Antimicrobial Resistance

FAO Progressive Management Pathway for Antimicrobial Resistance (FAO-PMP-AMR)

As part of its efforts to combat antimicrobial resistance (AMR), FAO supports countries with the development of National Action Plans (NAPs) toward the: i) monitoring, prevention and control of AMR; and ii) prudent use of antimicrobials in agriculture and food.

For most countries, writing a NAP is not the main problem. Instead, the biggest challenges are implementing these plans and demonstrating sustained actions around them. FAO developed the Progressive Management Pathway for Antimicrobial Resistance (FAO-PMP-AMR) to address this.

The FAO-PMP-AMR is based on the Progressive Control Pathway for Foot and Mouth Disease (PCP-FMD) developed by FAO and the European Commission on Foot-and-Mouth Disease (EuFMD). Similar to the PCP-FMD, the FAO-PMP-AMR focuses on building management capacity through a bottom-up approach with strong stakeholder involvement.

WHAT IS FAO-PMP-AMR?

The FAO-PMP-AMR serves as a guide to help member states put their NAPs into action. The progressive approach enables specific sectors to make step-by-step improvements toward the sustainable use of antimicrobials and management of AMR.

These improvements can start as small-scale initiatives, evolve into broader actions in priority sectors and eventually develop into fully-fledged, ‘One Health’ NAPs addressing AMR in all food and agriculture sectors nationwide. In this way, the FAO-PMP-AMR enables countries and specific sectors to work progressively toward the optimal and sustainable use of antimicrobials.

OUTPUTS

In line with the FAO Action Plan, the FAO-PMP-AMR assists countries in four key areas:

  1. raising awareness;
  2. increasing surveillance capacities;
  3. developing governance structures; and
  4. promoting the prudent use of antimicrobials.

Each area contains four stages, and each stage requires specific actions be implemented in order for countries to advance to the next level. The FAO-AMR-PMP provides guidelines, standards and references to help with the planning and implementation of each activity.

FAO-PMP-AMR WORKSHOPS

FAO helps countries apply the FAO-AMR-PMP approach through in-country workshops. These workshops bring public and private stakeholders together to self-assess the level of NAP implementation in their country and agree on actions to be taken to escalate AMR management to a higher stage as required.

Specifically-trained FAO-PMP-AMR facilitators help participants assess progress within the different focus areas and stages. Using the FAO-PMP-AMR tool, stakeholders quantify this progress through a dashboard that displays gaps and next steps for NAP implementation.

Upon conclusion of each workshop, stakeholders generate an assessment report. This report provides the country and its key sectors with lessons and conclusions about their progression in combatting AMR. In particular, this crucial reports help countries define the specific activities they need to implement next as they work toward the better management of AMR risks and the more prudent use of antimicrobials.

FAO-PMP-AMR workshops usually take two to four days.

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