Contextual analysis of antibiotic prescribing practices for upper respiratory infections and diarrhoea in rural Punjab, Pakistan

This study underscores the complexity of antibiotic stewardship in rural health systems. A care-cascade framework allowed us to unpack these multi-layered challenges and identify leverage points for improvement. Future implementation strategies must embed these insights into program design, ensuring that stewardship is not merely a clinical responsibility but a health system imperative.