Antimicrobial resistance (AMR) is a hallmark One Health (OH) issue. 'One Health' integration in antimicrobial use and AMR surveillance is prioritized in the national action plans listed (NAPs) here.
Countries identified as having One Health Antimicrobial Resistance Action Plans (91 of 118 countries identified with AMR NAPs)
Global One Health AMR Strategic Plans
*Prior to 28 May 2022, WOAH used its founding initials (derived from the founding name Office International des Épizooties; "OIE"). WOAH materials listed here predate that rebranding.
Other Global Resources & Documentation:
World Health Organization (WHO) Global Action Plan on AMR
The WHO materials below include resources created through the "Quadripartite", a collaborative framework between the WHO, FAO, WOAH*, & United Nations Environment Programme (UNEP) to coordinate efforts using a One Health approach. The One Health Global Leaders Group on Antimicrobial Resistance also helps coordinate global governance on the issue. For a review of the Quadripartite's recent work on AMR, click here.
Other WHO AMR Resources & Documentation
Regional One Health AMR Strategic Plans
Select One Health AMR National and Sub-National Strategic Plans, by Country
Afghanistan: National Action Plan on Antimicrobial Resistance (NAP-AMR) 2017 – 2021
Australia: One Health Master Action Plan: for Australia's National Antimicrobial Resistance Strategy – 2020 and beyond
Bhutan: National Action Plan on Antimicrobial Resistance (2018-2022)
Brazil: Plano de Ação Nacional de Prevenção e Controle da Resistência aos Antimicrobianos no Âmbito da Saúde Única Ministério da Saúde Única: 2018-2022 (English: National Plan of Action for the Prevention and Control of Antimicrobial Resistance in the Area of One Health)
China: Hong Kong Strategy and Action Plan on Antimicrobial Resistance 2017-2022
Denmark: One Health Strategy against antibiotic resistance
Germany: DART 2020 – Fighting antibiotic resistance for the good of both humans and animals
Ghana: National Action Plan for Antimicrobial Use and Resistance: 2017 - 2021
India: National Action Plan on Antimicrobial Resistance (NAP-AMR) 2017 – 2021
Indonesia: National Action Plan on Antimicrobial Resistance: Indonesia 2017-2019
Iraq: Iraq Action Plan of Antimicrobial Resistance (2018-2022)
Ireland: Ireland's National Action Plan for Antimicrobial Resistance 2017-2020 (iNAP)
Japan: National Action Plan on Antimicrobial Resistance (AMR) 2016-2020
Jordan: National Action Plan to Combat Antimicrobial Resistance In Hashemite Kingdom of Jordan (2018-2022)
Kenya: Kenyan National Antimicrobial Stewardship Guidelines for Health Care Settings
Libya: Libyan national action plan on antimicrobial resistance 2019-2023
Malaysia: Malaysian Action Plan on Antimicrobial Resistance
Mozambique: Situational Analysis and Recommendations: Antibiotic Use and Resistance in Mozambique
Philippines: Philippine Action Plan to Combat Antimicrobial Resistance: One Health Approach
Sri Lanka: Sri-Lanka National Strategic Plan for Combating Antimicrobial Resistance in 2017 – 2022
Singapore: National Strategic Action Plan on Antimicrobial Resistance 2017
South Korea: South Korea One Health Antibiotic Resistant Bacteria Multi-department Joint Response Program Operation Management Regulations (행정규칙 > 본문)
Sweden: Swedish strategy for against antibiotic resistance 2020-2023 (Original: “Svensk strategi för arbetet mot antibiotikaresistens 2020–2023")
Thailand: Thailand’s National Strategic Plan on Antimicrobial Resistance 2017-2021
Uganda: Uganda Antimicrobial Resistance National Action Plan 2018-2023
United Kingdom: Tackling antimicrobial resistance 2019–2024: The UK’s five-year national action plan
United States: National Action Plan for Combatting Antibiotic Resistance Bacteria 2020-2025
US National Antimicrobial Resistance Monitoring System (NARMS):
Zambia: Zambia’s Integrated Antimicrobial Resistance Surveillance Framework 2020
Zimbabwe: The Zimbabwe One Health Antimicrobial Resistance National Action Plan, 2017-2021
More Resources
ReAct, a major NGO working to mitigate AMR, also has a webpage highlighting One Health and AMR NAPs here.
A bibliography of scholarly, non-governmental, and governmental materials on One Health AMR Action Plans can be found here.
Alvin Qijia Chua, Monica Verma, Li Yang Hsu, Helena Legido-Quigley, An analysis of national action plans on antimicrobial resistance in Southeast Asia using a governance framework approach, The Lancet Regional Health - Western Pacific, Volume 7, 2021, doi.org/10.1016/j.lanwpc.2020.100084.
Munkholm L, Rubin O, Bækkeskov E, Humboldt-Dachroeden S. Attention to the Tripartite's one health measures in national action plans on antimicrobial resistance. J Public Health Policy. 2021 Jun;42(2):236-248. doi: 10.1057/s41271-021-00277-y. Epub 2021 Feb 17. PMID: 33597731.
Webpage last updated 5-15-24
This information was compiled by Dr. Neil Vezeau and the One Health Commission. The One Health Commission and any other creator(s) of this webpage claim no ownership of works cited, hyperlinked, or otherwise included herewithin. Copyrights of such works belong to their respective owners. The inclusion of such works on this webpage is covered by fair use doctrine under United States Federal law.
