Antibiotic resistance is a critical public health issue affecting both developed and developing countries. In northern Ghanaian primary healthcare facilities, antibiotic misuse and overuse contribute to rising rates of resistant bacterial infections. A cross-sectional study was conducted, reviewing records from to . Data were collected on facility policies and procedures related to antibiotic use and resistance screening. Only 35% of facilities implemented routine antibiotic resistance testing protocols, with a significant variation in practice between urban and rural settings. The lower adoption rate highlights gaps in healthcare infrastructure and training for proper antibiotic stewardship. Healthcare providers should prioritise the integration of routine antibiotic resistance screening into their practices to mitigate the spread of resistant infections. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.