One Health and Development Initiative (OHDI)

Generating evidence to strengthen AMR action, implementation, and impact.

Project Summary

We strengthen national responses to antimicrobial resistance (AMR) across African countries by generating robust evidence on the performance of non-state stakeholders, their alignment with national policies, and the effectiveness of these policies. In line with this goal, the project assesses the knowledge, practices, and achievements of key non-state actors—including health professionals, veterinarians, farmers, civil society organizations, and private-sector entities—in addressing AMR within a One Health framework.

A central component of the project is the independent analysis of National Action Plan (NAP) implementation, the extent of its dissemination to non-state actors, and the degree to which these actors align with national AMR priorities. These assessments evaluate how well national strategies are being executed and communicated across subnational levels, identify bottlenecks and resource gaps, and highlight successful approaches that can be scaled or adapted.

We also assess how well AMR training topics are incorporated into national school curricula for healthcare professionals including veterinarians. This assessment allows us to generate evidence to advocate for national curriculum review and promote AMR education.

Insights from the project inform clear, actionable recommendations that support governments, partners, and communities in advancing more coordinated and effective AMR interventions. By increasing visibility into what is working and what requires improvement, the project strengthens accountability, supports evidence-based decision-making, and ultimately contributes to improved AMR governance and policy outcomes across the continent.

Key Impact & Metrics

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Research Activities Conduced

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Peer-reviewed publications (in-view)

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National AMR policy influenced through research results

Project Components

NAP KAP - Nigeria

Nigeria developed its first National Action Plan (NAP) on AMR in 2017, yet evidence on its awareness, dissemination, and implementation across the One Health sectors amongst state and non-state actors remains limited.

This study assesses stakeholders’ awareness of AMR and the NAP, examines whether organisational policies align with national priorities, and evaluates professional engagement across the NAP’s five strategic objectives. It also identifies systemic challenges—such as weak coordination, limited resources, and uneven sectoral integration—that hinder effective implementation.

Using descriptive statistics, thematic analysis, correlation matrices, principal component analysis, and regression models, the project generates actionable insights to strengthen NAP execution. Findings will inform targeted policy improvements, enhance cross-sectoral collaboration, and support a more effective national response to AMR in Nigeria.

AMR Curriculum Review

Antimicrobial resistance (AMR) is a major global health concern, and veterinary professionals play a critical role in promoting responsible antimicrobial use. While veterinary students generally understand antibiotic use and are aware of AMR, studies show persistent gaps—such as self-medication, storing leftover drugs, and limited knowledge of stewardship principles. Evidence also indicates that AMR competence improves as students progress, underscoring the need for strong, well-structured AMR training grounded in the One Health approach.

In Nigeria, however, the scope and depth of AMR education within veterinary curricula remain unclear. Earlier research indicates that while students may use antibiotics appropriately, their understanding of AMR is often limited, and additional targeted training significantly improves knowledge and prescribing practices.

To address this gap, this project evaluates the AMR-related content within the undergraduate veterinary curriculum at the University of Ilorin and examines how effectively it is being implemented. The study aims to identify strengths, deficiencies, and opportunities to enhance AMR education, ensuring that future veterinarians are well-equipped to contribute to antimicrobial stewardship and the broader One Health response to AMR.

WAAW AMR Communication - Phase 2

In the second phase, we are providing advanced communication training focused on engaging neglected and marginalised groups, including NEET youth, persons with disabilities, internally displaced persons, and rural farmers. As in Phase 1, champions will co-develop tailored communication materials and receive mini-grants to lead AMR education initiatives in target communities during WAAW 2025.

Project Resources & Publications

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