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Users’ perception of the OH-EpiCap evaluation tool based on its application to nine national antimicrobial resistance surveillance systems

Moura, Pedro; Collineau, Lucie; Sandberg, Marianne; Tomassone, Laura; De Meneghi, Daniele; Norström, Madelaine; Bennani, Houda; Häsler, Barbara; Colomb-Cotinat, Mélanie; Bourély, Clémence; Filippitzi, Maria-Eleni; Mediouni, Sarah; Boriani, Elena; Asaduzzaman, Muhammad; Caniça, Manuela; Aenishaenslin, Cécile; Alban, Lis


Pedro Moura

Lucie Collineau

Marianne Sandberg

Laura Tomassone

Daniele De Meneghi

Madelaine Norström

Houda Bennani

Barbara Häsler

Mélanie Colomb-Cotinat

Clémence Bourély

Maria-Eleni Filippitzi

Sarah Mediouni

Elena Boriani

Muhammad Asaduzzaman

Manuela Caniça

Cécile Aenishaenslin

Lis Alban


Introduction: Antimicrobial resistance (AMR) is a One Health (OH) challenge. To achieve or maintain an effective and efficient AMR surveillance system, it is crucial to evaluate its performance in meeting the proposed objectives, while complying with resource restrictions. The OH-EpiCap tool was created to evaluate the degree of compliance of hazard surveillance activities with essential OH concepts across the following dimensions: organization, operational activities, and impact of the surveillance system. We present feedback on the application of the OH-EpiCap tool from a user’s perspective, based on the use of the tool to evaluate nine national AMR surveillance systems, each with different contexts and objectives.

Methods: The OH-EpiCap was assessed using the updated CoEvalAMR methodology. This methodology allows the evaluation of the content themes and functional aspects of the tool and captures the user’s subjective experiences via a strengths, weaknesses, opportunities, and threats (SWOT) approach.

Results and Discussion: The results of the evaluation of the OH-EpiCap are presented and discussed. The OH-EpiCap is an easy-to-use tool, which can facilitate a fast macro-overview of the application of the OH concept to AMR surveillance. When used by specialists in the matter, an evaluation using OH-EpiCap can serve as a basis for the discussion of possible adaptations of AMR surveillance activities or targeting areas that may be further investigated using other evaluation tools.


Moura, P., Collineau, L., Sandberg, M., Tomassone, L., De Meneghi, D., Norström, M., …Alban, L. (in press). Users’ perception of the OH-EpiCap evaluation tool based on its application to nine national antimicrobial resistance surveillance systems. Frontiers in Public Health, 11,

Journal Article Type Article
Acceptance Date May 26, 2023
Online Publication Date Jun 19, 2023
Deposit Date Jun 20, 2023
Publicly Available Date Jun 20, 2023
Journal Frontiers in Public Health
Publisher Frontiers Media
Peer Reviewed Peer Reviewed
Volume 11
Keywords Public Health, Environmental and Occupational Health


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