Convergence in evaluation frameworks for integrated surveillance of AMR (CoEval-AMR)

Lead Research Organisation: Royal Veterinary College
Department Name: Pathobiology and Population Sciences

Abstract

Antimicrobial resistance (AMR) is the ability of a microorganism (e.g. bacteria, parasites, viruses) to stop responding to an antimicrobial drug (e.g. antibiotics, antiparasitic or antiviral drugs) that previously treated them effectively. As a result, standard treatments become ineffective in people and animals with serious welfare and economic consequences. Resistant microorganisms and genes can be found in humans, animals and the environment. To understand better the evolution, emergence and behaviour of AMR and help informing decision-making for national, regional, and global solutions, it is important to have cost-effective surveillance systems. Surveillance in this context is the continuous, systematic collection, analysis and interpretation of health-related data for health decision-making.
Because of the complexity of the problem, various international organisations have called for collaboration across human, animal, and environmental sectors and adoption of a "One Health" approach. Several integrated surveillance strategies exist globally but their effectiveness and economic efficiency remain to be evaluated. Therefore, the aim of the Network "Convergence in evaluation frameworks for integrated surveillance of AMR" is to develop guidance for a harmonised evaluation framework that will address the specific needs of integrated surveillance systems for AMR. The use of this evaluation framework will help to understand what works and does not work in AMR surveillance and thereby help to set up improved, cost-effective surveillance for AMR. To elaborate this evaluation framework, we will bring together international experts in the field who have long-standing experience in surveillance, AMR and/or evaluation. We will organise two main scientific workshops to review and discuss existing evaluation frameworks and approaches. In the process, we will identify gaps and areas for improvements and we will work towards an agreed evaluation framework. In a next step, protocols and written guidance will be developed and made publicly available through an existing online website used for surveillance evaluation (SurvTools: https://survtools.org). Results will allow understanding the value of cross-sectoral, integrated surveillance for AMR, and help policy makers make decisions on how to invest resources for surveillance.

Technical Summary

Antimicrobial resistance (AMR) constitutes a serious risk to health worldwide and has major economic impacts. Resistance genes are present in humans, animals and the environment and bacteria carrying resistance genes can spread between them. This needs to be considered when designing integrated AMR surveillance strategies to identify emerging resistance, understand the AMR epidemiology, and plan and evaluate policies for AMR mitigation.
An integrated approach to surveillance spanning different sectors has been promoted by international organisations for more than a decade and constitutes a central recommendation of the WHO action plan on AMR. The aim of the Network "Convergence in evaluation frameworks for integrated surveillance of AMR" is to develop guidance for a harmonised evaluation framework that will address the specific needs of integrated, One Health surveillance systems for AMR. Two main scientific workshops will be used to build on researchers' experience and expertise with learning, exchange and protocol development in small working groups between workshops. Strengths, gaps, and opportunities of existing evaluation approaches will be identified with the view to work towards harmonisation and standardisation. In the first workshop, agreement will be sought on the elements to include in an evaluation framework for AMR. Protocols and written guidance will be developed and made publicly available through an existing online website used for surveillance evaluation (SurvTools: https://survtools.org). Future application of the evaluation framework to AMR surveillance systems will result in information that will allow understanding the potential value of integrated surveillance for AMR, and comparing integrated surveillance strategies across countries in order to identify the most cost-effective approaches for surveillance policy.

Planned Impact

One of the key elements for a better understanding and management of AMR is to develop efficient and effective integrated AMR surveillance systems that take into account the complex epidemiology of AMR and consider the impacts on humans, animals and the environment. While several (partly) integrated surveillance systems for resistance in microorganisms and/or use of antimicrobials have been developed in several countries, the effectiveness of these integrated systems and their socio-economic value have not yet been formally evaluated. Consequently, there is a risk that resources are not used efficiently and that opportunities are missed to create better information for the targeted and effective management of AMR. By bringing together multiple existing frameworks and approaches and assessing their usefulness and validity, the Network will produce a set of harmonised protocols and supporting guidance to evaluate the performance and value of AMR integrated surveillance systems. This topic is of growing importance globally, and our results will contribute to this new and dynamic field of research on OH evaluation and metrics.
The application of the novel, harmonised guidance for evaluation of integrated AMR surveillance systems nationally and internationally in the mid-term will allow working towards a database/compilation of case studies that demonstrates what works and does not work in AMR surveillance. Consequently, in the mid to long term, such work will allow identifying areas for improvement and offer an opportunity for changes that may increase the effectiveness and efficiency of integrated AMR surveillance.
The knowledge produced in the long-term is expected to lead to improved health of populations by allowing the identification and prioritisation of effective and efficient integrated surveillance strategies for AMR. The need for better evidence on the value of OH surveillance has been underlined by public health decision-makers and their technical advisors.

Publications

10 25 50
 
Description Convergence in evaluation frameworks for integrated surveillance of AMR and AMU, CoEval-AMR PHASE 2
Amount € 148,300 (EUR)
Organisation European Commission 
Sector Public
Country European Union (EU)
Start 01/2021 
End 12/2022
 
Description SCIENSANO RESEARCH PROJECT CALL SRP-2019
Amount € 220,000 (EUR)
Organisation Sciensano 
Sector Public
Country Belgium
Start  
 
Title Choosing an evaluation framework for surveillance of antimicrobial resistance and/or antimicrobial use 
Description The consortium identified, mapped and analysed existing evaluation frameworks/tools for surveillance of antimicrobial resistance (AMR) and/or antimicrobial use (AMU). Each tool was ranked (based on their content/questions) according to six thematic categories. This ranking was used to generate an algorithm for users who want conduct an evaluation of surveillance for AMR/AMU. Users answer questions on their priorities and the algorithm displays the evaluation tools that are closest to the priorities set by the user. This is complemented by feedback from users of these tools that commented on different levels of functionality of these tools. Moreover, additional general evaluation guidance is provided to the user to facilitate the planning, designing and implementation of evaluation of surveillance of AMR/AMU. The guidance contains a section on evaluation in general, an overview of existing tools in relation to a theory of change of AMU/AMR surveillance, the decision support algorithm, and a section on user experiences when applying different tools. The online guidance is supported by a range of instructional videos so that users can learn about the evaluation of AMU/AMR surveillance in an easily accessible way. 
Type Of Material Computer model/algorithm 
Year Produced 2020 
Provided To Others? Yes  
Impact The evaluation guidance aims to provide support towards the evaluation of One Health surveillance systems for AMR and AMU to any individuals or organisations that need to evaluate their surveillance approach. Potential end-users and stakeholders groups that will benefit from our final output is the personnel working in public, private and non-governmental organizations, from public health, animal health, plant health, environmental health, at local, national and international levels. The guidance and related material are freely accessible online on the CoEval-AMR Network website. Its use can help inform decisions on relevant surveillance and help to control AMR. We have reached out to various experts working in the field for structured feedback and have received positive comments. In terms of the impact on end users, we haven't collected the relevant information yet, but will aim to do so in Phase 2. The development of the algorithm has generated new expertise in the consortium through the research activities. Thus, there is a wider pool of expertise than before. 
URL https://guidance.fp7-risksur.eu/
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation Animal and Plant Health Agency
Country United Kingdom 
Sector Public 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation Danish Agriculture and Food Council
Country Denmark 
Sector Public 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation French Agricultural Research Centre for International Development
Country France 
Sector Private 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation Friedrich Loeffler Institute
Country Germany 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation GD Animal Health
Country Netherlands 
Sector Private 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation Norwegian Veterinary Institute
Country Norway 
Sector Private 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation Safoso AG
Country Switzerland 
Sector Private 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation Sokoine University of Agriculture
Country Tanzania, United Republic of 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation Technical University of Denmark
Country Denmark 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation University Libre Bruxelles (Université Libre de Bruxelles ULB)
Country Belgium 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation University of Bern
Country Switzerland 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation University of Copenhagen
Country Denmark 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation University of Ghent
Country Belgium 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation University of Greifswald
Country Germany 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation University of Liege
Country Belgium 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation University of Montreal
Country Canada 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation University of Surrey
Country United Kingdom 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation University of Turin
Country Italy 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Consortium "Convergence in evaluation frameworks for integrated surveillance of AMR" (CoEval-AMR) 
Organisation University of Zurich
Country Switzerland 
Sector Academic/University 
PI Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. As the PI of this consortium, I provided expertise on surveillance and One Health evaluation, coordination, management, and administrative support; others in our institutional research group provided technical expertise on antimicrobial resistance and use, surveillance, and surveillance evaluation.
Collaborator Contribution This consortium was established through the grant to develop guidance for harmonised evaluation of integrated AMU and AMR surveillance from a One Health perspective that addressed the specific needs of such surveillance systems. We created five working groups (WGs) and worked towards this goal in multiple workshops, missions, online meetings, and through individual work. Everybody in the consortium contributed to this endeavour in different capacities in a collaborative effort. Collaborators from the 21 different partner institutions listed provided technical expertise on antimicrobial resistance and use, surveillance, One Health, public health (including veterinary public health), intervention, epidemiology, food safety, economics and evaluation. Moreover, several consortium members had developed or were experienced with evaluation frameworks for surveillance. They also had knowledge on their national contexts as well as international dynamics. Everybody contributed intellectual input, expertise, and training where applicable to develop the guidance for the evaluation of surveillance for antimicrobial use and resistance.
Impact Joint development of online guidance including new algorithm for framework selection, engagement events, instructional videos, conference presentations and publications. The consortium is interdisciplinary and includes the following disciplines: economics, epidemiology, food safety, veterinary public health, microbiology, evaluation, medicine.
Start Year 2019
 
Description Convergence in evaluation frameworks for integrated surveillance of antimicrobial use (AMU) and resistance (AMR): Development of evaluation guidance 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact This consortium workshop was used to assess and discuss progress made, gain feedback from consortium members as well as representatives from third sector representatives and decision makers. Participants presented information generated since inception, invited and gave feedback. The proposals for the evaluation guidance were discussed and consensus reached on its content, presentation and dissemination.
Year(s) Of Engagement Activity 2020
 
Description Getting acquainted with FAO´s Progressive Management Pathway for AMR 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact Permission was received by the consortium to use the FAO progressive management pathway (FAO PMP) in its work on assessing evaluation tools for surveillance of antimicrobial resistance and use. A workshop between consortium members and representatives from FAO was held to get acquainted with the FAO Progressive Management Pathway tool and the FAO ATLASS tool and to develop common ideas about how to apply these tools in case studies.
Year(s) Of Engagement Activity 2019
 
Description Inception meeting for consortium Convergence in evaluation frameworks for integrated surveillance of AMR (CoEval-AMR) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact Inception meeting for consortium Convergence in evaluation frameworks for integrated surveillance of AMR (CoEval-AMR). Presentations by participants to share, compare and discuss current evaluation frameworks, approaches, methods & metrics for integrated AMR surveillance. Structured discussions were held to identify synergies and duplication in existing frameworks, and to describe key gaps and challenges to move forward in developing a harmonized approach. Critical elements for inclusions in the development of guidance were discussed and participants elaborated a work plan for the year ahead.
Year(s) Of Engagement Activity 2019
 
Description Instructional videos to support the content and use of the CoEvalAMR guidance 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact The online guidance developed is supported by a range of instructional videos so that users can learn about the evaluation of AMU/AMR surveillance in an easily accessible way. The evaluation guidance provides support to personnel working in public, private and non-governmental organisations working to protect the health of humans, animals, plants and the environment at local, national and international levels through AMU/AMR surveillance. The videos complement the guidance website and assist users in understanding the evaluation of AMU and/or AMR surveillance and the resource. They include the following: promotion of the guidance website, signposting the guidance website, background, current evaluation tools, example of decision support use and case studies. User engagement with and feedback on these videos is yet to be explored.
Year(s) Of Engagement Activity 2020
URL https://www.youtube.com/channel/UCIJIaV-o8xUs8DWcqnjt6-g
 
Description Understanding the evaluation of AMU and AMR surveillance and choosing the right evaluation tool 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A webinar was held by consortium members in 2021 to summarise the activities and products / outputs produced in the first phase of the CoEvalAMR project. At the same time, the webinar was linked to the first workshop of the second phase of the CoEvalAMR project, led by the University of Montreal, Canada. At the time of the webinar, the CoEvalAMR network included more than 30 members from 16 countries, mainly with expertise in AMR/AMU surveillance in animal and human health, veterinary epidemiology, surveillance evaluation and One Health. The webinar was targeted at people working in AMU and AMR surveillance. The webinar generated interest by people who wanted to become part of the second phase of the CoEvalAMR project.
Year(s) Of Engagement Activity 2021
URL https://www.youtube.com/watch?v=armfNwGSBnw