Coordination Capacity and Performance in Fighting Antimicrobial Resistance

Artikel i vetenskaplig tidskrift, 2026

We explore the role of horizontal and vertical coordination in the governance of the work against antimicrobial resistance (AMR). We describe AMR as largely a coordination problem and develop a typology of coordination mechanisms. The empirical analysis draws on a series of interviews with senior AMR experts across Europe. The interviews highlight the substantial governance challenges in vertical and horizontal coordination in many countries. Experts in high-resource countries suggest incremental improvements to governance structures and the cultivation of personal relationships as a response to the coordination challenge. Experts from low- and middle-income countries point to centralization as the solution.