Table 2.

Description of the themes describing the scope of the tool in relation to surveillance identified in the Co-Eval-AMR project and used for the additional assessment of the evaluation tools for surveillance programs/activities.

Theme	Description of the themes
AMU and AMR	Questions that are specifically addressing the case of AMR (occurrence, prevention, or response) or AMU (recording and management)
Collaboration	Questions on the framework of collaboration (organization of roles and responsibilities) and the object of collaboration (exchange of data, information, and knowledge and sharing of capacities). This category also covers questions about the inclusive participation of stakeholders (e.g., considering gender)
Resources	Questions quantitatively addressing human, physical, and financial resources. Questions on the training level of human resources are also considered in this category
Output and use of information	Questions on surveillance outputs that are provided to inform public and private stakeholders, their use to inform decision making, and the benefits from this use (expected, perceived, or measured)
Integration	Questions considering three levels of integration: • integration of data systems (within organizations and at national, regional, or international level; data systems interoperation; and adherence to international testing and data standards) • integration between sectors and disciplines (knowledge integration, shared decision making and planning, and formulation of common goals) • integration in the national and international context motivating the need for surveillance (link to decision making, shared decision making, and planning between countries)
Governance*	Questions related to the legislative framework as well as the steering and coordinating mechanisms for the surveillance system: legislation, steering, and criteria (limits and goals for reduction)
Adaptivity	Questions on any structural elements allowing for the surveillance system to adapt and evolve. This may include not only tools, plans, and agreements to evolve (e.g., continuous learning programs and external evaluation) but also the features of management and governance allowing for regular evaluation and adaptation of operations (e.g., frequency of meeting and regularity of progress reports)
Technical operations	Questions on technical features of surveillance operations (surveillance design, laboratory capacities, management of specimens, tests applied, data management, and analysis), their quality management (SOP, traceability), and the assessment of their performance (sensitivity and specificity)

^*Governance was included as a separate theme in this study but is not a separate theme on the https://guidance.fp7-risksur.eu/welcome/decision-support/.