Scoping review examines governance and One Health strategies addressing antimicrobial resistance in low- and middle-income countries, suggesting effective interventions are needed.
Key Points
This research aims to synthesize evidence on governance, policy, and One Health strategies to combat antimicrobial resistance in low- and middle-income countries.
Conducted a scoping review of 85 peer-reviewed and policy sources from 2015–2026
Performed independent study selection and data extraction with consensus for disagreements
Thematically synthesized evidence and mapped it by feasibility, equity, and outcomes within a One Health framework.
Short-term interventions reduced antibiotic use by 7.5–36% and improved knowledge by 15–25%
Medium-term reforms increased cross-sector reporting by 45–60% and improved early outbreak detection in 20–25% of sentinel sites
Long-term measures showed sustained reductions in antimicrobial use and improved access by 10–20%