Access strategies
|
How should antibiotics be made available to all members of a community?
|
Roll out options, referral patterns, training community health workers to prescribe appropriately, exclusive vendor availability
|
Antibiotic quality
|
Measures to ensure antibiotic quality
|
Roles of different actors, effective technologies for low resource settings, drivers of quality
|
Decision making and help seeking (unlocking capabilities)
|
Strategies to enable people to treat infections when necessary while reducing risks of resistance
|
Suppliers of advice and drugs, role of financial incentives, assessment of risk and need, professional and social norms, understandings of disease and antibiotics, ideas of entitlement, design of packaging
|
Therapeutic and dosing strategies
|
Optimising drug use strategies based on the scientific, economic, social and epidemiological context
|
Explore antibiotic combinations, co-administration, co-formulation, cycling, best practice for frequency and adherence to dosing strategies
|
Use of diagnostics
|
How can diagnostics improve diagnosis and treatment and be relevant in low resource settings
|
Dual diagnosis of infection and resistance in low resource settings, meeting the needs of populations, integration with surveillance, effects on access to care, treatment-seeking behaviour or supply stock-outs, prescription/antibiotic use
|
Exploring integration of new strategies
|
Transmission of health behaviour messaging integration of appropriate use measures into everyday practices. Explore innovative ways of tracking, diagnosis, treatment, reporting, messaging and the surveillance of resistance and antibiotic use
|
How can mobile health technology be incorporated to improve diagnosis, treatment and surveillance; can social media be used to encourage appropriate use of new/existing therapies; role of pharmaceutical companies and appropriate use
|
The role of markets and market actors
|
Effective strategies for involving players at every level in the market (local, national, regional, international) and aligning incentives
|
Roles/responsibilities for information transmission, guideline adherence, positive incentive creation, measures to improve access and reduce resistance
|
Consensus and coalition building
|
Building (and negotiating) shared visions of just and sustainable use
|
Mapping competing understandings and interests of relevant organisations and associations; Building of coalitions for change
|
Governance
|
Effective mechanisms at the community and regional level for ensuring sustainable access and use of antibiotics
|
Agreed roles and responsibilities, effective funding streams, harmonisation where possible
|
Evaluation of systems
|
Observe impact of interventions
|
Other health consequences, clinical outcomes of AMR, resistance in the environment, health seeking behaviour and wider social consequences (economic, networks)
|
Identify unintended consequences
|