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

This study highlights that global inequities in antimicrobial resistance (AMR) are deeply shaped by social and structural determinants of health, yet equity has received little attention in AMR policies and interventions. Through a critical interpretive synthesis of evidence from Low- and Middle-Income Countries, the authors present a conceptual framework linking the social drivers of AMR to the Sustainable Development Goals (SDGs). They argue that the dominance of biomedical approaches limits understanding of AMR’s root causes and that addressing AMR effectively requires cross-sectoral action across the SDGs to promote equity, justice, and sustainable impact.