The evidence chain
Commitment -> Priority -> Capability -> Programme -> Capital -> Implementation -> Output -> Outcome -> Progress. Each edge was evaluated independently using frozen definitions.
Across 10 assessed countries, the public evidence chain became markedly harder to reconstruct as we moved from national commitments toward financing, outcomes and measurable progress.
Two or more independent sources, an explicit link and no counterevidence.
Evidence exists, but the chain is incomplete or supported by fewer than two independent sources.
No identifiable public evidence after systematic search.
An independent source shows an explicit problem with enough detail to quantify the break.
The chain is strongest at Commitment -> Priority and weakens toward Outcome -> Progress.
Commitment -> Priority -> Capability -> Programme -> Capital -> Implementation -> Output -> Outcome -> Progress. Each edge was evaluated independently using frozen definitions.
Country differences reflect public reporting environments and source coverage. A country may have strong AMR work that is simply not publicly reconstructable from the reviewed sources.
The sample covers different regions, income groups and source-coverage environments. The result is a traceability map, not an implementation ranking.
AFRO · LMIC · high source coverage
Confidence: A
Source: NAP Ghana 2017-2021 + WHO TrACSS 2023
Confidence: B
Confidence: B
Confidence: C
Source: Fleming Fund / MTaPS reports. Donor-funded activity is visible; domestic AMR attribution remains unclear.
Confidence: B
Confidence: B
Confidence: D
Why not assessed: GLASS 2023 reports surveillance data, but no outcome linkage studies were identified in the reviewed public evidence.
Confidence: D
Why not assessed: No systematic AMR outcome or progress metrics were found in the reviewed public sources.
The methodology was frozen before the country assessment began. Definitions were pre-specified and not modified during analysis, reducing hindsight bias and preserving reproducibility.
The sample was selected to represent diversity in income class, WHO region and source coverage environment.
AgentBrain is a research and coordination system. Every finding in this review is produced through a structured process that separates collection, review, synthesis and publication approval.
Human-defined research question and success criteria.
Research agent with memory, goals and evidence discipline.
Parallel evidence collection, extraction and verification.
Structured binding of claims to sources with confidence grades.
Review before any public-facing claim is made.
No public release without explicit human approval.
Persistent memory across sessions, goal tracking, structured evidence storage, confidence grades, source locators, red-team review and explicit human approval for public outputs.
Not a real-time surveillance system, not a causal inference engine, not an automated AMR monitor and not a replacement for WHO GLASS or national reporting systems.