03 March 2025

Global Antibiotic Policy Initiative (GAPi)

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Project Code 68104077HI004F0
Country
Thailand, United Kingdom of Great Britain and Northern Ireland
Project Duration
Start : 1 October 2024
End : 31 March 2027
Research Status
Ongoing 35%
Complete Research Report
Quantity 2 files
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03 March 2025

Global Antibiotic Policy Initiative (GAPi)

About Project

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Antimicrobial resistance (AMR) is one of the most pressing public health challenges worldwide. AMR occurs when antimicrobials, such as antibiotics, become ineffective against the microorganisms that cause disease. This ineffectiveness can lead to serious infections, increased mortality, and significant economic losses.

The Global Antibiotic Policy Initiative (GAPi) project aims to evaluate which decisions regarding antibiotic exposure targets and intervention implementation are optimal based on available data from the UK and Thailand. This collaborative project is led by City St. George’s, University of London, in partnership with the University of Oxford, the Center for Global Development (CGD), the One Health Trust, and HITAP Thailand, with funding support from the Wellcome Trust [Grant reference number: 304681/Z/23/Z].

In this project, national and global trends in antibiotic exposure will be collected across the quadripartite sectors (work stream 1). Model structures needed to capture the relevant health-economic consequences of intervention implementation will be developed (work stream 2). Current evidence about the parameters required to populate these models will be synthesised (work stream 3) and finally, exposure targets and the implementation of interventions aimed at reducing the AMR burden will be evaluated based on their net monetary benefits (work stream 4). The final GAPi model will involve a cost-effectiveness analysis, supplemented by macroeconomic and value of information techniques, and will help assess when the interventions should be implemented. This model will be adapted for the Thai setting and findings will be shared with regional collaborators.

The HITAP GAPi team would like to acknowledge Chittawan Poonsiri, Aye Nandar Myint, and Thitipanchaya Panya for their contributions to this project.

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