INTRODUCTION:
Antimicrobial resistance (AMR) is a complex global health challenge shaped not only by biomedical factors but also by governance, equity, and accountability gaps across human, animal, and environmental health systems. Addressing AMR through a One Health approach requires strong civil society leadership to ensure policies reflect lived realities and promote inclusive, equitable responses at community levels. Civil society organizations (CSOs), including youth-led and grassroots groups, play a critical role in AMR response, yet their engagement often remains limited and uneven.

METHODS:
This session employs a participatory civil society dialogue approach, convening youth-led, community-based, and civil society actors working on AMR across One Health sectors. The methodology combines structured presentations on the WHO Civil Society Task Force on AMR and with case examples of youth-led and grassroots initiatives. A moderated panel discussion and interactive question-and-answer session facilitate shared learning, collective reflection, and co-creation of priorities to strengthen coordination, accountability, and equity in AMR governance.

RESULTS:
The dialogue enhances participants’ understanding of civil society’s role in One Health–driven AMR governance and increases awareness of the WHO Civil Society Task Force on AMR as a platform for coordinated civil society action. Youth-led and community-based experiences showcase innovative and context-responsive approaches to advocacy, awareness, and accountability across human, animal, and environmental health. The session culminates in the co-creation of a joint civil society statement outlining practical recommendations to advance inclusive, equitable, and accountable AMR governance.

CONCLUSIONS:
Strengthening AMR governance requires moving beyond consultation toward meaningful civil society and youth leadership within One Health frameworks. Inclusive dialogue and shared leadership enhance accountability and ensure AMR responses are grounded in community realities. Institutional platforms such as the WHO Civil Society Task Force on AMR are critical for sustaining equitable civil society engagement in global and national AMR efforts.