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Buhari Should Probe Missing N3.8bn in Health Ministry, NAFDAC—SERAP

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NAFDAC

By Adedapo Adesanya

The Socio-Economic Rights and Accountability Project (SERAP) has urged President Muhammadu Buhari to direct the Attorney General of the Federation and Minister of Justice, Mr Abubakar Malami and the appropriate anti-corruption agencies to probe allegations that N3,836,685,213.13 of public funds meant for the Federal Ministry of Health, teaching hospitals, medical centres, and National Food Drug Administration and Control (NAFDAC) was missing, mismanaged, diverted or stolen.

In a letter dated January 2, 2021, and signed by SERAP Deputy Director, Mr Kolawole Oluwadare, the organisation said the allegations are documented in Part 1 of the 2018 audited report released last week by the Office of the AGF.

The organisation also urged him to “promptly investigate the extent and patterns of widespread corruption in the Federal Ministry of Health, teaching hospitals, medical centres, neuro-psychiatric hospitals, National Health Insurance Scheme, and NAFDAC indicted in the audited report, and to clean up an apparently entrenched system of corruption in the health sector.

“Corruption in the health sector can cause serious harm to individuals and society, especially the most vulnerable sectors of the population. These missing funds could have been used to provide access to quality healthcare for Nigerians, and meet the requirements of the National Health Act, especially at a time of the COVID-19 pandemic,” it said.

According to SERAP, “The Federal Ministry of Health, Abuja spent without approval N13,910,000.00 to organise a 2-day Training and Bilateral discussion with Chief Medical Directors and Chairmen Medical Advisory Council and the Ministry of Budget and National Planning to prepare 2019 Personnel Budget N4,860,000.00 was originally budgeted for the programme.”

SERAP said: “The National Food Drug Administration and Control (NAFDAC) paid N48,885,845.00 for services not rendered and goods not supplied. According to the Auditor-General, NAFDAC used fake and fictitious receipts for these payments. NAFDAC also paid N25,734,018.49 to companies/firms who were never awarded any contracts and never executed them.”

The letter, read in part: “Investigating and prosecuting the allegations of corruption by these institutions would improve the chances of success of your government’s oft-repeated commitment to fight corruption and end the impunity of perpetrators, as well as serve the public interest.”

“Any failure to promptly investigate the allegations and prosecute suspected perpetrators, and to recover the missing public funds would breach Nigeria’s anti-corruption legislation, the Nigerian Constitution of 1999 (as amended), the UN Convention against Corruption, and the International Covenant on Economic, Social and Cultural Rights to which Nigeria is a state party.”

“Similarly, the Neuro-Psychiatric Hospital Management Board Aro-Abeokuta, Ogun State failed to account for N28,662,265.32, which was to be used to procure drugs, implants, and other inputs, as approved by the Federal Government. The Auditor-General wants the money returned to the treasury.”

“The National Health Insurance Scheme spent N355,510,475.00 on projects between 2016 and 2017 without appropriation. The Scheme also spent N32,299,700.00 to provide ‘financial medical assistance’ to individuals who have not been enrolled into the scheme (NHIS).”

“The Scheme also spent N72,383,000.00 on verification exercise without any supporting documents. The Scheme awarded contracts of N66,798,948.12 to members of staff for procurements, instead of making the procurement through the award of contracts.”

“The Federal Neuro-Psychiatric Hospital Enugu, Enugu State paid N5,200,000.00 as salary advance to the Medical Director. However, the Medical Director was neither proceeding on transfer, on posting nor on the first appointment to qualify for a salary advance. The Auditor-General is asking the Medical Director to refund the money collected. Another N3,387,139.00 is said to be missing but the Hospital management has failed to report the case, or recover the money.”

“The Irreal Specialist Teaching Hospital, Irrua Edo State paid N58,829,426.84 to two contractors for supplies and installations but without payment vouchers.”

“Also, Jos University Teaching Hospital Jos, Plateau State failed to remit N333,386,549.15 being 25% of its internally generated revenue of N1,333,546,196.60 to the Consolidated Revenue Fund. The Hospital also failed to account for N8,572,777.25.”

“The Lagos University Teaching Hospital, Lagos, failed to remit N945,422,478.23 to the appropriate tax authority. The Hospital also failed to remit N237,007,828.05 to the Consolidated Revenue Fund, and failed to remit N22,307,735.21 being withholding tax deducted from contracts in 2018.”

“The Federal Medical Centre, Owerri, Imo State also failed to remit N8,519,506.75 being 25% of its internally generated revenue to the Consolidated Revenue Fund. The Medical Centre also spent N542,877,312.77 as personnel cost between 2015 and 2016 instead of N12,761,350,337.00 appropriated for the same period.

“The Medical Centre failed to account for N898,076,719.14 of its internally generated revenue, and failed to account for N23,598,074.38 of personnel cost. The National Primary Health Care Development Agency, Abuja spent without approval N19,564,429.91 as estacode allowance to the various staff of the agency.”

“The Federal School of Occupational Therapy, Oshodi, Lagos failed to remit N3,250,962.98 of its internally generated revenue for 2018 to the Consolidated Revenue Fund. The School also failed to remit N4,018,252.81 being funds deducted from various contracts. It spent N10,507,393.00 without any appropriation or approval.”

“The Federal Medical Centre, Keffi Nasarawa State failed to remit N2,147,036.00 of its internally generated revenue to the Consolidated Revenue Fund. It also failed to remit N5,810,438.05 to the Federal Inland Revenue Service.”

“The Medical and Dental Council of Nigeria failed to remit N68,604,040.68 of its internally generated revenue to the Consolidated Revenue Fund.”

“Allegations of corruption in the health sector undermine public confidence in the sector, and obstruct the attainment of commitments made through Sustainable Development Goals, in particular Goal 16 to create effective and accountable institutions.

“The allegations also show that Nigeria is failing to fulfil the obligations to use its maximum available resources to progressively realize and achieve basic healthcare services for Nigerians.”

“We would be grateful if your government would indicate the measures being taken to address the allegations and to implement the proposed recommendations, within 14 days of the receipt and/or publication of this letter.”

“If we have not heard from you by then as to the steps being taken in this direction, the Registered Trustees of SERAP shall take all appropriate legal actions to compel your government to implement these recommendations in the public interest, and to promote transparency and accountability in the health sector.”

Adedapo Adesanya is a journalist, polymath, and connoisseur of everything art. When he is not writing, he has his nose buried in one of the many books or articles he has bookmarked or simply listening to good music with a bottle of beer or wine. He supports the greatest club in the world, Manchester United F.C.

Health

NARD Suspends Indefinite Strike, Gives FG Fresh Two-Week Ultimatum

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resident doctors strike

By Adedapo Adesanya

The Nigerian Association of Resident Doctors (NARD) has suspended its planned nationwide indefinite strike, granting the federal government a two-week ultimatum to address lingering welfare issues affecting resident doctors across the country.

The decision was taken after an emergency meeting of the association’s National Executive Council on Tuesday, where members reviewed assurances from government representatives and resolved to give dialogue another chance.

NARD said the suspension was informed by “progress made” in negotiations, particularly commitments on the prompt payment of salary arrears, hazard allowances, and steps toward resolving issues surrounding the Medical Residency Training Fund.

The association did not declare a full resolution of the dispute. It noted that the government had shown “renewed willingness” to address the concerns that triggered the strike threat.

The association noted that while these engagements signalled a willingness by the government to resolve the dispute, several critical issues remain outstanding, particularly the delayed payment of promotion arrears, salary arrears, the 2026 Medical Residency Training Fund (MRTF), and the backlog of 19 months’ professional allowance arrears owed to resident doctors.

It also expressed concern over the Federal Government’s decision to halt the implementation of the reviewed PAT, which had earlier triggered widespread dissatisfaction among its members and raised fears of disruption to healthcare services nationwide.

Despite these unresolved issues, NARD said it opted to suspend the strike as a demonstration of goodwill and commitment to ongoing dialogue, while giving the government a two-week window to take concrete, measurable and verifiable steps to meet its demands.

The association insisted on the immediate reversal of the decision affecting the PAT, payment of all outstanding arrears, prompt disbursement of the MRTF, and full settlement of the accumulated professional allowance backlog.

It warned that it would reconvene at the expiration of the ultimatum to assess the level of compliance and determine its next course of action, adding that failure by the government to meet its demands within the stipulated timeframe would result in the resumption of the suspended strike without further notice.

NARD also called on its members nationwide to remain calm, united and resolute, while urging the Federal Government to act swiftly to prevent a potential crisis in the health sector.

The association further appreciated the interventions of the Vice President and other stakeholders, expressing hope that their involvement would lead to the timely resolution of the dispute and help sustain healthcare delivery across the country.

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Jacaranda Gets Funds to Expand Affordable Maternal Healthcare in Kenya

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Jacaranda Maternity

By Modupe Gbadeyanka

To expand affordable healthcare in Kenya, Swedfund has invested about $600,000 into Jacaranda Health Limited (Jacaranda Maternity) to support innovations in neonatal intensive care and strengthen Jacaranda’s ability to provide life-saving services to underserved populations.

Jacaranda Maternity provides high-quality maternal health care at more affordable pricing than typical private providers, focusing on women in Nairobi’s low- and middle-income communities.

The new funding will support the opening of new hospitals, upgrading of neonatal care, and improvements to existing facilities.

Maternal and newborn health outcomes in Kenya remain a challenge, with maternal mortality still high despite improvements in skilled birth attendance.

Public health facilities play a central role but face capacity constraints, while access to reliable, quality care varies across regions and income groups.

Private healthcare providers offering essential maternity services at accessible price points can complement public provision.

Jacaranda Maternity aims to expand its network to six hospitals to achieve financial sustainability while scaling its impact. The healthcare provider is a recognised leader in promoting women’s health, with 71 percent of its staff being women, and a track record of effective environmental and social management.

“This investment will help Jacaranda Maternity provide life-saving care to more women and families while furthering Swedfund’s mission to promote inclusive and sustainable healthcare,” a Senior Investment Manager at Swedfund, Audrey Obara, said.

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Nigeria Secures $350,000 FAO Support to Tackle Rising Bird Flu

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By Adedapo Adesanya

Nigeria will get a $350,000 intervention from the Food and Agriculture Organisation of the United Nations (FAO) to support its response to the ongoing outbreak of Highly Pathogenic Avian Influenza (bird flu) and strengthen the country’s animal health systems.

An agreement was reached on Wednesday during a strategic meeting between the Minister of Livestock Development, Mr Idi Mukhtar Maiha, and the FAO Representative to Nigeria and the Economic Community of West African States, Mr Hussein Gadain, in Abuja.

The intervention, approved under FAO’s Technical Cooperation Programme, will support disease containment efforts in 11 affected states and enhance surveillance, coordination and response mechanisms to prevent further spread of the disease.

Speaking during the meeting, Maiha said effective disease control remains critical to improving livestock productivity and protecting the livelihoods of farmers across the country.

He explained that factors such as drought, scarcity of feed, interaction between livestock and wildlife, as well as cross-border movement of animals have contributed to the spread of diseases in some areas.

“We must continue to strengthen our animal health systems and build the capacity required to respond effectively to disease outbreaks. Our collaboration with FAO will help protect livestock assets, improve productivity and support the broader transformation of the sector,” the minister said.

Mr Gadain commended the federal government’s commitment to the development of the livestock sector and assured that FAO would continue to provide technical support to Nigeria.

He stressed the need to strengthen veterinary services at the state and community levels, improve early detection of diseases and promote biosecurity practices among livestock farmers.

The meeting also reviewed progress on the global campaign to eradicate Peste des Petits Ruminants, a highly contagious disease that affects sheep and goats.

To advance the initiative, the ministry plans to convene a national technical meeting involving veterinary institutions, researchers and practitioners to review Nigeria’s eradication strategy and address gaps in vaccine supply.

As part of preparations, the ministry will engage the National Veterinary Research Institute to assess its vaccine production capacity while exploring other options for vaccine procurement to meet national demand.

Both parties also agreed to accelerate Nigeria’s access to financing under the Pandemic Fund through the One Health approach in collaboration with the Nigeria Centre for Disease Control and the Federal Ministry of Health to strengthen preparedness and response to zoonotic diseases.

Plans are also underway for the Director-General of FAO to participate in the Antimicrobial Resistance Conference scheduled for June 2026 in Abuja, where President Bola Tinubu is expected to be recognised as the African Champion for the eradication of Peste des Petits Ruminants.

The meeting further agreed to inaugurate a Livestock Donor Working Group to coordinate development partner support and advance key initiatives, including the development of a national feed and fodder strategy aimed at improving productivity and sustainability in the livestock sector.

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