A Qualitative Study on the Policy Process and Development of the National Action Plan on Antimicrobial Resistance in Singapore

The global public health threat of antimicrobial resistance (AMR) has been accelerated by many interrelated factors spanning across One Health—human health, animal health, and the environment. Singapore launched its own National Strategic Action Plan (NSAP) on AMR in November 2017 with the aim of ta...

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Main Authors: Alvin Qijia Chua, Monica Verma, Karen Azupardo, Maria Margarita Lota, Li Yang Hsu, Helena Legido-Quigley
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/12/8/1322
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author Alvin Qijia Chua
Monica Verma
Karen Azupardo
Maria Margarita Lota
Li Yang Hsu
Helena Legido-Quigley
author_facet Alvin Qijia Chua
Monica Verma
Karen Azupardo
Maria Margarita Lota
Li Yang Hsu
Helena Legido-Quigley
author_sort Alvin Qijia Chua
collection DOAJ
description The global public health threat of antimicrobial resistance (AMR) has been accelerated by many interrelated factors spanning across One Health—human health, animal health, and the environment. Singapore launched its own National Strategic Action Plan (NSAP) on AMR in November 2017 with the aim of tackling the growing threat of AMR in Singapore through coordinated approaches. However, little is known about the policy process and development of the NSAP in Singapore. In this study, we analysed these aspects using an AMR governance framework. In-depth interviews were conducted with 20 participants across the One Health spectrum. The interviews were transcribed verbatim and analysed thematically. Areas that were well executed included (1) good coordination across various agencies, (2) a dedicated office to coordinate the work on the NSAP, and (3) a high level of governmental support. Areas that were lacking included (1) a lack of participation from certain sectors, (2) insufficient awareness around the AMR issue, (3) constraints in information sharing, and (4) a lack of ideal indicators to track the progress in addressing AMR. Improvements in these areas will provide a more holistic One Health engagement in support of the effective planning and implementation of the NSAP.
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spelling doaj.art-81ea1e2478724adb94a6ee4f8b00b4782023-11-18T23:59:59ZengMDPI AGAntibiotics2079-63822023-08-01128132210.3390/antibiotics12081322A Qualitative Study on the Policy Process and Development of the National Action Plan on Antimicrobial Resistance in SingaporeAlvin Qijia Chua0Monica Verma1Karen Azupardo2Maria Margarita Lota3Li Yang Hsu4Helena Legido-Quigley5Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, SingaporeSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, SingaporeCollege of Public Health, University of the Philippines Manila, 625 Pedro Gil St, Ermita, Manila 1000, PhilippinesCollege of Public Health, University of the Philippines Manila, 625 Pedro Gil St, Ermita, Manila 1000, PhilippinesSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, SingaporeSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, SingaporeThe global public health threat of antimicrobial resistance (AMR) has been accelerated by many interrelated factors spanning across One Health—human health, animal health, and the environment. Singapore launched its own National Strategic Action Plan (NSAP) on AMR in November 2017 with the aim of tackling the growing threat of AMR in Singapore through coordinated approaches. However, little is known about the policy process and development of the NSAP in Singapore. In this study, we analysed these aspects using an AMR governance framework. In-depth interviews were conducted with 20 participants across the One Health spectrum. The interviews were transcribed verbatim and analysed thematically. Areas that were well executed included (1) good coordination across various agencies, (2) a dedicated office to coordinate the work on the NSAP, and (3) a high level of governmental support. Areas that were lacking included (1) a lack of participation from certain sectors, (2) insufficient awareness around the AMR issue, (3) constraints in information sharing, and (4) a lack of ideal indicators to track the progress in addressing AMR. Improvements in these areas will provide a more holistic One Health engagement in support of the effective planning and implementation of the NSAP.https://www.mdpi.com/2079-6382/12/8/1322antimicrobial resistancepolicy developmentpolicy analysisOne HealthSingapore
spellingShingle Alvin Qijia Chua
Monica Verma
Karen Azupardo
Maria Margarita Lota
Li Yang Hsu
Helena Legido-Quigley
A Qualitative Study on the Policy Process and Development of the National Action Plan on Antimicrobial Resistance in Singapore
Antibiotics
antimicrobial resistance
policy development
policy analysis
One Health
Singapore
title A Qualitative Study on the Policy Process and Development of the National Action Plan on Antimicrobial Resistance in Singapore
title_full A Qualitative Study on the Policy Process and Development of the National Action Plan on Antimicrobial Resistance in Singapore
title_fullStr A Qualitative Study on the Policy Process and Development of the National Action Plan on Antimicrobial Resistance in Singapore
title_full_unstemmed A Qualitative Study on the Policy Process and Development of the National Action Plan on Antimicrobial Resistance in Singapore
title_short A Qualitative Study on the Policy Process and Development of the National Action Plan on Antimicrobial Resistance in Singapore
title_sort qualitative study on the policy process and development of the national action plan on antimicrobial resistance in singapore
topic antimicrobial resistance
policy development
policy analysis
One Health
Singapore
url https://www.mdpi.com/2079-6382/12/8/1322
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