CRIMINALIZATION OF EUTHANASIA IN NIGERIA AND ITS ETHICAL IMPLICATIONS FOR HEALTHCARE PRACTICE
Keywords:
bioethics, euthanasia, criminalization, Nigeria, ethical implications, healthcare practice, palliativeAbstract
The criminalisation of euthanasia in Nigeria reflects a complex interplay of colonial legal inheritance, deeply entrenched religious and cultural values emphasising the sanctity of life, and constitutional protections for the right to life under Section 33 of the 1999 Constitution (as amended). This article examines how Nigeria’s penal laws, the Criminal Code Act (applicable in the South) and the Penal Code (in the North), treat euthanasia and assisted suicide as forms of unlawful killing or murder, with consent offering no defense and penalties ranging from life imprisonment to death penalty. While passive euthanasia has seen limited judicial accommodation in cases like Medical and Dental Practitioners Disciplinary Tribunal v. Okonkwo (2001), where competent patients may refuse life-sustaining treatment on religious grounds, active euthanasia remains strictly prohibited. Drawing on the works of Nigerian scholars such as Ayantayo and others, the study explores the ethical tensions this legal stance creates for healthcare practitioners, who must navigate the Hippocratic Oath’s imperative to preserve life against patients’ demands for autonomy and relief from unbearable suffering amid resource constraints, poverty, and inadequate palliative care. The analysis reveals that criminalisation upholds societal values of human dignity and communal responsibility but imposes significant ethical burdens on physicians, including moral distress, fear of prosecution, and potential underground practices. By integrating doctrinal legal analysis with bioethical principles and African perspectives on life and death, this article argues that while outright legalization risks a slippery slope in Nigeria’s socio-economic context, the current framework demands enhanced palliative care infrastructure and clearer guidelines to mitigate ethical dilemmas in clinical practice. Ultimately, the criminalisation of euthanasia underscores Nigeria’s commitment to the inviolability of life but calls for balanced reforms to align legal rigidity with compassionate healthcare realities.References
1. Abubakar, F. N. (2025). An appraisal of the legal status of euthanasia in Nigeria. ResearchGate. https://www.researchgate.net/publication/396419622
2. Agom, D., Onyeka, T. C., & Omuemu, V. O. (2019). End-of-life care in Nigeria: A review of challenges and opportunities. Nigerian Journal of Clinical Practice, 22(5), 597–604.
3. Ahaneku, S. O., & Arinze-Umobi, C. C. (2024). Legalizing euthanasia in Nigeria: A comparative study of the laws of euthanasia in the Netherlands, Belgium, and Canada. Journal of Comparative and Public Law, UNIZIK.
4. Akpomiemie, M., & Odukoya, J. A. (2020). Informal end-of-life practices in rural Nigeria: Legal and ethical dimensions. African Journal of Bioethics, 3(1), 12–20.
5. Annoni, M. (2018). Principlism and global bioethics: A critical appraisal. Global Bioethics, 29(1), 1–15.
6. Annoni, M. (2020). The limits of principlism in pluralistic societies. Cambridge Quarterly of Healthcare Ethics, 29(4), 557–568.
7. Antom, V. L., & Umar, M. A. (2020). Euthanasia under Nigerian criminal jurisprudence. African Journal of Criminal Law and Jurisprudence.
8. Ayantayo, J. K. (2003). The sanctity of life: A religious dogma with moral implications for biomedical practices. In P. A. Dopamu et al. (Eds.), African culture, modern science and religious thought (pp. 419–431). African Centre for Religion and Sciences.
9. Ayantayo, J. K. (2009). Fundamentals of religious ethics. End-Time Publishing House.
10. Ayantayo, J. K. (2009). Religious ethics and the sanctity of life in Nigeria. Ibadan Journal of Religious Studies, 41(2), 55–71.
11. Ayantayo, J. K. (2011). African indigenous beliefs and end-of-life decisions among the Yoruba. In O. A. Oyedeji (Ed.), Culture and morality in Nigeria (pp. 88–104). University Press.
12. Beauchamp, T. L., & Childress, J. F. (2019). Principles of biomedical ethics (8th ed.). Oxford University Press.
13. Criminal Code Act, Cap. C38, Laws of the Federation of Nigeria (2004).
14. de Zoysa, H. N. (2016). Should euthanasia be allowed or not: Ethical dilemma of philosophical approach. Proceedings of the 17th Conference on Postgraduate Research, University of Kelaniya, Sri Lanka.
15. Emanuel, E. J., Onwuteaka-Philipsen, B. D., Urwin, J. W., & Cohen, J. (2016). Attitudes and practices of euthanasia and physician-assisted suicide in the United States, Canada, and Europe. JAMA, 316(1), 79–90.
16. Fayemi, A. K. (2016). African bioethics and the concept of personhood. Developing World Bioethics, 16(3), 134–142.
17. Gbadegesin, S. (1991). African philosophy: Traditional Yoruba philosophy and contemporary African realities. Peter Lang.
18. Grace, O. A. (2025). The legalization of euthanasia in Nigeria: A right to die or a threat to life. SabiLaw.
19. Ikono, U. A. (n.d./2016). Criminalizing euthanasia in Nigeria: A stitch in time. Advanced Agronomy Journal. https://www.advancedagronomyjournal.com/uploads/archives/5FD6 125C8A6F5107864924.pdf
20. Jegede, A. S. (2016). Advance directive in end-of-life decision-making among the Yoruba of South-Western Nigeria. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC5363404/
21. Kant, I. (2005). Groundwork of the metaphysics of morals (J. Timmermann, Trans.). Cambridge University Press. (Original work published 1785)
22. Keown, J. (2018). Euthanasia, ethics and public policy: An argument against legalisation (2nd ed.). Cambridge University Press.
23. Lee, P. (2013). Deontological perspective against euthanasia. In Ethical dilemmas non-voluntary euthanasia. IPL.
24. Legal Ideas Forum. (2024). A critical analysis of euthanasia in Nigeria jurisprudence.
25. Mahmoud, K. O., & Oluwagbemiga, O. (2025). Perspective chapter: Palliative care in Nigeria, perspectives, challenges, and barriers. Intech Open.
26. Makinde, T. (2015). Pluralism and healthcare ethics in Nigeria. Journal of African Cultural Studies, 27(4), 441–454.
27. Mamah, U. J. (2024). Navigating the legal, ethical and moral dimension of euthanasia in Nigeria. FUNAI Law Projects.
28. Medical and Dental Council of Nigeria. (2015). Code of Medical Ethics in Nigeria. MDCN.
29. Medical and Dental Practitioners Disciplinary Tribunal v. Okonkwo, [2001] FWLR (pt. 44) 542 (Nigeria Supreme Court).
30. National Population Commission (NPC) & ICF. (2019). Nigeria Demographic and Health Survey 2018. NPC and ICF.
31. Ogundiran, T. O. (2004). Enhancing the African bioethics perspective: The Nigerian experience. Nigerian Medical Journal, 45(3), 100–105.
32. Ogunbanjo, G. A., & van Bogaert, D. K. (2014). Euthanasia in South Africa: Legal and ethical considerations. South African Family Practice, 56(2), 85–89.
33. Okonkwo, C. O., & Naish, M. (1990). Criminal law in Nigeria (2nd ed.). Sweet & Maxwell.
34. Oladipo, S. E. (2017). Moral distress among Nigerian physicians: The euthanasia dilemma. Nigerian Journal of Health Sciences, 17(1), 22–29.
35. Olasinde, T., Onyeka, T., Adenipekun, A., Otene, S., Kajang, V., & Soyannwo, O. (2025). Decoding the palliative care landscape in Nigeria: Progress, challenges, and the road ahead. Palliative & Supportive Care, 23, e123.
36. Omonzejele, P. F. (2004). African ethics and voluntary euthanasia. Medical Law, 23(3), 671–685.
37. Oniha, B. E. (2017). Legality of euthanasia and the right to die in Nigeria. Edo Judiciary. https://edojudiciary.gov.ng/wp-content/uploads/2017/07/LEGALITY-OF-EUTHANASIA-ANDTHE-RIGHT-TO-DIE-IN-NIGERIA-BY-BRIGHT-E.-ONIHA-CORRECTED.pdf
38. Panapress. (2026). Access to palliative care in Nigeria: Addressing the assimetrias challenge.
39. Penal Code, Cap. P3, Laws of the Federation of Nigeria (2004).
40. Picón-Jaimes, Y. A., Lozada-Martinez, I. D., Orozco-Chinome, J. E., Montaña-Gómez, L. M., Bolaño-Romero, M. P., Moscote-Salazar, L. R., Janjua, T., & Rahman, S. (2022). Euthanasia and assisted suicide: An in-depth review of relevant historical aspects. Annals of Medicine & Surgery, 75.
41. Prager, E. C. (1975). The morality of euthanasia [Doctoral dissertation, Boston University].
42. Riisfeldt, T. D. (2023). Overcoming conflicting definitions of “euthanasia” and of "assisted suicide," through a value-neutral taxonomy of "end-of-life practices.” Journal of Bioethical Inquiry, 20(1), 51–70.
43. Smith, S. W. (2012). End-of-life decisions in medical care: Principles and policies for regulating the dying process. Cambridge University Press.
44. Tangwa, G. B. (2007). Bioethics in Africa: A contextually enlightened approach. Quest: An African Journal of Philosophy, 21(1-2), 101–116.
45. The State of Palliative Care in Nigeria: A scoping review. (2026). Journal of Pain and Symptom Management.
46. Umeh, C. A., & Adebayo, A. A. (2021). Palliative care gaps and end-of-life suffering in Nigerian hospitals. Palliative Medicine Reports, 2(1), 145–153.
47. Wooddell, V., & Kaplan, K. J. (1998). An expanded typology of suicide, assisted suicide, and euthanasia. OMEGA - Journal of Death and Dying, 36(3), 219–226.
Downloads
Published
Issue
Section
Categories
License
Copyright (c) 2026 This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, adaptation, and reproduction in any medium, provided that the original work is properly cited.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are permitted to post their work online in institutional/disciplinary repositories or on their own websites. Pre-print versions posted online should include a citation and link to the final published version in Journal of Librarianship and Scholarly Communication as soon as the issue is available; post-print versions (including the final publisher's PDF) should include a citation and link to the journal's website.