The Smart Choice Process

What is the Smart Choice Process?

The AMR Policy Accelerator focuses on rigorous policy-responsive research to achieve stronger national action plan (NAP) implementation. Our priority is to provide countries with support to implement and update their NAPs based on context-specific priorities. To do so, the Accelerator has developed the Smart Choice Process to prioritize AMR interventions systematically and transparently.  

An effective process to rank and prioritize your AMR national action plan interventions.

  • Countries are asked to supply a list of AMR interventions and to invite the appropriate national One Health government and civil society experts to participate in the Smart Choice Process workshop.  
  • Workshop participants review preparatory materials and reflect on key indicators of their country’s NAP interventions.  
  • The AMR Policy Accelerator team prepares for and facilitates the workshop to update priorities for their NAP. 

Step 1

You provide the Policy Accelerator with a list of NAP interventions and workshop participants.

Step 2

The Policy Accelerator facilitates a Smart Choice workshop.

Step 3

All participants score all key features for every intervention.

Step 4

Step 4

The Accelerator team codes the qualitative values with numeric equivalents.

Step 5

The Policy Accelerator identifies Smart Choice interventions for your team.

Step 6

Your team the implements and invests findings based on their rank.

Step 7

Submission of final report.

Target Countries 

This process is specifically designed for countries who are developing or revising their NAPs. If countries have not identified potential actions, the Accelerator is able to work with the country to identify interventions through an evidence synthesis.  

Our Approach to Prioritization 

The Accelerator has identified four key axes that denote distinct, yet critical dimensions of AMR policy action. The axes on which NAP interventions will be prioritized are Quick-wins, Best-buys, Game-changers, and Equity-drivers:  

Quick-wins describe actions and interventions that are quick and easy to implement. These results would generate short-term impact.  

Best-buys also provide efficient action but offer cost-efficient high value and are expected to generate outside impacts.

Game-changers focus on opportunities to create transformative change and long-term impact. These interventions address ​​the root drivers of AMR, with a preference for prevention over mitigation of AMR. Game-changers lead to high transformative potential by building and supporting future efforts by government or other stakeholders and aligning with the mandate of multiple actors.

Equity-drivers offer opportunities to improve equity in health outcomes. They are fewer, but in redressing inequities, the magnitude of their impact is amplified.

For more information, reach out to Julia Bishop at amrpolicy@globalstrategylab.org