Factors impacting antimicrobial resistance in the South East Asian food system and potential places to intervene: A participatory, one health study
Background: With AMU projected to increase, South East Asia (SEA) is at high risk of experiencing disproportionate health, social, and economic burdens due to antimicrobial resistance (AMR). Our objective was to identify factors influencing AMR in SEA’s food system and places for intervention by int...
| Autores principales: | , , , , , , , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Frontiers Media
2023
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| Acceso en línea: | https://hdl.handle.net/10568/126661 |
| _version_ | 1855533496361025536 |
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| author | Lambraki, I.A. Mohan, Chadag V. Cousins, M. Graells, T. Léger, A. Henriksson, Patrik J.G. Troell, Max F. Harbarth, S. Wernli, D. Jørgensen, P.S. Carson, C.A. Parmley, E.J. Majowicz, S.E. |
| author_browse | Carson, C.A. Cousins, M. Graells, T. Harbarth, S. Henriksson, Patrik J.G. Jørgensen, P.S. Lambraki, I.A. Léger, A. Majowicz, S.E. Mohan, Chadag V. Parmley, E.J. Troell, Max F. Wernli, D. |
| author_facet | Lambraki, I.A. Mohan, Chadag V. Cousins, M. Graells, T. Léger, A. Henriksson, Patrik J.G. Troell, Max F. Harbarth, S. Wernli, D. Jørgensen, P.S. Carson, C.A. Parmley, E.J. Majowicz, S.E. |
| author_sort | Lambraki, I.A. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Background: With AMU projected to increase, South East Asia (SEA) is at high risk of experiencing disproportionate health, social, and economic burdens due to antimicrobial resistance (AMR). Our objective was to identify factors influencing AMR in SEA’s food system and places for intervention by integrating the perspectives of experts from the region to inform policy and management decisions.
Materials and methods: We conducted two 6.5 h workshops and two 90-min interviews involving 18 AMR and other disciplinary experts from human, animal, and environment sectors who brainstormed the factors influencing AMR and identified leverage points (places) for intervention. Transcripts and workshop materials were coded for factors and their connections and transcribed into a causal loop diagram (CLD). Thematic analysis described AMR dynamics in SEA’s food system and leverage points for intervention. The CLD and themes were confirmed via participant feedback.
Results: Participants constructed a CLD of AMR in the SEA food system that contained 98 factors interlinked by 362 connections. CLD factors reflected eight sub-areas of the SEA food system (e.g., government). Seven themes [e.g., antimicrobial and pesticide use and AMR spread (n = 40 quotes)], six “overarching factors” that impact the entire AMR system [e.g., the drive to survive (n = 12 quotes)], and 10 places for intervention that target CLD factors (n = 5) and overarching factors (n = 2) emerged from workshop discussions.
Conclusion: The participant derived CLD of factors influencing AMR in the SEA food system demonstrates that AMR is a product of numerous interlinked actions taken across the One Health spectrum and that finding solutions is no simple task. Developing the model enabled the identification of potentially promising leverage points across human, animal, and environment sectors that, if comprehensively targeted using multi-pronged interventions, could evoke system wide changes that mitigate AMR. Even targeting some leverage points for intervention, such as increasing investments in research and capacity building, and setting and enforcing regulations to control antimicrobial supply, demand, and use could, in turn, shift mindsets that lead to changes in more difficult to alter leverage points, such as redefining the profit-driven intent that drives system behavior in ways that transform AMU and sustainably mitigate AMR. |
| format | Journal Article |
| id | CGSpace126661 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Frontiers Media |
| publisherStr | Frontiers Media |
| record_format | dspace |
| spelling | CGSpace1266612025-12-08T10:29:22Z Factors impacting antimicrobial resistance in the South East Asian food system and potential places to intervene: A participatory, one health study Lambraki, I.A. Mohan, Chadag V. Cousins, M. Graells, T. Léger, A. Henriksson, Patrik J.G. Troell, Max F. Harbarth, S. Wernli, D. Jørgensen, P.S. Carson, C.A. Parmley, E.J. Majowicz, S.E. antimicrobial resistance food systems one health approach Background: With AMU projected to increase, South East Asia (SEA) is at high risk of experiencing disproportionate health, social, and economic burdens due to antimicrobial resistance (AMR). Our objective was to identify factors influencing AMR in SEA’s food system and places for intervention by integrating the perspectives of experts from the region to inform policy and management decisions. Materials and methods: We conducted two 6.5 h workshops and two 90-min interviews involving 18 AMR and other disciplinary experts from human, animal, and environment sectors who brainstormed the factors influencing AMR and identified leverage points (places) for intervention. Transcripts and workshop materials were coded for factors and their connections and transcribed into a causal loop diagram (CLD). Thematic analysis described AMR dynamics in SEA’s food system and leverage points for intervention. The CLD and themes were confirmed via participant feedback. Results: Participants constructed a CLD of AMR in the SEA food system that contained 98 factors interlinked by 362 connections. CLD factors reflected eight sub-areas of the SEA food system (e.g., government). Seven themes [e.g., antimicrobial and pesticide use and AMR spread (n = 40 quotes)], six “overarching factors” that impact the entire AMR system [e.g., the drive to survive (n = 12 quotes)], and 10 places for intervention that target CLD factors (n = 5) and overarching factors (n = 2) emerged from workshop discussions. Conclusion: The participant derived CLD of factors influencing AMR in the SEA food system demonstrates that AMR is a product of numerous interlinked actions taken across the One Health spectrum and that finding solutions is no simple task. Developing the model enabled the identification of potentially promising leverage points across human, animal, and environment sectors that, if comprehensively targeted using multi-pronged interventions, could evoke system wide changes that mitigate AMR. Even targeting some leverage points for intervention, such as increasing investments in research and capacity building, and setting and enforcing regulations to control antimicrobial supply, demand, and use could, in turn, shift mindsets that lead to changes in more difficult to alter leverage points, such as redefining the profit-driven intent that drives system behavior in ways that transform AMU and sustainably mitigate AMR. 2023-01-05 2023-01-06T15:46:39Z 2023-01-06T15:46:39Z Journal Article https://hdl.handle.net/10568/126661 en https://www.frontiersin.org/articles/10.3389/fmicb.2022.992507/full#supplementary-material Open Access Frontiers Media Lambraki, I.A., Chadag, M.V., Cousins, M., Graells, T., Léger, A., Henriksson, P.J.G., Troell, M.F., Harbarth, S., Wernli, D., Jørgensen, P.S., Carson, C.A., Parmley, E.J. and Majowicz, S.E. 2023. Factors impacting antimicrobial resistance in the South East Asian food system and potential places to intervene: A participatory, one health study. Frontiers in Microbiology 13: 992507. |
| spellingShingle | antimicrobial resistance food systems one health approach Lambraki, I.A. Mohan, Chadag V. Cousins, M. Graells, T. Léger, A. Henriksson, Patrik J.G. Troell, Max F. Harbarth, S. Wernli, D. Jørgensen, P.S. Carson, C.A. Parmley, E.J. Majowicz, S.E. Factors impacting antimicrobial resistance in the South East Asian food system and potential places to intervene: A participatory, one health study |
| title | Factors impacting antimicrobial resistance in the South East Asian food system and potential places to intervene: A participatory, one health study |
| title_full | Factors impacting antimicrobial resistance in the South East Asian food system and potential places to intervene: A participatory, one health study |
| title_fullStr | Factors impacting antimicrobial resistance in the South East Asian food system and potential places to intervene: A participatory, one health study |
| title_full_unstemmed | Factors impacting antimicrobial resistance in the South East Asian food system and potential places to intervene: A participatory, one health study |
| title_short | Factors impacting antimicrobial resistance in the South East Asian food system and potential places to intervene: A participatory, one health study |
| title_sort | factors impacting antimicrobial resistance in the south east asian food system and potential places to intervene a participatory one health study |
| topic | antimicrobial resistance food systems one health approach |
| url | https://hdl.handle.net/10568/126661 |
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