Comprehensive Review: Governance of Antimicrobial Resistance in Nigerian Healthcare Settings
- 1Department of Political Science & Public Administration, Federal University Otuoke, Bayelsa State, Nigeria
- 2Department of Public Administration, Chukwuemeka Odumegwu Ojukwu University, Igbariam Campus, Anambra State, Nigeria
- 3Department of Public Administration, Federal University Wukari, Taraba State, Nigeria
Abstract
The governance of antimicrobial resistance (AMR) in Nigeria represents a critical intersection of public health urgency, systemic challenges, and emerging leadership within global health security. This comprehensive review examines the current state of AMR governance in Nigerian healthcare settings, analyzing the institutional frameworks, policy responses, implementation challenges, and innovative approaches that characterize Nigeria's national response. With a staggering burden of 64,500 direct AMR-attributed deaths in 2021 and associated economic losses including a 7% reduction in GDP and an 11% decline in livestock productivity, Nigeria's governance response has significant implications for both national development and global health security . This review synthesizes evidence from policy documents, institutional reports, and research studies to analyze Nigeria's evolving governance architecture, particularly in light of its upcoming role as host of the 5th Global High-Level Ministerial Conference on AMR in June 2026—the first such meeting on African soil . The analysis reveals a governance landscape marked by progressive policy development but challenged by implementation gaps, fragmented coordination, and financing constraints. Despite these challenges, Nigeria has demonstrated leadership through multisectoral institutional coordination, groundbreaking surveillance initiatives including its first nationally representative AMR survey, and emerging innovations in stewardship and community engagement. This review identifies key priorities for strengthening Nigeria's AMR governance, including sustainable financing mechanisms, integrated One Health implementation, enhanced accountability frameworks, and strategic leveraging of the 2026 conference to advance equitable, evidence-based governance approaches that address the specific challenges of low- and middle-income countries. The findings underscore the urgent need for Nigeria to translate its growing political commitment into concrete, funded actions that can effectively contain the spread of AMR and protect essential medicines for future generations.
Related
- Agricultural governance to strengthen the multisectoral response to antimicrobial resistance: the experience of Bolivia.
- From discovery to preparedness: reframing antimicrobial resistance as a global governance challenge
- Antimicrobial Resistance and One Health: Lessons on One Health Governance and Implementation from the Fleming Fund.
- Stakeholder perceptions of antimicrobial resistance governance in livestock production: a cross-sectional study from North-Central Nigeria.
- Staphylococcus pettenkoferi : an underrecognized species with clinically relevant antimicrobial resistance. A comprehensive genomic European study
BibTeX
@article{anekwe2026comprehensive,
title = {{Comprehensive Review: Governance of Antimicrobial Resistance in Nigerian Healthcare Settings}},
author = {James Kodilichukwu Anekwe and Obioma Davison Mbanefo and Madumelu H. C. Madubueze and Anthony Ejue Egberi and Nnamdi Michael Nwadiogbu},
year = {2026},
month = may,
doi = {10.54117/1w5qws74},
url = {https://doi.org/10.54117/1w5qws74},
note = {CC BY},
}
RIS
TY - JOUR
TI - Comprehensive Review: Governance of Antimicrobial Resistance in Nigerian Healthcare Settings
AU - James Kodilichukwu Anekwe
AU - Obioma Davison Mbanefo
AU - Madumelu H. C. Madubueze
AU - Anthony Ejue Egberi
AU - Nnamdi Michael Nwadiogbu
PY - 2026
DA - 2026/05/22
DO - 10.54117/1w5qws74
UR - https://doi.org/10.54117/1w5qws74
AB - The governance of antimicrobial resistance (AMR) in Nigeria represents a critical intersection of public health urgency, systemic challenges, and emerging leadership within global health security. This comprehensive review examines the current state of AMR governance in Nigerian healthcare settings, analyzing the institutional frameworks, policy responses, implementation challenges, and innovative approaches that characterize Nigeria's national response. With a staggering burden of 64,500 direct AMR-attributed deaths in 2021 and associated economic losses including a 7% reduction in GDP and an 11% decline in livestock productivity, Nigeria's governance response has significant implications for both national development and global health security . This review synthesizes evidence from policy documents, institutional reports, and research studies to analyze Nigeria's evolving governance architecture, particularly in light of its upcoming role as host of the 5th Global High-Level Ministerial Conference on AMR in June 2026—the first such meeting on African soil . The analysis reveals a governance landscape marked by progressive policy development but challenged by implementation gaps, fragmented coordination, and financing constraints. Despite these challenges, Nigeria has demonstrated leadership through multisectoral institutional coordination, groundbreaking surveillance initiatives including its first nationally representative AMR survey, and emerging innovations in stewardship and community engagement. This review identifies key priorities for strengthening Nigeria's AMR governance, including sustainable financing mechanisms, integrated One Health implementation, enhanced accountability frameworks, and strategic leveraging of the 2026 conference to advance equitable, evidence-based governance approaches that address the specific challenges of low- and middle-income countries. The findings underscore the urgent need for Nigeria to translate its growing political commitment into concrete, funded actions that can effectively contain the spread of AMR and protect essential medicines for future generations.
ER -