Creating a Youth Manifesto for AMR - encouraging change-makers of the future

World AMR Awareness Week 2025: The article describes the process of co-creating a 'Youth Manifesto on AMR' which was launched in September 2024.

The Quadripartite working group on Youth Engagement in AMR
The Quadripartite (Food and Agriculture Organization of the United Nations, United Nations Environment Programme, World Health Organization and World Organization for Animal Health) working group on Youth Engagement for Antimicrobial Resistance.

Released in Nature Communications, the article describes the co-creation process of the Manifesto which seeks to generate consensus on how equitable engagement of youth can be realised, despite policy, power and funding challenges.

It summarises a two-year body of work from the Quadripartite Working Group on Youth Engagement for AMR, making the case for young people to be actively engaged in the topic of AMR beyond tokenistic awareness-raising activities. 

This working group, which was launched in October 2023, has 14 members, including Dr Jess Mitchell from the Division of Global Agriculture and Food Systems at the University of Edinburgh. The members are from 14 different countries and represent 14 youth-led or youth-serving organisations.

I joined the Quadripartite Working Group on Youth Engagement for AMR whilst leading an AHRC-funded research project to co-develop AMR educational games and teacher training resources with children in Nepal (pictured below). It has been a privilege to work alongside global collaborators who see young people as agents for change and not simply passive recipients of knowledge. 

This article emphasises such change-making potential for youth within AMR action, and identifies future research questions and policy engagement options for others working in this space.

Youth as change-makers

youth engagement in AMR
Photo credit: HERD International

Youth are recognised as ‘change-makers’ within the climate change literature due to their roles in knowledge-transfer at community level, instigating behavioural changes in the longer term. 

Antimicrobial resistance (AMR) is another global challenge which may benefit from the change-making potential of youth, yet policy, research and action traditionally target adult populations. 

With governments across the world cutting support for AMR action and aid programmes, youth engagement is timely and although youth engagement is clearly no substitute for globally robust aid and funding mechanisms it could offer a route to sustaining the personnel required to operationalise NAPs and other AMR policies. 

Content of the manifesto

Between March and May 2024, the Working Group co-created a Youth Manifesto on AMR.

Co-creators emphasized the urgent need to broaden public understanding of AMR via education for all youth, not just those in human, environmental and animal (One Health) professions. 

Early Manifesto feedback stressed that educational materials should be co-created with, rather than simply delivered to youth, and that dedicated financing for youth engagement, especially in low-and-middle-income countries (LMICs), is essential.

The Manifesto defines four top priorities: Advocacy and Engagement, Education and capacity building, Patient Care (humans and animals) and Addressing AMR with a One Health approach.

Crucially, the Manifesto calls for the inclusion of young people on global decision-making platforms and capacity building initiatives to enable youth-led action against AMR at all levels.

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