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Article

Understanding the Implementation of Antimicrobial Policies: Lessons from the Hong Kong Strategy and Action Plan

School of Public Health, University of Hong Kong, Hong Kong, China
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Academic Editor: Albert Figueras
Antibiotics 2022, 11(5), 636; https://doi.org/10.3390/antibiotics11050636
Received: 25 March 2022 / Revised: 30 April 2022 / Accepted: 6 May 2022 / Published: 10 May 2022
In 2017, the Hong Kong Strategy and Action Plan on Antimicrobial Resistance 2017–2022 (HKSAP) was announced with the aim of tackling the growing threat of antimicrobial resistance (AMR) in Hong Kong. However, little is known about how the planned activities have been implemented. In this study, we examine the status of implementation of the HKSAP using the Smith Policy Implementation Process Model. Semi-structured interviews with 17 informants found that important achievements have been made, including launching educational and training activities targeting the public, farmers, and healthcare professionals; upgrading the AMR surveillance system; and strengthening AMR stewardship and infection control. Nevertheless, participants also identified barriers to greater implementation, such as tensions across sectors, ongoing inappropriate drug use and prescription habits, insufficient human and technical resources, as well as a weak accountability framework. Environmental factors such as the COVID-19 pandemic also affected the implementation of HKSAP. Our study indicated that expanding engagement with the public and professionals, creating a collaborative environment for policy implementation, and building a well-functioning monitoring and evaluation system should be areas to focus on in future AMR policies. View Full-Text
Keywords: antimicrobial resistance; policy implementation; Hong Kong; national action plan; One Health antimicrobial resistance; policy implementation; Hong Kong; national action plan; One Health
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MDPI and ACS Style

Song, M.; Deng, Z.; Chan, O.; Grépin, K.A. Understanding the Implementation of Antimicrobial Policies: Lessons from the Hong Kong Strategy and Action Plan. Antibiotics 2022, 11, 636. https://doi.org/10.3390/antibiotics11050636

AMA Style

Song M, Deng Z, Chan O, Grépin KA. Understanding the Implementation of Antimicrobial Policies: Lessons from the Hong Kong Strategy and Action Plan. Antibiotics. 2022; 11(5):636. https://doi.org/10.3390/antibiotics11050636

Chicago/Turabian Style

Song, Mingqi, Ziru Deng, Olivia Chan, and Karen Ann Grépin. 2022. "Understanding the Implementation of Antimicrobial Policies: Lessons from the Hong Kong Strategy and Action Plan" Antibiotics 11, no. 5: 636. https://doi.org/10.3390/antibiotics11050636

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