ROADMAP’s ambitious objectives have been achieved. Applying innovative approaches to the topic of AMR has brought substantial results and impact, in particular through the systemic and dynamic framework (food- and drug- chain approach, and transition studies) that we have chosen to bring new light on the AMR issue.
First, we have shown how the structure of food and drug markets is a decisive determinant of antibiotic use (i.e. stakeholders behaviours), as well as the political and institutional factors. Industrial actors, as well as regulatory bodies, have a strong impact on how antibiotics are prescribed, sold and used. It proves that AMR policy should focus more on these levels of the food and drug chain than just the final users. As for farmers and veterinarians, they are very aware of the need to reduce AMU but they integrate this perspective in their own (and variable) professional narratives and experiences, which means that there are different ways of caring, and of being a good farmer and a good vet. The importance of developing and supporting preventive approaches to animal health has also been stressed out. All of this goes beyond the existing literature and will be published in the next months.
Second, the participative approach that we chose in this project also reached great expectations. The Living Labs methodology has brought very innovative outcomes in how engaging with stakeholders and animal health professionals, in a way which is not just a top-down sort of communication which has proved its limits so far. Ex ante impact assessment has been performed in several LLs to co-build transition pathways to prudent AMU that are connected with other important issues depending on local contexts, such as climate change, animal welfare or working conditions of animal health professionnals.
All in all, we believe that the strong potential of the project has been fulfilled, both for scientific and socioeconomic impact. Our three key messages are :
- Systemic improvements drive behavioural change
- Social and economic innovation support technical change
- Tailored solutions allow to take everyone on the journey to prudent AMU