In a global assessment for 103 countries, after accounting for type of governance, education, economy, health care spending and community infrastructure, it was concluded that reducing antibiotic consumption alone would not control resistance. Independent of antibiotic consumption, poor infrastructure (e.g. sanitation), poor governance (e.g. corruption) and low health expenditure were all associated with higher rates of resistance.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7782542/