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Globally Coordinated Governance


For collaborations and assistance on governance issues, contact Mengying Ren.

Globally coordinated governance on AMR ensures a sustainable response that takes into account the needs, challenges and priorities of low- and middle-income countries.


Establishing effective global governance will be critical to deliver a long-term, sustained and inclusive response to antibiotic resistance. The issue of globally coordinated governance is therefore expected to be a focus for many governments, foundations, companies and non-governmental organizations over the next decade.

Globally, the tripartite approach to tackle antimicrobial resistance by three UN agencies – the WHO, FAO and OIE – emerged alongside the adoption of the Global Action Plan in 2015. This tripartite collaboration has sought to encourage countries to take up a One Health approach in developing their National Action Plans. In addition, an ad-hoc UN Inter-Agency Coordination Group on Antimicrobial Resistance (IACG), was established in 2016 through the adoption of the UN Political Declaration on Antimicrobial Resistance. The IACG has been charged with assessing gaps and provide recommendations for a sustained global response.

While progressing, the work of the IACG has suffered from lack of sufficient financial and human resources. Furthermore, critical UN agencies beyond the tripartite have not yet been fully engaged and LMICs have not been able to sufficiently influence discussions in the policy fora that are formulating rules, principles and structures that will govern the international response.

As discussions about future global governance of antimicrobial resistance have now been initated by the IACG and will likely accelerate over the next five years, ReAct’s challenge is to ensure that such discussions take into account the needs, challenges and priorities of low- and middle-income countries in a manner that ensures sustainable access to effective antibiotics.

Participants involved in the WHO technical consultation in Addis Abeba, Ethiopia.

How can ReAct achieve change?

ReAct will work with our partners, networks and through our academic host institutions to express values, principles and components that need to be included in future globally coordinated governance mechanisms.

To influence global discussions, ReAct will capture, generate and make relevant data transparent, while engaging and shedding light on the ongoing policy choices and policy discussions amongst governments, foundations and pharmaceutical companies.

By making such data and policy discussions transparent, ReAct can encourage policy makers to take approaches that does not undermine the public interest, accounts for low- and middle-income countries concerns and follows the principles established in the UN Political Declaration on Antimicrobial Resistance and the Global Action Plan.

What do we want to see?

Sustainable financing is informed by low- and middle-income countries data and established to support work on addressing antibiotic resistance in low- and middle-income countries.

Core UN agencies participate in, and ensure balanced representation and influence of low- and middle-income countries perspectives in global governance discussions and negotiations.

The process to create globally coordinated governance structures is transparent and inclusive in a manner that enables monitoring and evaluation for accountability.