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

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

JOURNAL=Frontiers in Public Health

VOLUME=Volume 11 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1138645

DOI=10.3389/fpubh.2023.1138645

ISSN=2296-2565

ABSTRACT=Antimicrobial resistance (AMR) surveillance systems involve multiple stakeholders and multilevel standard operating procedures, which increase in complexity with further integration of the One Health (OH) concept. AMR is a OH challenge. It is crucial for the success of an AMR surveillance system to evaluate its performance in meeting the proposed objectives, while complying with resource restrictions. The OH-EpiCap tool was created to evaluate the degree of compliance of hazard surveillance activities with essential OH concepts across there dimensions: organization, operational activities, and impact of the OH surveillance system.
To present feedback on the application of the OH-EpiCap from a user’s perspective, the tool was used to evaluate nine national AMR surveillance systems, each with different monitoring contexts and objectives. The OH-EpiCap tool was assessed using the updated CoEvalAMR methodology. This methodology evaluates the content themes and functional aspects of the tool in a standardized way, while it also captures the user’s subjective experiences in using the tool via a strengths, weaknesses, opportunities, and threats (SWOT) approach. 
The results of the evaluation of the OH-EpiCap are presented and discussed. The OH-EpiCap is an easy-to-use tool, which can facilitate a fast macro-overview of the application of the OH concept to a surveillance activity, when used by specialists in the matter, serving as a basis for the discussion of possible adaptations of AMR surveillance activities, or targeting areas that may be further investigated using other pre-established tools.