Two people standing at a pharmacy counter facing a pharmacist who is speaking to them
Credit:

Luuk Rombouts, Ideo / Wellcome

Medical advice given in a community pharmacy in Bangalore, India

Report summary

From evidence to progress: renewed global governance on AMR

Antimicrobial resistance (AMR) threatens the effectiveness of modern medicine and poses a growing risk to global health. Despite progress in research, surveillance and national action plans, the global response remains fragmented and lacks the coordination needed to drive lasting change.

In 2024, the UN General Assembly High-Level Meeting on AMR marked a pivotal moment, calling for a reformed and reinvigorated global governance system. This report outlines how new and existing governance structures can work together to drive sustainable, evidence-based action on AMR.  

Credit:

Luuk Rombouts, Ideo / Wellcome

Medical advice given in a community pharmacy in Bangalore, India

Published:
18 September 2025
Strategic programme:
What's inside:
This report outlines the governance model that is required to support sustainable and impactful action on AMR at national, regional and global levels
Who this is for:
Policymakers
Creative commons:

Summary 

Wellcome's vision is for a global governance system that is:

  • evidence-led - using research to guide priorities and track progress
  • inclusive - supporting countries with the highest AMR burden and addressing global power imbalances
  • integrated - aligning AMR with broader global health agendas

The full report provides a more detailed exploration of how each of the following governance functions should work together and contribute to a stronger global response to AMR:

  • Independent Panel on Evidence for Action against AMR (IPEA)
  • Global Leaders Group on AMR (GLG)
  • AMR Multi-Stakeholder Partnership Platform (MSPP)
  • Quadripartite and Joint Secretariat
  • Biennial AMR Ministerial Meetings

Key messages 

Conclusion 

A renewed global governance system is essential to tackling AMR effectively. 

With clearly defined roles, the system must prioritise support for countries with the highest AMR burden. It must also ensure that evidence is firmly embedded into decision making, and that AMR is integrated into broader health agendas. 

With the right structures in place, global action on AMR can be more inclusive, impactful and sustainable.

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