Purpose A status quo situation has occurred among actors, policymakers, producers, retailers and consumers where no one takes the lead on the antimicrobial resistance (AMR) fight. Common theoretical approaches to behaviour including awareness, understanding and use are insufficient in the AMR context. In this paper, the authors suggest the application of accountability literature to fully understand the status quo situation with AMR.

Design/methodology/approach AMR in food has become an alarming problem in the past decade and is an increasing threat to global health. The knowledge about AMR often comes from a medical context where the perspective is completely different. Therefore, it is difficult for consumers to apply this to a grocery store context purchasing food.

Findings This paper uses the concept of accountability and the significant other within the accountability field and discusses how this could help overcome the non-action state of mind of consumers and other actors.

Practical implications Enhanced accountability could significantly improve One-Health solutions for combating AMR. By fostering a culture of shared responsibility and transparent communication among stakeholders, the silo effect may be mitigated, promoting collaborative efforts. Accountability mechanisms should ensure that roles and responsibilities are clearly defined and communicated across sectors, such as health care, agriculture and policymaking. Educational initiatives can increase AMR awareness, enabling stakeholders to make informed decisions. Integrating perspectives from various domains will facilitate the development of holistic strategies, thus improving the overall effectiveness of efforts to address AMR and ensuring a sustainable approach to public health.

Social implications Enhanced accountability in AMR management can lead to significant social benefits. By promoting transparency and collective responsibility, communities can foster greater trust and cooperation among various stakeholders, including health-care providers, policymakers and consumers. Increased awareness of AMR can empower individuals to make informed decisions, thereby promoting public health and safety. Socially, this could lead to more sustainable practices in antibiotic use and a reduction in the spread of resistant infections. In addition, fostering a culture of accountability ensures that efforts to combat AMR are more inclusive, equitable and effective, ultimately benefiting society as a whole.

Originality/value The proposal to create strategies according to a basis of accountability can be applied at all levels of the AMR problem and for all actors. This therefore provides important knowledge about how AMR can be approached in a more long-term way where initiatives to prevent the spread of AMR do not take place in parallel or become difficult to access.