Paula Avello, Lisa M Collins, Sonia A Gómez, Federico Luna, Mariano E Fernández Miyakawa, Helen M West, Graziella Iossa
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引用次数: 0
摘要
2015 年,世界卫生大会通过了抗菌药耐药性(AMR)全球行动计划(GAP)。大会鼓励会员国根据全球行动计划制定本国的国家行动计划(NAP)。迄今为止,在对国家行动计划进行系统评估时,尚未对拉丁美洲的具体情况进行分析。在此,我们采用内容分析法对 2015 年至 2021 年间发布的 11 份拉丁美洲国家行动计划进行了研究。我们重点关注两种方法:1) 通过内容指标使《全球行动计划》中确定的战略目标和行动与国家行动方案中概述的目标和行动保持一致;以及 2) 通过涵盖 "政策设计"、"实施工具 "和 "监测与评估 "领域的治理框架对国家行动方案进行评估。我们注意到,国家行动方案与《全球行动计划》的战略目标高度一致;但在相应的行动方面,情况却恰恰相反。我们的结果表明,协调和参与领域所包含的治理问题在每个拉丁美洲国家行动方案中都得到了解决,而监测和评估领域以及环境问题则需要在以后的国家行动方案中得到更多关注。鉴于 AMR 是一个全球性的健康威胁,各地区必须共同努力应对这一威胁,我们的研究结果可以通过强调如何加强拉丁美洲的 AMR 战略,同时支持全球政策的制定,使会员国从中受益。
National action plans on antimicrobial resistance in Latin America: an analysis via a governance framework.
In 2015, the World Health Assembly adopted a global action plan (GAP) on antimicrobial resistance (AMR). Member states were encouraged to develop their own national action plans (NAPs) in alignment with the GAP. To-date, in systematic assessments of NAPs, the Latin American specific context has not been previously analysed. Here we examined 11 Latin American NAPs published between 2015 and 2021 using content analysis. We focused on two approaches: (1) alignment between the strategic objectives and actions defined in the GAP, and those outlined in the NAPs via a content indicator; and (2) assessment of the NAPs via a governance framework covering 'policy design', 'implementation tools' and 'monitoring and evaluation' areas. We observed a high alignment with the strategic objectives of the GAP; however, the opposite was observed for the corresponding actions. Our results showed that the governance aspects contained within coordination and participation domains were addressed by every Latin American NAP, whereas monitoring and assessment areas, as well as incorporating the environment, would need more attention in subsequent NAPs. Given that AMR is a global health threat and collective efforts across regions are necessary to combat it, our findings can benefit member states by highlighting how to strengthen the AMR strategies in Latin America, while also supporting global policy formulation.
期刊介绍:
Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries.
Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.