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Publications

Filtering by Category: Drug policy

Integrating Actions to Tackle Antimicrobial Resistance into Strategies to Achieve Universal Health Coverage

Future Health Systems

It is critical that ensuring people’s access to effective treatment for common infections is aligned with efforts to reduce the risk of emerging antimicrobial resistance. The Institute of Development Studies, a Future Health Systems partner, is influencing policy agendas to give greater focus on the need for the just and sustainable use of antimicrobials.

Antimicrobial resistance and universal health coverage

Future Health Systems

Bloom G, Buckland Merrett G, Wilkinson A, Lin V and Paulin S (2017) Antimicrobial resistance and universal health coverage, BMJ Global Health, 2:e000518, doi:10.1136/bmjgh-2017-000518

The WHO launched a Global Action Plan on antimicrobial resistance (AMR) in 2015. World leaders in the G7, G20 and the UN General Assembly have declared AMR to be a global crisis. World leaders have also adopted universal health coverage (UHC) as a key target under the sustainable development goals. This paper argues that neither initiative is likely to succeed in isolation from the other and that the policy goals should be to both provide access to appropriate antimicrobial treatment and reduce the risk of the emergence and spread of resistance by taking a systems approach. 

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Antimicrobial resistance and Universal Health Coverage

Future Health Systems

Bloom G, Wilkinson A and Buckland Merritt G (2017) Antimicrobial resistance and Universal Health Coverage, In Antimicrobial resistance in the Asia Pacific region: a development agenda (pp. 9-21). Manila, Philippines. World Health Organization Regional Office for the Western Pacific. Licence: CC BY-NC-SA 3.0 IGO.

Chapter two highlights priorities for an integrated approach for addressing AMR by strengthening universal health coverage (UHC). It focuses on the use of drugs in outpatient settings. The chapter gives particular consideration to low- and middle-income countries with pluralistic health systems, where government provision and health markets combine and where people seek treatment for a large proportion of common infections in weakly regulated markets.

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Towards the just and sustainable use of antibiotics

Future Health Systems

Buckland Merrett GL, Bloom G, Wilkinson A and MacGregor H (2016) Towards the just and sustainable use of antibiotics, Journal of Pharmaceutical Policy and Practice, 9:31, DOI: 10.1186/s40545-016-0083-5

The emergence and spread of antibiotic resistant pathogens poses a big challenge to policy-makers, who need to oversee the transformation of health systems that evolved to provide easy access to these drugs into ones that encourage appropriate use of antimicrobials, whilst reducing the risk of resistance. This is a particular challenge for low and middle-income countries with pluralistic health systems where antibiotics are available in a number of different markets. This review paper considers access and use of antibiotics in these countries from a complex adaptive system perspective. It highlights the main areas of intervention that could provide the key to addressing the sustainable long term use and availability of antibiotics.

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Implementation of National Essential Drug Policy: Analysis from a Complex Adaptive Systems Perspective / 复杂适应系统理论视角下国家基本药物制度的实施分析

Future Health Systems

Xiao, Y. et al. (2011) Implementation of National Essential Drug Policy: Analysis from a Complex Adaptive Systems Perspective. Chinese General Practice, Volume 14, 5A: 1419-1421.
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