Antimicrobial resistance, equity and justice in low- and middle-income countries: an intersectional critical interpretive synthesis
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.
Article Details
Authors (26)
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
Rosie Steege