Public, Private and Public-Private Partnerships (PPP) to Implement a One Health Approach to Combat Antimicrobial Resistance in Colombia

The establishment of public-private partnerships (PPPs) within Colombia, Latin America, is a recent, innovative effort within the nation’s agricultural industry to tackle antimicrobial resistance (AMR) under a One Health approach. PPPs are a formal alliance between representatives from the public and private sectors that aim to promote cross-sectoral collaboration, stewardship and accountability. Members agree on shared objectives and responsibilities, resources and risks to establish monitoring, prevention and mitigation activities against AMR within the farming industry. Key learnings of this initiative within the context of Colombia include: maximisation of results when monitoring is assigned to the private sector, and this may apply to other lower-middle-income countries (LMICs); objectives are better achieved when they are pre-defined according to time, budget and human resource constraints of member institutions; and confidentiality agreements must be consistent with the sensitive nature of surveillance information. Barriers to implementation were also identified, such as frequent changes of government personnel at decision making levels that make governance planning and adaptation challenging, while legal formalities and bureaucracy hinder formalisation of agreements. The success of this PPP is a useful example for other LMICs to aid in the control and prevention of animal diseases, promotion of food safety and reduction in poor animal health which limit commerce, while at the same time, minimising production loss and ensuring the provision of a fair income for producers.