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Brazil's response to antimicrobial resistance (AMR): institutionalization and governance during public health crises

Abstract

Antimicrobial resistance is a growing global health threat in which microorganisms such as fungi, bacteria, viruses and parasites experience genetic changes and fail to respond to drugs that are used for the treatment of infections. The increase of resistance makes a wide variety of infections difficult to treat, resulting in higher morbidity and mortality rates, increased risk of emergency of new pathogens, and a greater burden for people and health services. This project will use a descriptive-exploratory case study methodology to analyze Brazil's response to the strategy of control and prevention of AMR in three stages: (A) To investigate the compliance with WHO guidelines, which consisted of a process of mimicry of international guidelines; (B) To analyze the process of implementation of actions in the country; (C) To generate lessons for public management in Brazil. Data collection will consist of a literature review on the strategies to control AMR in order to identify models of financing, organization, governance and care of the health systems to AMR. Thereafter, the Brazilian context will be analyzed, considering the public-private mix, and the tripartite and decentralized management of health actions and services. The study will contribute to a better understanding of the challenges for implementing policy interventions related to AMR. This information will serve to inform the progress of the BR-NAP, and the strengthening of the strategy in Brazil and propose lessons for Global South countries (AU)

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