Health
Appraising and Re-tooling Nigeria’s Public Health Delivery Model in the Post COVID-19 Era
By Christopher Samuel
That the ravaging COVID-19 which has since the beginning of the year spread rapidly around the globe could leave a very serious public health crisis in its wake is no longer news.
In many parts of the world, attention is shifting to how to concretize local, regional and continental health partnerships that focus on not just how to successfully contain or tackle the virus, but, more importantly, to ensure that life-saving and essential health delivery services are sustained and maintained to entrench a robust system that maximizes the learnings gained from the current pandemic.
Like other developing countries, Nigeria now, more than ever before, has to seriously confront the challenge of creating a modern health services delivery system that guarantees efficient, fast and accessible solutions capable of curtailing fatalities associated with common diseases and their devastating impact on families, communities, and development.
While speaking recently on the threat of malaria in the country, the Minister of Health, Dr Osagie Ehanire, revealed that “though fever testing amongst children under 5 has increased consistently from 5% in 2010 to 11% in 2013, to 13% in 2015 and 14% in 2018, it is still very low when compared with the second objective of the Malaria Strategic plan which is to test all care-seeking persons with suspected malaria using RDT or microscopy.”
According to the World Malaria Report, Nigeria still accounts for 25% of the global malaria burden and 19% of global malaria deaths. Nigeria, it is estimated accounts for 81,640 annual malaria deaths – about 9 deaths per hour – and the situation is worsened by very low levels of investment in malaria elimination at both the sub-national levels and the private sector.
Apart from the frightening mortality and morbidity data on malaria, lack of access to functional health services delivery system has also been responsible for avoidable havoc caused by many other common but potentially deadly illnesses, such as STDs, diarrhoea, hypertension, and diabetes on a large segment of the 52% of the country’s population that lives in the rural areas.
To compound the situation, the country’s rural areas mostly lack good and functional infrastructure while the unavailability of competent healthcare personnel, coupled with high levels of poverty and illiteracy continue to make public health a daunting task in the country
Despite the country’s strategic position in Africa, it is highly underserved in the health care delivery sphere. Health resources such as facilities, personnel and medical equipment are inadequate, especially in rural areas.
Latest data from a survey of Africa’s 10 largest economies show that only Ethiopia has fewer hospital beds per capita than Nigeria. The most recent WHO data puts the number of hospital beds at only five per 10,000 people in Nigeria.
Beyond hospital beds, however, public healthcare delivery is hampered more by the inadequacy of healthcare resources particularly personnel, drugs and other medical equipment needed for holistic patient treatment.
For instance, the doctor to patient ratio is currently 1:6000. Most of the available qualified doctors are concentrated in urban cities and towns while the rural areas have next to nothing, thereby leaving room for quacks and other unqualified hands to tend to citizens’ health needs.
This poor picture makes the healthcare system particularly fragile and always at major risk of being overwhelmed at the breakout or in the aftermath of any pandemic with a serious presence in the country.
Yet, as an important element of national security, the need for public health is non-negotiable. Public health not only functions to provide adequate and timely medical care but also tracks, monitors, and controls disease outbreaks.
The Nigerian health care environment has suffered several infectious disease outbreaks year after year. Hence, there is a need to tackle the problem decisively now in order to forestall a repeat of the chaotic national response to the COVID-19 pandemic.
While the government has regularly come up with reforms to address the wide-ranging issues in the health care system, implementation has sadly been poor.
According to the 2009 communique of the National Health Conference, health care system remains weak as evidenced by lack of coordination, fragmentation of services, the dearth of resources, including drug and supplies, inadequate and decaying infrastructure, inequity in resource distribution, lack of access to care and a very deplorable quality of care. The communique also pinpointed a lack of clarity of roles and responsibilities among the different levels of government to have compounded the situation.
To further underline the fact that the Nigerian health care system is poorly developed, experts have often observed that there are no discernible and well maintained adequate and functional surveillance systems in the sector.
A successful modern-day health care delivery model requires routine surveillance and medical intelligence as the backbone of the health sector. This is because medical intelligence and surveillance represent a very useful component in the health care system and control of diseases outbreak.
The provision of timely information aimed at combating possible health menace among many other things is an important function of public health.
Hence, inadequate tracking techniques in the public health sector can lead to huge health insecurity, and thereby endanger national development, peace, and security.
There is, therefore, an increasing role of automated-based medical intelligence and surveillance systems to complement the traditional manual pattern of document retrieval in an advanced medical setting as seen in western and European countries.
Given the above prognosis, the primary challenge confronting the country’s public health today could, therefore, be framed as how to create and sustain an information-rich and patient-focused health care system that reliably delivers high-quality care.
Learning from experience is crucial, both for effective emergency response and to rebuild for the future.
Past experiences have shown that in the wake of health pandemics, the government has often been discovered to have diverted statutory health budget and resources to tackle the immediate challenge of the pandemic. This often leaves the healthcare services delivery sector more fragile, weaker and more overwhelmed, especially in the efforts to contain common citizen health needs.
For instance, in the aftermath of the Ebola crisis, many people died because of the inability of the overwhelmed health systems to treat malaria, HIV, and tuberculosis than from Ebola itself.
A similar trend can only be avoided in the aftermath of this fight against COVID-19 if efforts are geared towards putting in place a proactive, revolutionary and easily affordable and accessible health services delivery the model that can ride on the strong deployment of technology to strengthen healthcare accessibility at the grassroots.
Nigeria needs to urgently come up with an innovative approach to creating different layers of health services delivery model that can deliver effective and efficient medical services to the most vulnerable in society, to achieve the best health outcomes, such that location and socio-economic status will not be a barrier to accessing quality healthcare services. This need to also be done as cheaply as possible, given the dwindling economic fortunes of the country.
In this regard, the country needs to look towards the innovative and revolutionary community health hub idea which is capable of leveraging technology to offer a holistic solution to the identified gaps in the existing healthcare delivery systems, particularly in the underserved areas, as a way of maximizing the scarce human resources for health (HRH).
The best of this community health hub ideas is grounded on tele-healthcare model and not the anachronistic brick and mortar community healthcare facility model.
The growing popularity, spread, reach and utility value of mobile telephony and other digital devices should challenge health administrators and service providers to think out of the box in coming up with solutions that can deliver efficient health services to the majority of Nigerians, especially in the lower socio-economic cadre.
The current pandemic has demonstrated the central importance of health in our national life — without it, we have nothing. It has also shown how we can do things differently as regards to making our public healthcare system truly patient-focused.
We should not expect the world to stand still for us to move at a pedestrian pace when everybody else is sprinting to make their systems better.
Christopher Samuel is the Project Coordinator for Telehealth Nigeria Initiative (TENI) based in FCT, Abuja.
By Adedapo Adesanya
Nigeria has launched its first nationally representative survey on antimicrobial resistance to generate critical data to guide evidence-based policies, improve patient outcomes, and strengthen health system resilience.
Antimicrobial resistance occurs when bacteria, viruses, fungi, and parasites evolve to resist treatment, making infections harder to cure.
As a result, surveillance is essential to track resistance patterns, identify priority pathogens, and guide targeted interventions and with support from the World Health Organization (WHO) and other partners, the initiative marks a milestone in the country’s public health response.
Nigeria becomes the third country globally to partner with WHO on a national antimicrobial resistance survey. having been selected based on the country’s strong commitment to AMR surveillance, its updated WHO Nigeria NAP 2.0, and readiness to expand laboratory and data systems.
Africa’s most populous country ranks 20th globally for age-standardized mortality due to antimicrobial resistance . In 2019, an estimated 263,400 deaths in Nigeria were linked to it—more than the combined deaths from enteric infections, tuberculosis, respiratory infections, maternal and neonatal disorders, neglected tropical diseases, malaria, and cardiovascular diseases.
Globally, resistant infections in tertiary care settings cost between $2,371 and $29,289 per patient episode, extend hospital stays by an average of 7.4 days, and increase mortality risk by 84 per cent.
The survey will see the establishment of a national baseline on antimicrobial resistance prevalence to monitor interventions, assess the distribution, burden (morbidity, mortality, DALYs, cost), and diversity of AMR across regions and populations, as well as contribute to the global target of reducing AMR deaths by 10 per cent by 2030, in line with the political declaration endorsed at the 79th United Nations General Assembly in 2024.
It also seeks to strengthen routine antimicrobial resistance surveillance, including diagnostics, sample referral systems, and laboratory capacity.
Using WHO’s standardized methodology, the survey will run for 12–15 months and cover 40–45 randomly selected health facilities nationwide. Patients with suspected bloodstream infections (BSIs) will be identified using standard case definitions, and blood samples will be analysed in quality-assured laboratories.
Data will be collected across all age groups, covering clinical, demographic, laboratory, financial, and outcome indicators. Follow-up will occur at discharge, 28 days, and three months post-infection. The survey will sample approximately 35,000 patients suspected of BSIs to obtain around 800 isolates of the most common pathogens.
Dr Tochi Okwor, Acting Head, Disease Prevention and Health Promotion, Nigeria Centre for Disease Control and Prevention (NCDC) said, “With WHO’s support, we are confident the survey will generate the evidence needed to protect public health.”
WHO Representative in Nigeria, Dr Pavel Ursu, reaffirmed WHO’s commitment stating that ,“Nigeria is taking a decisive step toward combating AMR with an approach grounded in data, science, and measurable impact. This survey will provide the clarity needed to drive smarter policies, stronger surveillance, and better patient outcomes. Nigeria is laying the foundations for a resilient health system, one that protects lives, strengthens trust, and ensures that essential medicines remain effective for future generations.”
Adding her input, Dr Laetitia Gahimbare, Technical Officer at WHO Regional Office for Africa, added:“Strengthening surveillance enhances Nigeria’s capacity to detect and respond to AMR threats, supporting better patient outcomes, reinforcing health security, and building a resilient system.”
Professor Babatunde Ogunbosi, Paediatric Infectious Diseases Specialist at University College Hospital, Ibadan, highlighted the broader impact:, “This survey is about more than data. It’s about building national capacity for research, diagnostics, and policy. It integrates science into public health decision-making.”
By Modupe Gbadeyanka
One of the leading Health Maintenance Organisations (HMOs) in Nigeria, SUNU Health, has said its philosophy is proactive wellness, noting that this was why it recently partnered with The Divine Physician and St. Luke Catholic Chaplaincy Centre for a community health initiative.
The chief executive of the company, Dr Patrick Korie, said, “SUNU Health’s vision extends far beyond merely offering health packages and insurance.”
“We are fundamentally interested in proactive wellness—preventing illness rather than just treating it. This annual exercise is a crucial part of that commitment, and we will continue to champion it for as long as we exist,” he stressed.
The medical practitioner led the company’s annual Health Walk in Lagos on Saturday, November 8, 2025. The event drew hundreds of health enthusiasts, including the Chaplain of the centre, Rev Fr. John Okoria SJ.
His active participation reinforced the spiritual and moral commitment to holistic well-being, proving crucial in mobilizing staff and community members, thereby ensuring the vital wellness message reached a broad and deeply engaged audience.
The health walk covered several major streets in Lagos, starting from Ishaga Road and navigating through Itire Road, Randle Avenue, Akerele, Ogunlana Drive, and Workers Street before concluding back at the starting point. Following the vigorous walk, participants engaged in a session of high-energy aerobics and other outdoor exercises, reinforcing the day’s focus on fitness.
“We are delighted to champion this vital health initiative alongside the Catholic Chaplaincy Centre LUTH/CMUL. The turnout was truly delightful, reflecting the community’s deep desire to embrace wellness.
“Collaborations like this amplify our message and commitment to the Nigerian community,” the Brand and Corporate Communications Lead at SUNU Health, Mr Samuel Olayemi, stated.
By Adedapo Adesanya
Coronation Registrars Limited, a subsidiary of Coronation Group, in partnership with the Lagos State Blood Transfusion Committee (LSBTC), recently hosted a Blood Drive Initiative at the 5th floor of Coronation Group Plaza. The event saw over 80 staff donate blood to support critical healthcare needs in Lagos State.
The Blood Drive Initiative forms part of Coronation’s commitment to meaningful, human-centred corporate social responsibility, a direct, measurable, and life-saving effort that reflects the Group’s health and sustainability values.
As Prosperity Partners dedicated to creating sustainable wealth for clients and the African continent, Coronation recognises that true prosperity extends beyond financial returns to encompass the well-being of communities we serve.
The company noted that this initiative enabled it to deliver immediate social impact by supporting national blood supply shortfalls through employee-driven action, demonstrate leadership in health-focused CSR aligned with ESG goals and SDG 3 (Good Health & Well-being), strengthen internal culture by fostering employee engagement, empathy, and purpose in a safe, structured environment, and reinforce corporate reputation through public-facing acts of service, stakeholder trust, and media visibility.
Blood donation remains a critical need in Nigeria, where regular blood supply is essential for emergency care, surgeries, and treatment of various medical conditions. Each donation can save up to three lives, and the collective effort of Coronation employees will significantly impact patients in need across Lagos State healthcare facilities.
“This aligns seamlessly with Coronation’s broader sustainability agenda, which views healthcare access as fundamental to building prosperous communities across Africa,” the company said in a statement on Tuesday.
Partnering with a certified medical institution, the drive was professionally managed, medically compliant, and logistically efficient. Participants underwent necessary medical screening procedures to ensure donor fitness and safety. Following their donations, donors received refreshments and appreciation for their life-saving contribution.
“At Coronation, we believe in making a meaningful difference in the communities we serve,” said Mr Oluseyi Owoturo, Chief Executive Officer of Coronation Registrars Limited. “This Blood donation Initiative reflects our values in action, saving lives, building community, and positioning the company as a purpose-driven brand. We’re proud of our employees who stepped forward to donate blood and save lives. This is what sustainable impact looks like: tangible solutions that address real challenges facing our continent.”
The partnership with the Lagos State Blood Transfusion Committee ensured professional handling of the donation process, meeting all safety and quality standards for blood collection and storage.
Coronation Registrars Limited says it continues to demonstrate that corporate success goes hand-in-hand with social responsibility.
“This initiative reinforces the company’s purpose to create a prosperous future for clients and the African continent through transformational solutions,” it added.
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