National Strategic Action Plan on AMR V2 Monitoring & Evaluation Framework (2025 – 2030)

The document establishes a structured approach to track progress in the implementation of national strategies against antimicrobial resistance. Its purpose is to provide indicators, reporting mechanisms, and review cycles that enable systematic assessment of outcomes across human health, animal health, food safety, environment, and water sectors. The Framework aims to ensure accountability, strengthen surveillance, and support evidence‑based decision‑making within the One Health approach.
The Framework applies to all priority areas identified in NSAP v2, including antimicrobial stewardship, infection prevention and control, surveillance systems, and awareness‑raising. It covers monitoring of antimicrobial use and resistance in humans, livestock, fisheries, and aquaculture, as well as foodborne pathogens and contamination in the food chain. Environmental monitoring is included through wastewater, water quality, and resistant organisms in natural ecosystems. Waste management practices are also addressed as part of efforts to reduce the spread of antimicrobial resistance.
The document specifies measurable indicators and targets for each strategic objective. These include quantitative data collection on antimicrobial consumption, laboratory capacity for resistance testing, compliance with infection prevention standards, and reporting of food safety incidents. Environmental indicators encompass wastewater surveillance, pollution monitoring, and detection of resistant organisms in reservoirs and coastal waters. The Framework outlines procedures for data collection, validation, and reporting, ensuring consistency across sectors and alignment with international standards such as WHO, FAO, WOAH, and UNEP guidance.
The Framework identifies responsible authorities within Singapore’s One Health AMR Workgroup, including the Communicable Diseases Agency, National Environment Agency, National Parks Board, Public Utilities Board, and Singapore Food Agency. These institutions are tasked with implementing monitoring activities, compiling reports, and coordinating reviews. The Framework is effective for the period 2025–2030, with regular evaluations to inform policy adjustments.