Users' perception of the OH-EpiCap evaluation tool based on its application to nine national antimicrobial resistance surveillance systems

Pedro Moura, Lucie Collineau*, Marianne Sandberg, Laura Tomassone, Daniele De Meneghi, Madelaine Norström, Houda Bennani, Barbara Häsler, Mélanie Colomb-Cotinat, Clémence Bourély, Maria-Eleni Filippitzi, Sarah Mediouni, Elena Boriani, Muhammad Asaduzzaman, Manuela Caniça, Cécile Aenishaenslin, Lis Alban

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Introduction: Antimicrobial resistance (AMR) is a One Health (OH) challenge. To achieve or maintain an effective and efficient AMR surveillance system, it is crucial to evaluate its performance in meeting the proposed objectives, while complying with resource restrictions. The OH-EpiCap tool was created to evaluate the degree of compliance of hazard surveillance activities with essential OH concepts across the following dimensions: organization, operational activities, and impact of the surveillance system. We present feedback on the application of the OH-EpiCap tool from a user’s perspective, based on the use of the tool to evaluate nine national AMR surveillance systems, each with different contexts and objectives.

Methods: The OH-EpiCap was assessed using the updated CoEvalAMR methodology. This methodology allows the evaluation of the content themes and functional aspects of the tool and captures the user’s subjective experiences via a strengths, weaknesses, opportunities, and threats (SWOT) approach.

Results and Discussion: The results of the evaluation of the OH-EpiCap are presented and discussed. The OH-EpiCap is an easy-to-use tool, which can facilitate a fast macro-overview of the application of the OH concept to AMR surveillance. When used by specialists in the matter, an evaluation using OH-EpiCap can serve as a basis for the discussion of possible adaptations of AMR surveillance activities or targeting areas that may be further investigated using other evaluation tools.
Original languageEnglish
Article number1138645
JournalFrontiers in Public Health
Volume11
Number of pages9
DOIs
Publication statusPublished - 2023

Bibliographical note

This study was funded by the Canadian Institutes for Health Research through the Joint Programming Initiative on Antimicrobial Resistance (JPIAMR). The Portuguese case study was supported by funding from the European Union’s Horizon 2020 Research and Innovation programme under grant agreement No 773830: One Health European Joint Programme (MATRIX project).

Keywords

  • One Health
  • Antimicrobial resistance
  • Antimicrobial consumption monitoring
  • System evaluation
  • Surveillance system

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