The GEDSI team is committed to ensuring that marginalized groups have their voices heard and receive equal consideration in decision-making processes. This involves creating opportunities for these groups to express their needs, challenges, and aspirations. Additionally, collaboration between communities, healthcare providers, and researchers will be fostered to identify and address the unique challenges faced by First Nations communities. Education and awareness of these issues will also be promoted to ensure that those involved in decision-making have the necessary knowledge and expertise to make informed decisions. Technological tools will be leveraged to empower people to engage actively in their communities by creating online and offline forums, social media platforms, and training programs.

The GEDSI team will conduct six steps to ensure an inclusive and equitable One Health surveillance system for antimicrobial use and resistance (AMU/R). Firstly, experts in GEDSI and One Health AMU/R surveillance will be engaged in the design and implementation process. Relevant data on AMU/R in the target community, as well as demographic and socio-economic data, will be reviewed and analyzed based on GEDSI considerations to recognize any disparities. Consultation with stakeholders, especially marginalized groups, will then be conducted to understand their specific health needs, challenges, and barriers to accessing healthcare services. Recommendations will be developed based on previous steps to ensure equitable access to prevention, diagnosis, and treatment of AMR and irrespective use of antimicrobials. Technical expertise will guide and support the design and implementation to ensure that it contributes to achieving equitable, diverse, and inclusive outcomes. Finally, the impact of the One Health Surveillance System on populations within the target area will be monitored to identify any disparities based on GEDSI considerations, with adjustments and regular evaluations made to determine its effectiveness in addressing the needs of marginalized communities.

Engagement with communities and the provision of culturally appropriate healthcare services are crucial to collect data that aligns with their lived experiences and values. Collaboration with community leaders, elders, and other representatives will also help to raise awareness of the system's importance, seek their perspectives on key issues and priorities, and identify best practices for communicating and culturally tailoring information. The initiative recognizes disparities and gaps in health outcomes among vulnerable or underrepresented groups, which can be bridged with more inclusive and sensitive approaches to healthcare. The One Health Surveillance System for AMU/R will allow for the collection, analysis, and dissemination of valuable data to advocate for better policy and decision-making that reflects the needs and realities of these groups. It will also strengthen their capacity for and involvement in research, expand their knowledge, and influence the direction of the Initiative for their benefit.