration on antimicrobial resistance: Together for One Health’. We first review the policies, strategies and specific legislation in the European Union (EU) and Member States about AMU/AMR in livestock production. We then evaluate the national action plans for AMU reduction in the EU using the progressive management pathway tool from the FAO. Finally, we assess the measures that affect AMU reduction by applying a system generalised method of moments to a 8-year panel of the same countries. According to our results, efforts to reduce AMU could be focused on controlling excessive AMU in the pig sector. Further veterinary training on AMU/AMR and improvements in the performance of the veterinary sector, as well as strengthening the development of multisector and One Health collaboration and coordination, can also contribute to achieving better standards in AMU reduction in the livestock sector and, consequently, for AMR control.
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控制畜牧生产中抗菌素耐药性的政策和战略:欧洲联盟成员国国家行动计划的比较分析。
在认识到抗菌素耐药性相关风险的情况下,已经在全球和国家层面制定了针对畜牧业中不谨慎使用抗菌素的政策战略。本研究使用多方法方法评估了欧盟成员国动物农场和食品供应链中AMU和AMR的解决策略。我们的目的是促进围绕欧盟委员会制定的目标和“抗微生物药物耐药性合作战略框架:共同促进同一健康”的辩论。我们首先回顾了欧盟(EU)和成员国关于畜牧生产中抗菌素/抗菌素耐药性的政策、战略和具体立法。然后,我们使用粮农组织的渐进式管理途径工具评估欧盟减少AMU的国家行动计划。最后,我们通过将系统广义矩法应用于同一国家的8年面板来评估影响AMU减少的措施。根据我们的研究结果,减少AMU的努力可以集中在控制养猪业的过量AMU上。进一步开展关于抗菌素/抗菌素耐药性的兽医培训,改善兽医部门的业绩,以及加强发展多部门和“一个健康”的协作与协调,也有助于在畜牧部门实现更好的减少抗菌素的标准,从而促进抗菌素耐药性的控制。
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来源期刊
Health Policy
Health Policy 医学-卫生保健
CiteScore
6.40
自引率
6.10%
发文量
157
审稿时长
3-8 weeks
期刊介绍: Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.
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