Users’ perception of the OH-EpiCap evaluation tool based on its application to nine national antimicrobial resistance surveillance systems

Moura, Pedro; Collineau, Lucie; Sandberg, Marianne; Tomassone, Laura; Meneghi, Daniele De; Norström, Madelaine; Bennani, Houda; Colomb-Cotinat, Mélanie; Bourély, Clémence; Filippitzi, Maria-Eleni; Mediouni, Sarah; Boriani, Elena; Asaduzzaman, Muhammad; Caniça, Manuela; Aenishaenslin, Cécile; Alban, Lis

doi:10.3389/fpubh.2023.1138645

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…As stated in the Introduction, a full review of OH-EpiCap is presented in a separate paper reporting from nine case studies, all using the CoEvalAMR user’s perspective methodology ( 22 , 32 ) focusing on the functional aspects and content themes as well as a SWOT-like analysis to provide feedback on the application of the OH-EpiCap ( 21 ).…”

Section: Resultsmentioning

confidence: 99%

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Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case study

Moura,

Borck Høg,

Alban

et al. 2023

Front. Public Health

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Antimicrobial resistance (AMR) is considered a One Health (OH) challenge, ideally demanding concerted efforts from the animal, human and environmental side. DANMAP, the Danish Integrated Antimicrobial Resistance Monitoring and Research Program, is monitoring AMR and antimicrobial use in animals and humans. OH-EpiCap is an evaluation tool, developed to address essential elements in OH surveillance systems, such as the dimensions of the organization, operational activities and the impact of the surveillance activities. We aimed to evaluate DANMAP using OH-EpiCap and hereby assessed the suitability of OH-EpiCap to evaluate integrated AMR surveillance systems. During the evaluation, the strengths and weaknesses of DANMAP concerning the “OH-ness” of the program were discussed. Furthermore, possible adaptations of the standard operating procedures and governance structure were addressed. Attention was paid to the ability and easiness of DANMAP to cope with current and future challenges connected to integrated AMR surveillance. It was concluded that DANMAP has a strong OH approach covering relevant aspects for humans and animals, whereas environmental aspects are missing. OH-EpiCap proved to be straightforward to use and provided valuable insights. The authors recommend OH-EpiCap to be used by health authorities and stakeholders. It is not suitable for the technical evaluation of a surveillance program.

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Section: Resultsmentioning

confidence: 99%

“…To provide guidance in choosing among evaluation tools for AMU and AMR surveillance systems, an international network called CoEvalAMR was established in 2019 ( 20 ). The CoEvalAMR network has recently evaluated nine AMR surveillance systems using OH-EpiCap ( 21 ). This case study is part of the aforementioned work.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the OH-EpiCap tool using the Danish integrated surveillance program for AMU and AMR as a case study

Moura,

Borck Høg,

Alban

et al. 2023

Front. Public Health

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“…Concerning the current evaluation using the OH-EpiCap tool, we found the tool easy to use and that the generated outputs were valuable for further discussions. A thorough evaluation of the OH-EpiCap tool has recently been performed within the JPI CoEval-AMR network [12].…”

Section: Impactmentioning

confidence: 99%

“…The evaluation was initiated within the JPI network, "Convergence in evaluation frameworks for integrated surveillance of AMR, (CoEval-AMR PHASE2)", when the consortium had the opportunity to use a beta version of this tool, both for assessment of the tool [11,12] and to perform a full evaluation of the OH-ness of the AMR in several case studies. In the present study, we report on the evaluation of the surveillance of AMR in Norway.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the One Health-Ness of 20 Years of Antimicrobial Resistance Surveillance in Norway

et al. 2023

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We evaluated the One Health-ness (OH-ness) of the surveillance system for antimicrobial resistance (AMR) in Norway by using the recently developed “Evaluation tool for One Health epidemiological surveillance capacities and capabilities” (OH–EpiCap tool). First, we defined the Norwegian AMR surveillance system that we would evaluate. The tool was applied by a group of stakeholders (key persons in the Norwegian AMR surveillance programmes and authors of this paper). The evaluation was performed using a consensus approach. The evaluation resulted in an overall OH-ness score of 68% across all three dimensions included in the tool: Organisation, Operation, and Impact. Suggestions for improvement were only indicated within the areas of internal evaluation and operational costs, whereas most of the indicators included in the tool showed good adherence to the One Health principles. By performing this internal evaluation, we recognized that AMR surveillance in the environment needs to be included in a more systematic and standardized way to improve the OH-ness as defined by the quadripartite organisations. Last but not least, it was beneficial to bring key stakeholders together to conduct the evaluation. It increased a joint perception of the OH-ness of AMR surveillance in Norway and encouraged further collaboration in the future.

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Implementation of One Health surveillance systems: Opportunities and challenges - lessons learned from the OH-EpiCap application

Tegegne,

Freeth,

Bogaardt

et al. 2024

One Health

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