News Type
News
Date
Paragraphs

For the second time in history, UN Member States adopted a Political Declaration on AMR in 2024. This declaration outlines ambitious commitments to tackle one of the most pressing health challenges of our time. These commitments will only be successful if the public understands, supports, and ultimately changes behavior to make them work.

Ahead of UNGA, we asked citizens in six countries what they thought about different policy proposals across six themes: Equity, Access and Stewardship; Infection Prevention; Food Security; Awareness and Education; Target setting; and Surveillance.

Working with the Trinity Challenge, we brought together 2,419 citizens from Brazil, Colombia, Nigeria, Tanzania, India, and Indonesia using Deliberative Polling®, a method that assesses what a representative and informed sample would think about policy proposals after extended, evidence-based discussions. Deliberations took place on the innovative Artificial Intelligence (AI)-assisted Stanford University Online Deliberation Platform across two days.

Citizens left the process not just more informed, but more engaged with the solutions required.

What is Deliberative Polling® ?


Deliberative Polling® is a research methodology developed by Professor James Fishkin at Stanford University's Deliberative Democracy Lab. Unlike standard opinion polling, it measures not just initial public opinion but informed public opinion - what people think after genuine engagement with the issues, trade-offs, and expert perspectives.

It has been applied in over 160 cases around the world, from national referendums to climate policy.

Learn more about the Deliberative Polling® methodology.

"Deliberative Polling® doesn't just ask what people think - it asks what they would think if they had the chance to really engage with the evidence."
Professor James Fishkin
Stanford Deliberative Democracy Lab

Key Findings


The results were striking - and they matter for policymakers, health leaders, and the public alike.

🌍 2,419 citizens across six middle-income countries participated
📈 43 out of 45 policy proposals saw increased support after deliberation
✅ The most popular proposals were those relating to infection prevention
🌐 Regional differences emerged — particularly around attitudes to restricting antibiotic use in food production.

Antimicrobial resistance is not only a scientific challenge but a societal one. This project shows that when citizens are given balanced information, diverse perspectives, and the opportunity to deliberate, they can engage meaningfully with the complexity of AMR and support the action it requires. Building public trust and community engagement is essential to reducing the global impact of AMR. We hope these findings and resources will help advance public engagement on AMR and strengthen deliberative approaches across global health.

Support increased for 43 out of 45 proposals following deliberation. Beyond the data, participants left better informed about AMR and more engaged with the solutions on the table. That is whole-of-society action in practice.
Dame Sally Davies
Master of Trinity College Cambridge and Executive Chair of the Trinity Challenge

From Understanding to Action


This study demonstrates something important: when citizens are given the chance to engage seriously with a complex global health challenge, they rise to it.

Across all six countries, deliberation moved public opinion towards greater support for ambitious AMR action — on prescription practices, agricultural use, access to medicines, and prevention. The 2024 UN Political Declaration set out what governments have committed to. This research shows that the public, when informed, is ready to support it.

The findings have direct relevance for:

  • Policymakers designing national AMR action plans, particularly in middle-income countries
  • Health communicators seeking evidence-based approaches to public engagement on AMR
  • Researchers building the evidence base for deliberative approaches in global health
  • Civil society organizations advocating for community-level AMR action
     

We are committed to sharing these findings as widely as possible — with governments, health bodies, and the communities that took part.

Thanks to our funders


With thanks to the Novo Nordisk Foundation and Wellcome.

Contact and Media


For media inquiries and further information about the research, please contact Louise Gough (Chief Operating Officer) at info@thetrinitychallenge.org.

Read our press release.

Hero Image
Person in blue shirt washing hands
Melissa Jeanty
All News button
1
Subtitle

The Deliberative Democracy Lab and the Trinity Challenge asked 2419 people in six countries through the first-ever deliberative poll on AMR.

Image
Person in blue shirt washing hands
Photo credit Melissa Jeanty
Date Label
Display Hero Image Wide (1320px)
Yes
Authors
Khushmita Dhabhai
News Type
News
Date
Paragraphs

On September 25, 2025, FSI Senior Fellow Claire Adida presented her team’s research at a CDDRL Research Seminar Series talk under the title, “Overcoming Barriers to Women’s Political Participation: Evidence from Nigeria.” The seminar addressed a central paradox in global politics: although women’s legal formal right to vote is nearly universal, deep gender gaps remain in informal forms of political participation, such as contacting a local government official or attending a community meeting. This lack of engagement means women’s voices are underrepresented in governance and policies are less likely to reflect their priorities. This is particularly salient in hybrid democracies, where informal political participation may matter more than casting a vote.

Adida situated the study in the context of Nigeria, a large and diverse democracy that remains heavily patriarchal. Surveys highlight these disparities starkly: nearly half of Nigerian men believe men make better leaders than women; two in five women report never discussing politics with friends or family; and women are consistently less likely than men to attend meetings or contact community leaders. Against this backdrop, the project tested interventions designed to reduce barriers that discourage women’s participation.

The research team identified three categories of constraints: resource-based (a lack of time, skills, or information), norms-based (social expectations that women should remain outside the public sphere), and psychological (feelings of disempowerment and doubt about one’s capacity to create change). The study focused on the last two. To explore these, the team partnered with ActionAid Nigeria to conduct a randomized control trial (RCT) across 450 rural wards in three southwestern states. Local leaders identified groups of economically active women, aged 21 to 50, who were permitted by their spouses to join.

All communities began with an informational session on local governance. Beyond that, two types of training were introduced. The first, targeted at women, consisted of five sessions over five months designed to build leadership, organizing, and advocacy skills. These emphasized group-based learning and aimed to foster collective efficacy — the belief that a group can act together to achieve change. The second, targeted at men, encouraged husbands to act as allies in supporting women’s participation. After the initial informational session, communities were randomly assigned to no longer receive further training, to receive the 5 sessions of women’s training, or to receive the 5 sessions of women’s training and the 5 sessions of men’s training.

The findings were striking. Women’s trainings had clear positive effects: participants were more likely to engage in politics, attend meetings, and contact local leaders. The quality of their participation also improved, suggesting greater confidence and effectiveness. There was also evidence that these women’s trainings activated collective and self-efficacy, lending credence to the Social Identity Model of Collective Action (SIMCA), a framework explaining how a sense of shared identity, group-based injustice, and group efficacy build political engagement. By contrast, men’s trainings produced modest results. They did not increase women’s participation beyond the women’s trainings and, in some cases, had small negative effects, such as on grant applications. Still, men’s trainings reduced opposition to women’s involvement, improved beliefs about women in leadership, and increased perceptions of more permissive community norms, even if they did not translate into an increase in women’s political participation.

Adida noted that these limited effects may reflect “ceiling effects” — many men in the sample were already relatively supportive compared to national averages, or lower attendance rates. It is also possible that changes in men’s attitudes take longer to manifest in behavior. The seminar concluded that advocacy trainings for women show strong promise in boosting participation, while efforts to reshape patriarchal norms among men may require longer-term strategies.

Read More

Natalia Forrat presented her research in a CDDRL seminar on May 29, 2025.
News

Unity, Division, and the Grassroots Architecture of Authoritarian Rule

Dr. Natalia Forrat, a comparative political sociologist and lecturer at the University of Michigan’s Center for Russian, East European, and Eurasian Studies, explores how authoritarian regimes are maintained not only through top-down coercion but also through everyday social dynamics at the grassroots level.
Unity, Division, and the Grassroots Architecture of Authoritarian Rule
Paul Pierson presented his research in a CDDRL seminar on May 22, 2025.
News

The Risks of U.S. Democratic Backsliding

University of California, Berkeley Distinguished Professor Paul Pierson explores the risks of democratic backsliding in the United States in the face of rising polarization and inequality.
The Risks of U.S. Democratic Backsliding
Clémence Tricaud presented her research in a CDDRL seminar on May 15, 2025.
News

Margins That Matter: Understanding the Changing Nature of U.S. Elections

In a CDDRL research seminar, Clémence Tricaud, Assistant Professor of Economics at the UCLA Anderson School of Management, shared her research on the evolving nature of electoral competition in the United States. She explored a question of growing political and public interest: Are U.S. elections truly getting closer—and if so, why does that matter?
Margins That Matter: Understanding the Changing Nature of U.S. Elections
Hero Image
Claire Adida
All News button
1
Subtitle

In Nigeria, women are far less likely than men to attend meetings or contact leaders. Claire Adida’s research reveals interventions that make a difference.

Image
3131 small Cameroon voters
Caption A Cameroonian women casts her vote | Photo credit L'Effort Camerounais.com
Date Label
Display Hero Image Wide (1320px)
No
Subscribe to Sub-Saharan Africa