2022-10-30-世界卫生组织-Antimicrobial_resistance_TrACSS_Nigeria_2022_country_profile_10页_277kb

Analysis Summary: Nigeria's 2022 TrACSS Report on Antimicrobial Resistance (AMR)

Introduction to AMR and TrACSS

Antimicrobial resistance (AMR) is a global health threat causing millions of deaths annually, impacting Sustainable Development Goals. The Tripartite AMR Country Self-Assessment Survey (TrACSS) monitors the implementation of national AMR action plans (NAPs). It was renamed in 2022 to align with the Quadripartite framework and achieved high participation. Nigeria submitted its 2022 report, part of a 5-year overview, showing progress but insufficient gains in key areas.

Nigeria's Key Findings from 2022 TrACSS

• Multisectoral Coordination: Nigeria has formalized a mechanism, but implementation is in progress.
• Overall Capacity: Rated on a scale (A-E), most indicators show limited to moderate capacity (B-D), with a need to reach levels C-E for nationwide consistency.
• Sector Comparisons: Progress varies globally; Nigeria's scores often lag behind the global average.
• Recommendations: Strengthen political commitment, investment, training, surveillance, and data use across sectors.

Sector-Specific Breakdown

Human Health

• Findings: Moderate capacity in training, surveillance, and infection control, but gaps persist in antimicrobial consumption monitoring and stewardship.
• Key Actions: Improve national monitoring systems, enhance IPC programs, adopt AWaRe classification, and expand educational initiatives for healthcare workers.

Animal Health

• Findings: Capacity is building but still limited; terrestrial animal health shows more progress than aquatic. Surveillance for AMR in animals is underdeveloped.
• Key Actions: Increase training and professional education, strengthen national surveillance systems, integrate laboratories into AMR monitoring.

Food and Agriculture

• Findings: Limited capacity in education, surveillance, and biosecurity practices to reduce antimicrobial use.
• Key Actions: Raise awareness and train professionals in agriculture, food production, and environmental health; implement better biosecurity measures and diagnostics.

Environment

• Findings: Assessments of antimicrobial residues and resistance in the environment are in place, with relevant legislation, but there is no systematic monitoring of water quality and resistance genes.
• Key Actions: Enhance monitoring systems for environmental pollution, enforce regulations, and adopt a OneHealth approach.

Legislation and Data Use

• Findings: Nigeria has laws on antimicrobial prescription and sale but lacks a comprehensive system for data-informed policy changes and surveillance coordination.
• Key Actions: Implement monitoring and evaluation, use AMR/consumption data for decisions, establish an integrated surveillance system.

Conclusion and Recommendations

Nigeria faces barriers like weak financial and human resources for AMR. Success requires prioritizing AMR NAPs, integrated multisectoral coordination, robust data use, and consistent monitoring. Strengthening capacity across sectors and engaging stakeholders can mitigate AMR threats. Further investment in research, education, and enforcement is essential for sustainable control.