Friday, March 7, 2025 - The Federal Government has mandated that all health facilities involved in organ transplantation in Nigeria must be registered and licensed before they can operate. These facilities are also required to establish independent, facility-based Organ Transplantation Committees, separate from their medical transplantation teams. Plans for a nationwide inspection of organ transplant facilities for accreditation and licensing by the National Tertiary Health Institutions Standards Committee (NTHISC) are at an advanced stage, alongside efforts to establish a National Organ Transplantation Registry.
The announcement was made on Thursday, March 6, in Abuja during the
unveiling of the Standards and Guidelines for the Establishment and
Coordination of Organ/Tissue Transplantation Services in Nigeria. The
document, developed by the Professor Fatiu Abiola Arogundade-led Organ
Transplantation Guidelines Panel under the NTHISC, provides ethical standards
for organ donation and transplantation, donor protection mechanisms, informed
consent procedures, and organ allocation processes. It covers essential areas
such as kidney, liver, eye tissue, hematopoietic stem cell (bone marrow),
gamete and embryo donation, storage, and surrogacy.
During the launch, the Minister of State for Health and Social Welfare,
Adekunle Salako, emphasized the importance of the guidelines, stating, “These
guidelines provide a much-needed regulatory framework for organ
transplantation. They aim to restore trust in organ donation in Nigeria by
promoting transparency, accountability, and adherence to international best
practices.” Represented by the Director of Hospital Services, Jimoh Salaudeen,
the Minister highlighted rising cases of unethical practices and organ
trafficking in Nigeria, saying, “This document is particularly important given
Nigeria’s unique challenges. In recent times, we witnessed troubling incidents
of unethical organ harvesting and other excesses within the organ
transplantation workspace.”
He pointed to cases where young Nigerians from poor backgrounds were
victims of organ trafficking. “This sad narrative usually speaks about young
Nigerian victims from poor backgrounds who were targeted by criminal cartels,
lured with money, or forced promises of a better life. These cases underscore
the urgent need for stringent regulations to protect organ donors and
recipients alike. With these guidelines in place, we expect significant
progress in the sector.”
Following the launch, Salako, through his representative, announced
immediate steps to implement the guidelines. “Authorities will begin by mapping
and registering all healthcare institutions involved in organ donation and
transplantation, ensuring that only certified facilities with adequate capacity
are authorized to perform these procedures. Effective monitoring mechanisms
will be implemented to evaluate adherence to the guidelines. Additionally, we
will establish an organ donation and transplantation registry and banking
system to streamline the management of organ donations across Nigeria.”
He also stressed the need to strengthen existing laws to ensure
compliance. “As Nigeria’s legislative landscape regarding ethical organ
harvesting is evolving, we recognize the need to further strengthen our current
laws, stipulating penalties to invalidate detailed violations of the provision
of this guideline and that of the National Health Act 2014. In other words, the
effort to sanitize organ transplantation processes in Nigeria is a work in
progress, and our government will ensure that nothing stops it.”
The Ministry’s Permanent Secretary, Daju Kachallom, represented by
Tetshoma Dafeta, described the initiative as a transformative step for
Nigeria’s healthcare sector. “The demand for organ transplantation is rising,
yet ethical concerns persist. Without proper regulation, vulnerable lives
remain at risk. These guidelines ensure that organ donation and transplantation
in Nigeria are safe, ethical, and transparent.”
He further emphasized the importance of addressing challenges such as
public awareness, infrastructure deficits, and regulatory enforcement. “To make
these guidelines truly impactful, we must mobilize health professionals,
policymakers, civil society, and the public to create a culture where organ
donation is understood, embraced, and ethically managed.”
Chairman of the House of Representatives Committee on Human Rights, Hon.
Abiola Makinde, assured that lawmakers would support necessary amendments to
the National Health Act to strengthen regulatory oversight, penalties, and the
overall scope of the legislation.
Prof. Phillip Abiodun, Chairman of the NTHISC, warned that
non-compliance with the guidelines would not be tolerated. “For too long, organ
transplantation in Nigeria has been plagued by irregularities, exploitation,
and a lack of robust regulatory frameworks. This document establishes a culture
of accountability within the healthcare system.”
He added that the guidelines aim to restore public trust. “By mandating
facility mapping, certification, and strict compliance monitoring, we aim to
eliminate irregularities and ensure that every transplant is carried out under
controlled and ethical conditions.”
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