期刊
ANTIBIOTICS-BASEL
卷 11, 期 5, 页码 -出版社
MDPI
DOI: 10.3390/antibiotics11050636
关键词
antimicrobial resistance; policy implementation; Hong Kong; national action plan; One Health
资金
- Asia Pacific Observatory on Health Systems and Policies [2020/100217]
This study examines the implementation of the Hong Kong Strategy and Action Plan on Antimicrobial Resistance (HKSAP) using the Smith Policy Implementation Process Model. The study finds that important achievements have been made, but barriers to greater implementation exist, such as tensions across sectors and inadequate resources. The COVID-19 pandemic has also affected the implementation of HKSAP. The study suggests expanding engagement with the public and professionals, creating a collaborative environment, and building a well-functioning monitoring and evaluation system as areas of focus in future AMR policies.
In 2017, the Hong Kong Strategy and Action Plan on Antimicrobial Resistance 2017-2022 (HKSAP) was announced with the aim of tackling the growing threat of antimicrobial resistance (AMR) in Hong Kong. However, little is known about how the planned activities have been implemented. In this study, we examine the status of implementation of the HKSAP using the Smith Policy Implementation Process Model. Semi-structured interviews with 17 informants found that important achievements have been made, including launching educational and training activities targeting the public, farmers, and healthcare professionals; upgrading the AMR surveillance system; and strengthening AMR stewardship and infection control. Nevertheless, participants also identified barriers to greater implementation, such as tensions across sectors, ongoing inappropriate drug use and prescription habits, insufficient human and technical resources, as well as a weak accountability framework. Environmental factors such as the COVID-19 pandemic also affected the implementation of HKSAP. Our study indicated that expanding engagement with the public and professionals, creating a collaborative environment for policy implementation, and building a well-functioning monitoring and evaluation system should be areas to focus on in future AMR policies.
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