Leaving No One Behind? Equity and Vulnerable Populations in Nigeria’s Antimicrobial Resistance National Action Plan (2024–2028)
1
Slum And Rural Health Initiative, Ibadan, Nigeria
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
BACKGROUND:
Nigeria bears a heavy antimicrobial resistance (AMR) burden, with resistance rates above 70% in common pathogens and inappropriate antibiotic use reported in over half of community encounters¹. Vulnerable groups—including slum residents, internally displaced persons (IDPs), women, children, and persons with disabilities—face greater barriers to prevention, diagnosis, and treatment. In 2024, Nigeria launched its second National Action Plan (NAP 2.0) for AMR (2024–2028)²,³. This study examines how equity and vulnerable populations are integrated into NAP 2.0.
METHODS:
A structured desk review of NAP 2.0 and supporting documents was conducted using the WHO Global Action Plan framework and an equity lens³. Five domains were analyzed: (1) recognition of vulnerable populations; (2) stewardship strategies for marginalized settings; (3) equity-sensitive monitoring and evaluation (M&E); (4) alignment with UHC, SDGs, and WASH/IPC; and (5) partnerships and regional collaboration.
RESULTS:
NAP 2.0 identifies women, children, and displaced persons as vulnerable groups and frames equity as a guiding principle². Stewardship, surveillance, and awareness are embedded across One Health sectors with emphasis on community engagement²,³. The M&E framework proposes data disaggregation by gender, location, and vulnerability, and the plan aligns with UHC, SDGs, and WASH/IPC programs². Partnerships with domestic stakeholders, Quadripartite agencies, Africa CDC, USAID/MTaPS, and the One Health Trust highlight integration into regional and global AMR governance²,³. However, explicit strategies for urban slum residents, IDPs, and persons with disabilities remain limited. Stewardship interventions are not tailored to marginalized settings⁴, and mechanisms for equity-focused data collection are unclear. Partnerships remain stronger at policy than at grassroots levels. Community-level awareness and behavioural change remain insufficient⁵.
CONCLUSIONS:
Nigeria’s AMR NAP 2.0 shows progress in governance, integration, and collaboration but still has equity gaps. Strengthening community-based stewardship⁴, equity-focused M&E, and inclusive partnerships will be crucial to ensure no population is left behind.
Nigeria bears a heavy antimicrobial resistance (AMR) burden, with resistance rates above 70% in common pathogens and inappropriate antibiotic use reported in over half of community encounters¹. Vulnerable groups—including slum residents, internally displaced persons (IDPs), women, children, and persons with disabilities—face greater barriers to prevention, diagnosis, and treatment. In 2024, Nigeria launched its second National Action Plan (NAP 2.0) for AMR (2024–2028)²,³. This study examines how equity and vulnerable populations are integrated into NAP 2.0.
METHODS:
A structured desk review of NAP 2.0 and supporting documents was conducted using the WHO Global Action Plan framework and an equity lens³. Five domains were analyzed: (1) recognition of vulnerable populations; (2) stewardship strategies for marginalized settings; (3) equity-sensitive monitoring and evaluation (M&E); (4) alignment with UHC, SDGs, and WASH/IPC; and (5) partnerships and regional collaboration.
RESULTS:
NAP 2.0 identifies women, children, and displaced persons as vulnerable groups and frames equity as a guiding principle². Stewardship, surveillance, and awareness are embedded across One Health sectors with emphasis on community engagement²,³. The M&E framework proposes data disaggregation by gender, location, and vulnerability, and the plan aligns with UHC, SDGs, and WASH/IPC programs². Partnerships with domestic stakeholders, Quadripartite agencies, Africa CDC, USAID/MTaPS, and the One Health Trust highlight integration into regional and global AMR governance²,³. However, explicit strategies for urban slum residents, IDPs, and persons with disabilities remain limited. Stewardship interventions are not tailored to marginalized settings⁴, and mechanisms for equity-focused data collection are unclear. Partnerships remain stronger at policy than at grassroots levels. Community-level awareness and behavioural change remain insufficient⁵.
CONCLUSIONS:
Nigeria’s AMR NAP 2.0 shows progress in governance, integration, and collaboration but still has equity gaps. Strengthening community-based stewardship⁴, equity-focused M&E, and inclusive partnerships will be crucial to ensure no population is left behind.
| eISSN: | 2654-1459 |
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