Policy Brief 161, 22 May 2026
Meeting the 2030 Target on Reducing the Global Burden of AMR: Pathways for Strengthening and Leveraging Surveillance in Developing Countries
By Prateek Sharma and Viviana Munoz Tellez
Antimicrobial Resistance (AMR) poses a major and growing threat to global health, yet low- and middle-income countries (LMICs) face significant challenges in implementing AMR surveillance –collection and analysis of data on AMR. Global AMR targets, including the United Nations’ goal of reducing AMR-associated deaths by 10 percent by 2030 and achieving diagnostic capacity in 80 percent of countries, rely on surveillance data that are often incomplete, hospital-centered, and unrepresentative of community infections in LMICs. While the Global Antimicrobial Resistance and Use Surveillance System (GLASS) of the World Health Organization (WHO) provides a standardized framework, in LMICs limited access to diagnostics, high laboratory costs, and reliance on data from specialized hospitals constrain participation and data comparability. Modeling studies have helped quantify the global burden of AMR, yet their reliance on sparse LMIC data underscores the need for improved primary surveillance. Achieving the United Nations’ 2030 target—where 80 per cent of countries can test resistance in all GLASS pathogens—will require substantial investment, technical support, and sustained political commitment. Embedding AMR surveillance within health systems and strengthening pandemic prevention and preparedness can help unlock external funding for eligible LMICs through the Pandemic Fund and the Global Fund.