This article examines Hospital and Health Facility Governance in East Africa: Boards, Management, and Quality: An African Union Perspective with a focused emphasis on Nigeria within the field of Business. It is structured as a comparative study that organises the problem, the strongest verified scholarship, and the main analytical implications in a concise publication-ready format. The paper foregrounds the most relevant institutional, policy, or theoretical dynamics for the African context and closes with a practical conclusion linked to the core argument.