Recommendations summary

These recommendations (see Figure 1) are based on our analyses of in-depth interviews with members of the general public, media and health communications, and the AMR policy settings that address general populations. The recommendations also reflect stakeholder consultations about the research findings and how best to present them. The recommendations are organised by theme, related recommendations and relevant stakeholder agencies and groups. The remainder of the document expands on each research theme in more detail.

AMR research themes
Policy priorities and planningGeneral public narrativesMedia and messaging
  • Develop implementation plans for the promotion of general public awareness and action
  • Use evidence (epidemiological, clinical, social research) to agree priority populations (e.g., older people with chronic illness, parents of children with recurrent ARI, tourists, people from culturally- and linguistically-diverse (CALD) backgrounds)
  • Specify relevant knowledge and behaviour goals for each priority group
  • Use an inclusive social science base for the development of policy and communications (i.e., perspectives from critical health psychology, medical sociology, medical anthropology, media studies, behavioural science and communications)
  • Support policy and communications by stimulating partnerships, translating research findings into policy and plans, creating guidance, and showcasing and sharing effective initiatives
  • Provide patients and carers with advice for health-care while an infection takes its course
  • When antibiotics are not prescribed, provide the patient or carer with an explanation so that they can understand the expected duration of symptoms and how these should be managed
  • When antibiotics are prescribed, explain for the patient or carer what is expected of them, including: prescription compliance; repeat prescriptions; delayed prescribing; when to cease taking antimicrobials; how to dispose of unused prescriptions and antibiotics
  • Message design and delivery should be tailored to antibiotics use contexts, including: pet care, travel, parenting, early intervention, self-care
  • Message design and delivery needs to be meaningful for different publics according to education, science literacy, and Cultural and Linguistic Diversity (CALD)
  • Consistent messaging across prescribers and dispensers will help to preserve trust and minimise perceptions of ‘willy nilly’ doctors
  • Messaging should integrate with digital media used for healthcare (e.g., Google, MyHealth Record)
  • Generate alternative AMR media narratives that provide information about the management of infections and best use of antimicrobials
  • Explain the short and long-term health benefits of antimicrobial stewardship for the individual and the community
  • Explain the interdependence of individual and community health
  • Generate high quality content with consistent messages for use in digital news media and social media
  • Increase resources for communications events (World Antibiotics Awareness Week/Day) to improve their reach and impact for priority general public groups
  • Use and expand the communications evidence-base to improve reach and impact
  • Incorporate existing and emerging peer-to-peer online networking into communications approaches
  • Provide consumer advice for use of online pharmacies that may impact on antimicrobials use
Stakeholders
  • Antimicrobial Resistance Governance Group
  • Australian Strategic and Technical Advisory Group on AMR (ASTAG)
  • Commonwealth and state health departments
  • Australian Commission on Safety and Quality in Healthcare
  • Antimicrobial Use and Resistance in Australia (AURA) program partners
  • Professional bodies in primary care, nursing, pharmacy and veterinary medicine
  • Pharmaceutical companies
  • National Prescribing Service/Choosing Wisely
  • National Centre for Antimicrobial Stewardship
  • Infectious diseases specialists leading AMS programmes
  • Behavioural, communications and social researchers
  • Public and private media organisations
  • Science and health journalists
  • School and university educators
  • Museums and similar cultural programmes
  • Health promotion specialists
  • Consumer health advocacy organisations