Evidence map›Paper›PMID 41083441›Full record

ArticleNature communications2025

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 and 16 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Katy DavisDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK. katy.davis@lstmed.ac.uk.ORCID http://orcid.org/0000-0001-6936-4222
Ralalicia LimatoDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID http://orcid.org/0000-0002-5306-3254
Meenakshi MongaDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID http://orcid.org/0000-0002-0614-8706
Beatrice EgidDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.
Sneha PaulBRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.ORCID http://orcid.org/0009-0006-2513-3645
Susan OkiomaLVCT Health, Nairobi, Kenya.
Owen NyamwanzaCentre for Sexual Health & HIV/AIDS Research (CeSHHAR), Harare, Zimbabwe.
Abriti ArjyalHERD International, Bhaisepati, Lalitpur, Nepal.
Syeda Tahmina AhmedBRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.ORCID http://orcid.org/0000-0003-3796-333X
Ayuska ParajuliHERD International, Bhaisepati, Lalitpur, Nepal.
Mavis Pearl KwablaInstitute of Health Research, University of Health and Allied Sciences, Ho, Ghana.ORCID http://orcid.org/0000-0002-1435-0795
Bachera AktarBRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.ORCID http://orcid.org/0000-0003-0242-1792
Anne S W NgunjiriLVCT Health, Nairobi, Kenya.ORCID http://orcid.org/0000-0001-6893-9047
Kate HawkinsPamoja communications, Brighton, UK.
Russell DacombeDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID http://orcid.org/0000-0002-6705-1537
Syed Masud AhmedBRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Mustapha ImmuranaInstitute of Health Research, University of Health and Allied Sciences, Ho, Ghana.
Jane ThiomiLVCT Health, Nairobi, Kenya.
Fidelis Ey AnumuInstitute of Health Research, University of Health and Allied Sciences, Ho, Ghana.ORCID http://orcid.org/0000-0003-2798-7872
Webster MavhuCentre for Sexual Health & HIV/AIDS Research (CeSHHAR), Harare, Zimbabwe.ORCID http://orcid.org/0000-0003-1881-4398
Lilian OtisoLVCT Health, Nairobi, Kenya.
Sabina Faiz RashidBRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.ORCID http://orcid.org/0000-0003-0916-2631
Sushil BaralHERD International, Bhaisepati, Lalitpur, Nepal.
Margaret GyapongInstitute of Health Research, University of Health and Allied Sciences, Ho, Ghana.
Sally TheobaldDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.
Rosie SteegeDepartment of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Developing CountriesDrug Resistance, BacterialDrug Resistance, MicrobialHealth EquitySocial JusticeAnti-Bacterial AgentsGlobal HealthHumansSustainable DevelopmentAnti-Bacterial Agents

Identifiers

PMID41083441
PMCPMC12518637

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.