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World Health Organization’s (WHO) global health agenda

• Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
• Select at least one additional country to compare to the U.S. for this Assignment.
• Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix provided in the Resources.
The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)
Part 1: Global Health Comparison Matrix
Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:
• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.
Part 2: A Plan for Social Change
Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.
In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.
• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

Fragmentation: Implementation is often fragmented due to the diverse and decentralized nature of the U.S. healthcare system, leading to inconsistent application of stewardship programs across state lines and facility types. Economic: Insufficient economic incentives for private industry to sustain the commercial development of new antibiotics.	Over-Caution Risk: The successful, strict "Search and Destroy" IPC approach for Highly Resistant Microorganisms (HRMOs) can lead to extended patient isolation and increased costs, sometimes perceived as excessive in non-outbreak settings. Innovation Disincentive: Extreme restraint in prescribing limits market potential, disincentivizing new drug entry.
Impact of Social Determinants of Health (SDoH)	Access & Poverty: Lack of universal healthcare access leads to delayed care, driving unnecessary Emergency Department (ED) visits and broad-spectrum antibiotic use for simple infections, increasing population resistance risk. Housing/WASH: Inadequate housing and sanitation in low-income, high-density areas increase the spread of community-acquired infections, leading to more antibiotic use and resistance. Example: Homeless populations have higher rates of drug-resistant skin and soft-tissue infections.
Government Approach: Cost, Quality, Access (CQA)	Cost: Focuses primarily on R&D funding to develop novel, costly drugs, and managing downstream treatment costs of resistant infections. Quality: Measured through metrics like mandatory Antimicrobial Stewardship Programs (ASPs) and reporting of Hospital-Acquired Infections (HAIs). Access: High access to advanced medical treatments but fragmented access to preventative primary care and diagnostics.

Sample Answer

Global Health Comparison Matrix: Antimicrobial Resistance (AMR)

Global Health Issue Selected: Antimicrobial Resistance (AMR) WHO Context: AMR is a top 10 global public health threat, requiring a unified "One Health" approach across the human, animal, and environmental sectors (WHO Global Action Plan on AMR). Country Comparison: United States (U.S.) vs. The Netherlands

Category	United States (U.S.)	The Netherlands
National/Federal Health Policy	National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB) 2020–2025. A federally coordinated plan across agencies (HHS, USDA, DoD) focusing on five goals: Surveillance, Prevention/Stewardship, R&D, International Collaboration, and Rapid Response.	National Antimicrobial Resistance Action Plan 2024–2030. Highly centralized, long-term policy driven by the Ministry of Health (VWS). Built on the One Health model, integrating human healthcare, veterinary medicine, food/water quality, and the environment.
Policy Strengths	R&D Investment: Strong federal investment and incentives (e.g., BARDA, CARB-X) drive the global pipeline for new antibiotics and diagnostics. Surveillance: Expansive national surveillance networks (e.g., AR Lab Network) rapidly detect emerging threats.	Low AMR Rates: Historically achieved and maintained some of the lowest AMR rates in Europe through rigorous implementation. Stewardship & IPC: Highly standardized, mandatory infection prevention and control (IPC) policies across all healthcare settings, backed by mandatory data collection and sharing with the National Institute for Public Health and the Environment (RIVM).