Antibiotic Resistance in Nigeria: Addressing Urban and Rural Challenges | NNAST

What is Antibiotic Resistance and Why It Matters

The alarming growth of antibiotic resistance in Nigeria is severely affecting the city, villages and communities. But what is actually antibiotic resistance? To put it simply, bacteria become resistant to the antibiotics that are actually designed to eliminate them or to prevent their propagation. This is one of the consequences of bacteria’s rapid evolution, that they have become resistant to the drugs that were once effective in killing the. The misuse and overuse of antibiotics are the chief driver behind it.

Antibiotic resistance is an international crisis, yet in Nigeria, the situation is even more complicated, lacking adequate healthcare, inappropriate education on drug use, and insufficient medical supervision. Understanding what antibiotic resistance is, and why it matters, is the crucial step to work on the solutions that could otherwise lead to serious illness, a longer period in the hospital, and increased mortality rate.

Causes of Antibiotic Resistance in Nigeria’s Communities

The higher antibiotic resistance in Nigeria is associated to multiple and interrelated factors. One of the main drivers is the excessive and wrong use of antibiotics. In a lot of cases, people in both urban communities and rural settings indiscriminately take antibiotics without proper medical directions. They might, for example, take wrongly prescribed antibiotics or discontinue their treatment course ahead of time. Thus, they create an environment for bacteria to develop resistance to the effects of these drugs.

In rural areas, the number of healthcare facilities can be limited; hence, a lot of people are self-medicate by using antibiotics. They are not, however, getting the right treatment or drugs that, in turn, might increase the antibiotic resistance. On the other hand, in the urban area, the over-prescripted antibiotics often in hospitals and pharmacies make patients take extra antibiotics without any need which make bacteria develop more resistance.

Challenges in Rural Areas: Self-Medication and Lack of Access

In rural Nigeria, the situation of antibiotic resistance is complicated not only by the lack of healthcare facilities but also by the frequent self-medication with antibiotics, which many people practice. In these areas, many of the natives do not have access to doctors or hospitals. Because of that, they rely on local pharmacies or even street vendors to get antibiotics from; in fact some of them don’t even consult with the doctors.

Self-medication with antibiotics is a major problem, as people do not really know the dangers of misuse or overuse. For instance, they can take the left-over antibiotics obtained from a previous illness or use different antibiotics which are not suitable for their disease, hence, increasing the development of drug resistance. The Nigerian Centre for Disease Control (NCDC) has pointed it out as one of the major problems, especially in the case rural people frequently lack awareness on the usage of the right antibiotics.

Challenges in Urban Settings: Overuse in Hospitals & Pharmacies

While self-medication is a major issue in rural communities, cities in Nigeria encounter their own unique issues. The issue in urban settings mainly comes from the misuse of antibiotics in hospitals and pharmacies. Health professionals in urban settings sometimes prescribe antibiotics reflexively, either due to a patient’s influence; or due to a lack of appropriate diagnostic to illuminate the right treatment.

City pharmacy facilities also have antibiotics easily available over the counter that the public can get without any prescription, thus making it easy for them to misuse or overuse the medication. The misuse and overuse of antibiotics in pharmacies and hospitals contributing to the challenges of antibiotic resistance in Nigeria and making it more difficult to treat illnesses while taking longer recovery time for patients. 

How Public Awareness Can Help Combat Resistance

Creating public awareness and educating them are among the most effective ways of handling antibiotic resistance in Nigeria is through. Raising awareness about misusing antibiotics can lead to changes in the behavior of healthcare professionals as well as the people in general. Health education and community outreach are two important steps that will teach people proper antibiotic usage and how important it is to complete the full course of treatment as prescribed.

Communities that are more educated about antibiotic resistance will be easier to manage the problem. This is particularly important in rural areas where the education level is usually low. It helps if you educate them about the disadvantages of self-medication and reinforce the idea that it is always better to seek professional medical advice to get proper treatment.

The Role of the NCDC and NNAST in Community Outreach

The Nigerian antibiotic resistance ecosystem is dominated by two main organizations, the Nigeria Centre for Disease Control (NCDC), and the Nigerian National Antimicrobial Stewardship Taskforce (NNAST), who have taken the lead in the fight against antibiotics resistance in Nigeria. The (NCDC) has been part of various public health campaigns which also focus on the training of healthcare workers on the proper use of antibiotics. Additionally, they have been the ones to endorse and fund the creation of the national action plans that are dedicated to the fight against antimicrobial resistance (AMR), which in turn are essential to the management of the country’s response to the global problem of increasing antibiotic resistance in Nigeria.

NNAST is also proactive and works on promoting antimicrobial stewardship throughout the country. It encourages healthcare providers to prescribe antibiotics only when necessary and ensure that the patients receive the proper treatment. The NNAST efforts in this regard involve organizing training programs, and guidelines, and they conduct community outreach activities aimed at the reduction of misuse of antibiotics and the improvement of healthcare practices in Nigeria.

Conclusion: Bridging the Gap Between Urban and Rural Response

The rise of antibiotic resistance in Nigeria is a serious issue that affects both rural and urban communities in a variety of ways. The problems of self-medication and limited healthcare in rural communities are the major issues, but urban centers have their own problems as well. Yet by means of better public awareness campaigns, implementing effective healthcare measures, and the support from organizations such as the NCDC and NNAST, Nigeria can make the necessary moves toward a solution to the issue. 

To bridge up the gap between rural and urban response against antibiotic resistance, there should be multi-disciplined unified approach. This will include a blend of education, improved access to healthcare, and stricter rules to impose responsible antibiotic use countrywide. Only with the solidarity of action, we can hope to win against antibiotic resistance in Nigeria and at the same time improve health care for everyone.

FAQs

What is antibiotic resistance?

Antibiotic resistance occurs when bacteria evolve to resist the effects of medications designed to kill them, making infections harder to treat and increasing the risk of complications.

What causes antibiotic resistance in Nigeria?

The primary causes of antibiotic resistance in Nigeria include the overuse and misuse of antibiotics, particularly through self-medication in rural areas and over-prescription in urban hospitals and pharmacies.

How can public awareness help combat antibiotic resistance?

Public awareness about the dangers of antibiotic misuse can encourage proper use of antibiotics, reduce self-medication, and promote safer practices in both healthcare settings and the community.

What is the role of the NCDC and NNAST in fighting antibiotic resistance?

The NCDC and NNAST play crucial roles in educating the public and healthcare providers, promoting antimicrobial stewardship, and developing national strategies to combat antibiotic resistance in Nigeria.

How does antibiotic resistance affect rural communities in Nigeria?

In rural communities, limited access to healthcare and the widespread practice of self-medication with antibiotics contribute significantly to the development and spread of antibiotic resistance.

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Dr. Omobosola Akinsete is a dedicated physician and a key member of the Nigerian Antimicrobial Stewardship Taskforce. She has been an internal medicine and adult Infectious Disease physician in the United States of America for 30  years . She graduated from Medical school at the University of Lagos, and has a masters in Public Health from Johns Hopkins school of Public Health. 

She did her Internal Medicine training at a Brown University hospital and her fellowship in Infectious Diseases  at the University of Minnesota where she is an associate professor. She has worked with the National Institutes of Health and Howard University a a coordinator for the Human Genome Project among other projects, she is a frequent public speaker and contributor to different types of media. She loves to advocate for healthcare in minority populations. She  has a lot of experience with  patients and health care providers on antimicrobial stewardship in her institution  HealthPartners in Minnesota U.S.A. Her expertise in the field of Infectious diseases and antimicrobial stewardship and her passion to improve health care in her home country will contribute significantly to the fight against antimicrobial resistance in Nigeria. Dr. Akinsete’s work with the taskforce focuses on leadership of the taskforce as chairperson and national coordinator, working closely with NCDC leadership, the Nigerian Federal Ministry of Health, stakeholders, and funding partners, and helping with capacity building of standardized antimicrobial stewardship and infectious disease educational programs. She will also use her expertise to guide providers and HealthCare institutions  on the ground . Her commitment to improving antimicrobial use and patient safety is invaluable to the nation’s public health efforts.