Table 3.

Key findings for Implementation of AMS in LMIC.

Implementation Category	Key Findings
AMS implementation facilitators	Strong national and health care facility leadership. Clinical staff engagement in AMS committees.
AMS implementation barriers	Inadequate human and financial resources. Limited supplies of antibiotics, particularly in remote regions. Lack of enforcement of regulations for prescription-only sales of antibiotics. AMS competencies among health care workers and limited training and education in AMR, AMS, and IPC.
Recommendations to strengthen health care facility-based AMS	Dedicated financial resources and AMS leaders and champions. Use of stepwise approaches for AMS implementation based on country and health care facility contexts. Mechanisms for reporting and feedback. Implementation of interdisciplinary AMS training workshops and AMS curricula.

AMR—antimicrobial resistance; AMS—antimicrobial stewardship; IPC—infection prevention and control.