Recipient of the INGSA-Asia Grassroots Science Advice Promotion Awards 2023, Dr Deepthi Vijay, successfully conducted the first workshop in the project titled “Addressing Antimicrobial Resistance (AMR) in India: A One Health Action Plan,” which was funded by the International Network for Governmental Science Advice – Asia Chapter (INGSA-Asia). The project consisted of two workshops that were held on 27 September 2024 and 20 November 2024 respectively. The first workshop was a World Café method group discussion that was conducted on 27 September 2024 at Academic College, Mannuthy, Thrissur involving 25 Senior Veterinary Surgeons. The workshop addressed critical issues on AMR in veterinary practice, focusing on a situational analysis and the current status of AMR action plans.

The veterinarians observed that while a national AMR action plan exists, its implementation within the animal husbandry sector remains in its infancy, with limited awareness and engagement among practitioners. Recognizing AMR as a pressing One Health issue, they recommended a multifaceted approach to address AMR that includes cross-sectoral collaboration between human, animal health and environmental sectors, a ban on over-the-counter antibiotic sales, and enhanced laboratory access for better diagnostic support. The participants underscored the need for policy reforms to regulate antibiotic use more effectively, increased AMR training for veterinarians, and strengthened surveillance to monitor antimicrobial usage across both human and animal health domain.

The discussion highlighted significant gaps in awareness, with the majority of veterinarians unfamiliar with the national AMR action plan and its objectives. Many participants expressed concern over the limited implementation of AMR strategies in animal husbandry, noting that efforts are still in early stages, especially in rural settings. The primary challenges identified included the lack of local laboratory facilities for AMR diagnostics, which limits effective monitoring and response. Another key issue was the widespread use of antibiotic combinations and the proliferation of unqualified practitioners (quacks) prescribing antimicrobials without adequate oversight, exacerbating AMR risks.

Key recommendations emphasized increasing awareness and training on AMR for veterinary practitioners, especially regarding the action plan’s goals and antimicrobial stewardship practices. Participants highlighted the urgent need for accessible laboratory infrastructure and reinforced regulatory mechanisms. Specifically, they recommended a ban on
over-the-counter (OTC) antibiotic sales to prevent misuse and self-prescription, advocating for stricter control on antibiotic distribution and quackery by unauthorized practitioners. Strengthened monitoring, reporting systems, and enforcement of regulations across veterinary and animal husbandry sectors were identified as critical steps to mitigate AMR effectively in veterinary practice.