# Strengthening antimicrobial resistance policies: lessons from the design and implementation phase of the EU-JAMRAI 2 Sustainability Guidance Tool

## TL;DR

This paper discusses how the EU-JAMRAI 2 project created a tool to help sustain antimicrobial resistance policies by aligning them with national plans and improving governance and financing.

## Contribution

The paper introduces a Sustainability Guidance Tool that enhances long-term AMR policy integration and implementation through iterative alignment with national strategies.

## Key findings

- The Sustainability Guidance Tool supports embedding AMR solutions into national systems through iterative revision.
- Early lessons show the importance of aligning with National Action Plans to strengthen policy integration and governance.
- Collaboration across 120 partners helps create scalable, One Health-aligned AMR solutions.

## Abstract

Antimicrobial resistance (AMR) threatens global health and requires sustained, integrated responses beyond short-term initiatives. EU-JAMRAI 2 mobilises over 120 partners to produce scalable solutions aligned with One Health priorities. To ensure long-term uptake, the French Ministry of Health developed a Sustainability Guidance Tool (SGT) supporting work packages in defining priority outcomes, anticipating risks, and embedding results into national systems. This dynamic approach, based on iterative revision and alignment with National Action Plans (NAPs), strengthens governance, financing, monitoring, and policy integration. By summarising early lessons from design and implementation, this article informs future transnational AMR policy planning and sustainability strategies.