Antimicrobial resistance, equity and justice in low- and middle-income countries: an intersectional critical interpretive synthesis

Katy Davis (), Ralalicia Limato, Meenakshi Monga, Beatrice Egid, Sneha Paul, Susan Okioma, Owen Nyamwanza, Abriti Arjyal, Syeda Tahmina Ahmed, Ayuska Parajuli, Mavis Pearl Kwabla, Bachera Aktar, Anne S. W. Ngunjiri, Kate Hawkins, Russell Dacombe, Syed Masud Ahmed, Mustapha Immurana, Jane Thiomi, Fidelis EY Anumu, Webster Mavhu, Lilian Otiso, Sabina Faiz Rashid, Sushil Baral, Margaret Gyapong, Sally Theobald and Rosie Steege
Additional contact information
Katy Davis: Liverpool School of Tropical Medicine
Ralalicia Limato: Liverpool School of Tropical Medicine
Meenakshi Monga: Liverpool School of Tropical Medicine
Beatrice Egid: Liverpool School of Tropical Medicine
Sneha Paul: BRAC University
Susan Okioma: LVCT Health
Owen Nyamwanza: Centre for Sexual Health & HIV/AIDS Research (CeSHHAR)
Abriti Arjyal: Bhaisepati
Syeda Tahmina Ahmed: BRAC University
Ayuska Parajuli: Bhaisepati
Mavis Pearl Kwabla: University of Health and Allied Sciences
Bachera Aktar: BRAC University
Anne S. W. Ngunjiri: LVCT Health
Kate Hawkins: Pamoja communications
Russell Dacombe: Liverpool School of Tropical Medicine
Syed Masud Ahmed: BRAC University
Mustapha Immurana: University of Health and Allied Sciences
Jane Thiomi: LVCT Health
Fidelis EY Anumu: University of Health and Allied Sciences
Webster Mavhu: Centre for Sexual Health & HIV/AIDS Research (CeSHHAR)
Lilian Otiso: LVCT Health
Sabina Faiz Rashid: BRAC University
Sushil Baral: Bhaisepati
Margaret Gyapong: University of Health and Allied Sciences
Sally Theobald: Liverpool School of Tropical Medicine
Rosie Steege: Liverpool School of Tropical Medicine

Nature Communications, 2025, vol. 16, issue 1, 1-15

Abstract: Abstract Global inequities in the burden of antimicrobial resistance (AMR), between and within populations, are heavily influenced by the social and structural determinants of health. Yet, AMR action has had limited attention to equity, and social approaches to AMR haven’t routinely gone beyond an exploration of knowledge and awareness around ABU. This represents a missed opportunity to design equitable interventions and policy across One Health. We report the results of a critical interpretive synthesis of the social and structural drivers of AMR in Low- and Middle-Income Countries and present a conceptual framework of these drivers, linking to the Sustainable Development Goals (SDGs). We emphasise the limitations of a biomedical dominance in AMR research, highlighting the value of wider bodies of evidence for understanding the drivers of AMR to support equity and justice. We argue AMR interventions need action across the SDGs to target the root causes and address significant gaps in evidence.

Date: 2025
References: Add references at CitEc
Citations:

Downloads: (external link)
https://www.nature.com/articles/s41467-025-64137-z Abstract (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-025-64137-z

Ordering information: This journal article can be ordered from
https://www.nature.com/ncomms/

DOI: 10.1038/s41467-025-64137-z

Access Statistics for this article

Nature Communications is currently edited by Nathalie Le Bot, Enda Bergin and Fiona Gillespie

More articles in Nature Communications from Nature
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().