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Bull World Health Organ. 2015 Dec 1;93(12):867-76. doi: 10.2471/BLT.15.153171. Epub 2015 Oct 13.

Strategies for achieving global collective action on antimicrobial resistance.

Author information

1
Global Strategy Lab, Faculty of Law, University of Ottawa, Fauteux Hall, 57 Louis Pasteur Street, Ottawa, Ontario, K1N 6N5, Canada .
2
Manson Unit, Médecins Sans Frontières, London, England .
3
International Division, Norwegian Institute of Public Health, Oslo, Norway .
4
Centre for Global Health Policy, University of Sussex, Brighton, England .
5
National Department of Health, Pretoria, South Africa .
6
LSE Health, London School of Economics & Political Science, London, England .
7
Yale Law School, Yale University, New Haven, United States of America .
8
Environmental Health and Infectious Disease Control Division, Norwegian Institute of Public Health, Oslo, Norway .

Abstract

in English, Arabic, Chinese, French, Russian, Spanish

Global governance and market failures mean that it is not possible to ensure access to antimicrobial medicines of sustainable effectiveness. Many people work to overcome these failures, but their institutions and initiatives are insufficiently coordinated, led and financed. Options for promoting global collective action on antimicrobial access and effectiveness include building institutions, crafting incentives and mobilizing interests. No single option is sufficient to tackle all the challenges associated with antimicrobial resistance. Promising institutional options include monitored milestones and an inter-agency task force. A global pooled fund could be used to craft incentives and a special representative nominated as an interest mobilizer. There are three policy components to the problem of antimicrobials--ensuring access, conservation and innovation. To address all three components, the right mix of options needs to be matched with an effective forum and may need to be supported by an international legal framework.

PMID:
26668439
PMCID:
PMC4669731
DOI:
10.2471/BLT.15.153171
[Indexed for MEDLINE]
Free PMC Article

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