Behavioral and Socio-Economic Determinants of Antimicrobial Resistance in Sub-Saharan Africa: A Systematic Review

Antimicrobial resistance (AMR) is a significant public health threat in the 21st century, often attributed to clinicians and patients’ behavior changes and drug development pipeline improvements. This systematic review aimed to explore the behavioral and socio-economic determinants of AMR in sub-Saharan Africa (SSA). The review identified 30 studies, focusing on self-medication, healthcare providers’ practices, community knowledge, and socio-economic factors. Common themes included inadequate evidence-based prescription practices, financial barriers, poor community awareness, regulatory challenges, and healthcare infrastructure limitations. The findings suggest a need for targeted interventions and policies to address AMR and its spread.