Antimicrobial resistance (AMR) is a growing concern in rural healthcare settings across Africa, necessitating evidence-based interventions to mitigate its impact. A mixed-methods approach was employed, involving a structured survey and focus group discussions with healthcare providers. Data were analysed using descriptive statistics and thematic analysis. The AMS programme implementation showed an average adoption rate of 75% across surveyed facilities, with significant variation in compliance rates between different types of facilities (p < 0.05). While the AMS programmes are largely implemented, there is room for improvement in adherence and sustainability. Enhanced training for healthcare staff and strengthening programme monitoring mechanisms are recommended to improve AMR outcomes. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.