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Monitoring global progress on antimicrobial resistance: tripartite AMR country self-assessment survey (TrACSS) 2019–2020

Global Analysis Report










FAO, OIE and WHO. 2021. Monitoring global progress on Antimicrobial Resistance: Tripartite AMR Country Self-Assessment Survey (TrACSS) 2019–2020. Rome.




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    In 2019, the Tripartite Joint Secretariat (FAO, OIE, and WHO) launched the AMR Multi-Partner Trust Fund (MPTF) to scale up action in low- and lower-middle-income countries to address antimicrobial resistance (AMR) as well as set up joint, global-level activities. In 2020, the Tripartite put in place the necessary frameworks, tools, and standards to select countries and develop global programmes that will be supported by the MPTF. The following report will provide an overview of the country and global projects, their current implementation status, the fund’s financial resources as well as the next steps.
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    Antimicrobial resistance (AMR) is a grave threat to human health and economic development[1]. Countries are at different stages in responding to the growing threat posed by AMR. Some countries, including many European countries, have experience with AMR policies in human and agricultural sectors for more than two decades. Others have only recently acted to contain AMR. WHO, FAO, OIE developed a Global Action Plan on AMR (GAP) in 2015 as a cross-sectoral approach to combatting AMR. All countries approved the GAP and agreed to adopt National Action Plans on AMR by 2017. The Tripartite Organisations have developed a framework for monitoring and evaluation to assist with the achievement of GAP, and created a national self-assessment survey containing questions structured around the objectives of the GAP. The first wave of this survey was sent to WHO’s 194 member countries in late-2016. The survey instrument was subsequently revised and a second wave was initiated in late-2017. In this report, we analyze countries’ responses to the second wave of the tripartite survey and describe the current level of global progress on AMR. We convey progress achieved towards the goals of the GAP across WHO regions and across country income groups to identify differences in progress and explore progress in relation to key agricultural sector indicators to examine whether the presence of a strong agricultural sector impacts progress made towards One Health goals at the national level.
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    Antimicrobial Resistance Multi-Partner Trust Fund
    Combatting the rising global threat of AMR through a One Health Approach
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    Antimicrobial Resistance (AMR) is arguably the most complex threat to global health security, potentially leading to millions of deaths a year and hundreds of billions of dollars lost in annual economic growth. It threatens to compromise the global community’s progress towards the achievement of the Sustainable Development Goals (SDGs). The strength of the Tripartite - FAO/OIE/WHO - is founded on the long-standing partnership, combined technical knowledge and global convening power of the three organizations; collectively they offer robust, cost-effective and efficient solutions to addressing complex health problems faced by the global community. Given the transnational and multi-sectoral nature of AMR and the support requested from countries and other stakeholders, the Tripartite in collaboration with UN Environment is scaling up existing efforts to support countries to urgently counter this immediate threat through a One Health approach. The Tripartite has established the ‘Combatting Antimicrobial Resistance through a One Health approach: AMR Multi-Partner Trust Fund (AMR MPTF)’ for an initial five-year period (2019-2024), inviting partnership and financing to drive forward the delivery of the Global Action Plan on AMR and a compelling Theory of Change.

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