Antibiotic resistance in Vietnam: moving towards a One Health surveillance system
The international community strongly advocates the implementation of multi-sectoral surveillance policies for an effective approach to antibiotic resistance, in line with the One Health concept. To comply with these international recommendations, the Vietnamese government has issued an inter-ministerial surveillance strategy for antibiotic resistance, including an integrated surveillance system. However, one may question the ability and willingness of surveillance stakeholders to implement the collaborations required. To assess the feasibility of operationalising this strategy within the national context, we explored the role of key stakeholders in the strategy, as well as their abilities to comply with it.
The study suggests that the operationalisation of the collaborative surveillance strategy requires the full adhesion of stakeholders and the provision of appropriate resources. Based on these findings, we have proposed a guidance framework together with recommendations to move towards a more suitable governance and operational model for One Health surveillance of antibiotic resistance in Vietnam.
To lever and promote successful inter-sectoral collaboration, a participatory “learning by doing” process could be applied to guide, frame and mentor stakeholders through the identification of appropriate levels of collaboration, depending on the expected positive impacts on the value of surveillance.
Authors: Marion Bordier1,2,3* , Aurelie Binot2,4, Quentin Pauchard1,2,3, Dien Thi Nguyen5, Thanh Ngo Trung5, Nicolas Fortané6
and Flavie Luce Goutard2,7,8
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