The glocalization of antimicrobial stewardship

The global challenge of AMR requires solutions that are compatible with local needs and contexts. Glocal governance might constitute an effective international regime of antimicrobial stewardship. Three concrete strategies can help facilitate a strong glocal governance regime of AMR: (i) policy diffusion where agenda-setting at the global level stimulates (but does not dictate) local policy innovation and practices; (ii) polycentric governance where subnational agencies form horizontal networks to solve particular problems; and (iii) problem-driven iterative adaptation practices that activate multiple levels of governance and sectors in addressing country-specific problems related to AMR.