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Appraising and Re-tooling Nigeria’s Public Health Delivery Model in the Post COVID-19 Era

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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.

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Adichie Demands Documentation of Late Son’s Treatment as Euracare Suspends Doctor

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By Adedapo Adesanya

Nigerian author, Ms Chimamanda Ngozi Adichie, via her solicitors, has written to Euracare Multi-Specialist Hospital, Lagos, over the death of her 21-month-old son, Nkanu Nnamdi, seeking documentation of treatment before his untimely demise.

In a legal notice dated January 10, 2026, solicitors acting for the renowned author and her partner, Dr Ivara Esege, alleged that the hospital, its anaesthesiologist, and attending medical personnel breached the duty of care owed to their son, who died in the early hours of Wednesday, January 7, 2026.

The notice was issued on behalf of the parents by Pinheiro LP and signed by the founding partner, Prof Kemi Pinheiro (SAN).

According to the notice, the child was referred to the hospital on January 6, 2026, from Atlantis Pediatric Hospital for a series of diagnostic and preparatory procedures. These included an echocardiogram, a brain MRI, the insertion of a peripherally inserted central catheter (PICC line), and a lumbar puncture.

The procedures were reportedly part of preparations for an imminent medical evacuation to the United States, where a specialist medical team was said to be on standby to receive him.

The solicitors stated that intravenous sedation was administered using propofol.

However, it was alleged that during transportation to the cardiac catheterisation laboratory following the MRI procedure, the child allegedly developed sudden and severe complications.

Despite being under sedation, he was said to have been transferred between clinical areas under conditions that raised “serious and substantive concerns” about compliance with patient-safety protocols.

He was later pronounced dead in the early hours of January 7, 2026.

The legal notice outlines multiple alleged lapses in paediatric anaesthetic and procedural care.

These include concerns about the appropriateness and cumulative dosing of propofol in a critically ill child, inadequate airway protection during deep sedation, and an alleged failure to ensure continuous physiological monitoring.

The parents further alleged that their son was transferred without supplemental oxygen, without adequate monitoring, and without sufficient accompanying medical personnel.

They also raised concerns over the availability of basic resuscitation equipment, delayed recognition and management of respiratory or cardiovascular compromise, and an overall failure to comply with established paediatric anaesthesia, patient-transfer, and safety protocols.

Another major grievance cited was the alleged failure of the hospital to adequately disclose the risks and potential side effects of propofol and other anaesthetic agents, thereby undermining the legal requirement for informed consent.

According to the solicitors, these alleged lapses amount to prima facie breaches of the duty of care and render the hospital and all medical personnel involved liable for medical negligence resulting in the child’s death.

As part of their next legal steps, the parents demanded certified copies of all medical records relating to their son’s treatment within seven days of receipt of the notice.

The requested documents include admission notes, consent forms, pre-anaesthetic assessments, anaesthetic charts, drug administration records, monitoring logs, procedural notes, nursing observations, ICU records, incident reports, and the identities of all medical staff involved.

The demand also covers internal reviews, safety logs from the MRI suite, and any other documentation connected to the child’s care.

The hospital was also formally placed on notice to preserve all relevant evidence, whether physical or electronic.

This includes CCTV footage from procedure rooms and corridors, electronic monitoring data, pharmacy and drug inventory records, crash-cart and emergency equipment logs, as well as internal communications and any morbidity and mortality reviews.

The solicitors warned that “any destruction, alteration, or loss of such evidence after receipt of this letter shall be regarded as suppression or concealment of evidence and obstruction of the course of justice, and will be relied upon accordingly, with attendant legal consequences.”

The letter concluded with a warning that failure or refusal by the hospital to comply with the demands within the stipulated timeframe would leave the parents with no option but to pursue all available legal, regulatory, and judicial remedies against the hospital and all medical personnel involved.

Euracare Hospital had noted in a Saturday statement that it had commenced “a detailed investigation” into the incident in line with its clinical governance standards and best practices, while pledging to engage transparently and responsibly with all relevant clinical and regulatory processes.

Also, the Lagos State Government on Saturday said it began an investigation into the incident, vowing to ensure the full weight of the law is applied.

Speaking yesterday, the Special Adviser to the Lagos State Governor on Health, Dr Kemi Ogunyemi, said the doctor involved in the child’s procedure had been suspended by the hospital’s management, noting that the hospital was cooperating with the government in the investigation.

“The hospital itself is also doing its own internal investigation, and as far as we know, the anaesthesiologist involved has been suspended by the hospital,” she revealed.

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Chinamanda Ngozi Adichie Blames Medical Negligence for Son’s Death

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By Adedapo Adesanya

Renowned Nigerian author, Ms Chinamanda Ngozi Adichie, has alleged that medical negligence was responsible for the death of her 21-month-old child.

The child, Nkanu, reportedly passed away on Wednesday, January 7, 2026, after a brief illness.

More details have emerged detailing the circumstances surrounding his death.

According to a leaked internal message sent privately to family members and close friends, Ms Adichie blamed a staff of Euracare Multi-Specialist Hospital, located in Victoria Island, Lagos, for causing the demise of the lad.

“My son would be alive today if not for an incident at Euracare Hospital on January 6th.

“We were in Lagos for Christmas. Nkanu had what we first thought was just a cold, but soon turned into a very serious infection and he was admitted to Atlantis hospital.

“He was to travel to the US the next day, January 7th, accompanied by Travelling Doctors. A team at Johns Hopkins was waiting to receive him in Baltimore. The Hopkins team had asked for a lumbar puncture test and an MRI. The Nigerian team had also decided to put in a ‘central line’ (used to administer iv medications) in preparation for Nkanu’s flight. Atlantis hospital referred us to Euracare Hospital, which was said to be the best place to have the procedures done.

“The morning of the 6th, we left Atlantis hospital for Euracare, Nkanu carried in his father’s arms. We were told he would need to be sedated to prevent him from moving during the MRI and the ‘central line’ procedure.

“I was waiting just outside the theater. I saw people, including Dr M, rushing into the theater and immediately knew something had happened.

“A short time later, Dr M came out and told me Nkanu had been given too much propofol by the anesthesiologist, had become unresponsive and was quickly resuscitated. But suddenly Nkanu was on a ventilator, he was intubated and placed in the ICU. The next thing I heard was that he had seizures. Cardiac arrest. All these had never happened before. Some hours later, Nkanu was gone

“It turns out that Nkanu was NEVER monitored after being given too much propofol. The anesthesiologist had just casually carried Nkanu on his shoulder to the theater, so nobody knows when exactly Nkanu became unresponsive.

“How can you sedate a sick child and neglect to monitor him? Later, after the ‘central line’ procedure, the anesthesiologist casually switched off Nkanu’s oxygen and again decided to carry him on his shoulder to the ICU!

“The anesthesiologist was CRIMINALLY negligent. He was fatally casual and careless with the precious life of a child. No proper protocol was followed.

“We brought in a child who was unwell but stable and scheduled to travel the next day. We came to conduct basic procedures. And suddenly, our beautiful little boy was gone forever. It is like living your worst nightmare. I will never survive the loss of my child.

“We have now heard about two previous cases of this same anesthesiologist overdosing children. Why did Euracare allow him to keep working? This must never happen to another child,” she wrote.

As of press time, it is not clear what the next line of action will be with the revelation.

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SUNU Health Named Most Customer Focused HMO of the Year

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By Modupe Gbadeyanka

The decision of the management of SUNU Health Nigeria Limited to adopt the strategy of placing the enrollee and customer at the heart of its operations has started to pay off.

The company was recently announced as Most Customer-Focused Health Insurance Company of the Year at the Customer Service Standard Magazine Awards 2025.

The recognition underscored the company’s success in translating its dedication into tangible enrollee satisfaction and superior market service at the Nigerian Health Maintenance Organisation (HMO) landscape.

It also highlights the organisation’s dedicated efforts in streamlining claims processing, enhancing access to quality healthcare providers, and maintaining transparent, responsive communication channels with its diverse client base across Nigeria.

The accolade further serves as a powerful testament to the successful integration of digital solutions and human-centric service models at SUNU Health.

It positions the firm as a leader not only in providing robust health plans but also in delivering the supportive, personalized care that enrollees truly value.

“Clinching the Most Customer-Focused Health Insurance Company of the Year award is not just an honour; it is a validation of the core philosophy that drives every member of the SUNU Health team.

“We believe that healthcare is fundamentally a service industry, and our success is measured by the well-being and satisfaction of our enrollees,” the chief executive of SUNU Health, Mr Patrick Korie, commented.

“This award reinforces our resolve to continuously innovate and set new benchmarks for customer experience in the Nigerian health insurance sector.

“Our commitment to providing accessible, high-quality, and seamless healthcare solutions remains our top priority as we move into the new year (2026),” he added.

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