The glocalization of antimicrobial stewardship

Area of Science:

• Public Health
• Global Health Policy
• Infectious Disease Management

Background:

• Antimicrobial resistance (AMR) poses a significant global health threat.
• Current global governance debates on AMR often emphasize centralized, binding regulations.
• The complexity of AMR requires diverse governance approaches.

Purpose of the Study:

• To introduce glocal governance as a valuable perspective in the AMR debate.
• To critically assess the limitations of solely focusing on global governance regimes for AMR.
• To advocate for a balanced approach that integrates global and local strategies.

Main Methods:

• Conceptual analysis of governance frameworks.
• Review of existing literature on global health governance and AMR.
• Argumentative commentary based on theoretical insights.

Main Results:

• Glocal governance provides a nuanced understanding of AMR challenges.
• Overemphasis on global binding regimes may overlook local contexts and capacities.
• A multi-level governance approach is likely more effective for AMR containment.

Conclusions:

• Glocal governance enriches the discourse on antimicrobial resistance.
• Flexible, context-specific strategies are crucial alongside global coordination.
• Future AMR governance should embrace a combination of global and local action.