From governance analysis to practice: Integrating the environmental dimension into national One Health AMR strategies

Event Type
Session

Location / Date
Lisbon, Portugal, 05.09.2026

Organizer

German Institute of Development and Sustainability (IDOS), Dahdaleh Institute of Global Health Research, York University (DIGHR), International Centre for Antimicrobial Resistance Solutions (ICARS), Antimicrobial Resistance Multi-Partner Trust Fund (AMR-MPTF), French Agricultural Research Centre for International Development (CIRAD)

Antimicrobial resistance (AMR) is a defining One Health challenge. While human-animal health coordination has advanced through integrated surveillance and stewardship, the environmental dimension – regarding wastewater and waste management, agri-food- systems, and urbanizing landscapes – remains weakly integrated in national strategies to tackle AMR. Yet, environmental factors play a crucial role in the emergence and transmission of AMR, with disproportionate exposure of populations and ecosystems in low- and middle-income countries (LMICs). The 2024 UN Political Declaration on AMR strengthens One Health commitments but acknowledges that the environmental dimension requires further operationalization, making governance research on this pillar both timely and urgent.

This session brought together governance researchers, epidemiologists, and practitioners to address this gap. Insights from recent governance research on environmental AMR across four countries provided input for policy reflections at multiple levels. The case studies on Cambodia and Senegal examined barriers and opportunities for integrating environment and equity into AMR strategies through two complementary analytical perspectives – Polycentric Governance and Urban Political Ecology – while evidence from Cameroon and Tanzania drew lessons from tested technical and policy interventions to mitigate the environmental spread of AMR. These research insights were set in dialogue with global and national policy perspectives from policy decision makers at global and national levels, bridging analysis, multilateral governance, and country-level practice across all three One Health sectors.

Objectives of the session were:

(i) understand why environmental integration remains challenging in national AMR governance and which technical and institutional factors determine progress; and

(ii) identify governance entry points for embedding environmental and equity dimensions into One Health policy solutions.

14:00 – 14:08 Dr. Raphael Aguiar (GIZ) Welcome and Introduction
Background and conceptual framing

14:09 – 14:18 Ms. Jacqueline Alvarez, (QJSAMR) Keynote (video recorded) 
Global governance landscape of AMR

14:19 – 14:40 Insights from research on governance of AMR in the environment 
Dr. Marion Bordier, CIRAD: Towards a socio-ecosystemic response to antibiotic resistance in Senegal 
Dr. Srinivasa Srigiri, IDOS: Institutional analysis for environmental integration in AMR strategies of Cambodia 
Dr. Sunday Ochonu Ochai, ICARS: Interventions to mitigate the environmental spread of antimicrobial resistance in Tanzania

14:40 – 15:25 Panel discussion 
Moderator: Dr. Srinivasa Srigiri 
Questions to Panellists and Open Q&A 

1. Mr. Sophal Laska, Director, Department of Hazardous Substance Management, General Directorate for Environmental Protection, Ministry of Environment, Royal Government of Cambodia 
2. Dr. Mouhamadou Moustapha Sow, Université Gaston Berger, Senegal 
3. Ms. Bruna Coelho Lopes, Federal University of Menas Gerais/ Fundação Christiano Ottoni, Brazil 

Open Q&A with audience

15:25 – 15:30  Wrap up by Dr. Raphael Aguiar

Hinweis

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