Understanding what citizens think about Antimicrobial Resistance: Deliberative Polling® in six middle-income countries
Abstract
Background The pandemic of antimicrobial resistance (AMR) will only be mitigated by policy action and innovation and importantly, supported by local and community action. With the United Nations General Assembly high level meeting on AMR taking place in September 2024, we decided to ascertain citizens’ understanding of the issues and prioritisation for action. Methods From June to August 2024, while intergovernmental negotiations on the outcome document were taking place, we used Deliberative Polling ® , a methodology founded on deliberative democratic theory, in six middle income countries across three continents to explore people’s understanding and support for 45 policies that were likely to feature in the political declaration. Results In total 2419 participants were randomised to deliberation intervention (written and video information, facilitated online small group discussions, and expert plenary sessions) or control groups who only completed the pre- and post-deliberation surveys. Support increased significantly through deliberation for 3/4 of the proposals (>90% for 2/3), as well as on knowledge about AMR and internal political efficacy. Proposals relating to infection prevention were most heavily supported across all six countries. We found regional variation in support for proposals relating to informal antibiotic access and the use of antibiotics in food production, with less support for selected proposals from South America. Conclusions Deliberative polling is a…
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 2,419 participants or records.
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