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Is COVID-19 Pandemic Over? How Nigeria Can Prepare for Possible Future Pandemics

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Covid-19 pandemic

Although COVID-19 cases dropped significantly in Nigeria within the past year, cases are beginning to rise again.

Just recently, the Nigeria Centre for Disease Control (NCDC) recently reported 347 cases of COVID-19 and Lagos alone accounts for 265 (76%). This begs the question of how ready Lagos and the entire country are to quickly curb the spread of the virus or any other epidemic that may arise.

The initial outbreak of the Covid-19 pandemic and the resultant lockdown showed how unprepared and unequipped the Nigerian health sector was.

Although the NCDC responded remarkably well, much more could have been better if we were prepared. At a health security policy dialogue put together by Nigerian Health Watch in Abuja recently, Peter Hawkins Country Representative of UNICEF made an impressive remark on NCDC’s response.

He said, “We can affirm that Nigeria did a remarkable job to contain the COVID-19 pandemic. NCDC for instance stretched and brought on its a-game despite the challenges in the sector. Also, many initiatives like the Coalition Against COVID-19 (CACOVID) were timely interventions by the Federal Government and private institutions.”

He also added that “whilst we got several things right, much more could have been done. Knowing that the pandemic is not over, and we might be at the beginning of many other, there is a need to tighten efficiency within the sector.”

According to a WHO report, the devastating human, economic, and social cost of COVID-19 has highlighted the urgent need for coordinated action to build stronger health systems and mobilize additional resources for pandemic prevention, preparedness, and response (PPR).

World Bank’s Board of Executive Directors have also approved the establishment of a financial intermediary fund (FIF) that will finance critical investments to strengthen pandemic PPR capacities at national, regional, and global levels, with a focus on low- and middle-income countries.

It is believed that the fund will bring additional, dedicated resources for PPR, incentivize countries to increase investments, enhance coordination among partners, and serve as a platform for advocacy. This is indeed a welcome initiative!

Whilst the rest of the world is girding up and investing in the health sector to get prepared for a possible future pandemic outbreak, Nigeria must not be left behind. Here are three key things we must consider:

Increase funding for epidemic preparedness: Ifeanyi Nsofor, a public health doctor and Senior New Voices Fellow at the Aspen Institute, Washington DC. Recently opined that indeed, it is cheaper to prevent and detect than to respond to an infectious disease outbreak.

COVID-19 has shown how the impacts of pandemics go beyond the health sector. He believes that a simple way to implement this is via a budget line item called “epidemic preparedness” and then defines what that covers.

He stated that, “For example, in local councils, it could cover the cost of provision of clean water in health facilities, setting up a good waste disposal system for communities, stipends for community health volunteers who are the first line in reporting infectious disease outbreaks.

“The state government’s epidemic preparedness budget could cover recruitment and deployment of different cadres of health workers to last-mile health facilities, setting up and equipping state government-owned laboratories, health communications, advocacy interventions, etc.

“The federal government should budget and allocate more funds to NCDC to support its efforts to prevent and detect infectious disease outbreaks.”

    Invest in Human resources: The level of brain drain, and the massive exodus of doctors and other medical practitioners is worrisome, especially at a time like this. The president of the Nigerian Medical Association in an interview revealed that “Over 50 per cent of our doctors are outside the country, we estimate that about 80 thousand Nigerians have been trained as doctors but only about 40 thousand are at home. And these surely are not enough and adequate.”

This is a scary figure for a country looking to improve its health sector. Also at the just concluded policy dialogue by Nigeria Health Watch, many medical experts alluded to the fact that sealing the big black hole in managing human resources in the sector is a critical part to look at as Nigeria is losing its key health personnel to other nations.

    Set up an accountability structure across all levels: Medical experts present at the policy dialogue by Nigeria Health Watch also made a charge for setting a proper accountability structure across the national and sub-national levels. It is believed that all hands must be on deck to get Nigeria Pandemic Prepared.

For instance, Ifeanyi Nsofor said “It’s both sad and amusing when you hear Nigerians rant about the health sector. The belief that only the federal government is responsible for the workings of the health sector is a great disservice to us as a nation. We must realize that Nigeria is a federation and all levels including states and local councils must be held accountable.”

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Health

Lagos Steps up Mandatory Health Insurance Drive

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Mandatory Health Insurance Drive

By Modupe Gbadeyanka

Efforts to entrench mandatory health insurance through the Ilera Eko Social Health Insurance Scheme in Lagos State have been stepped by the state government.

This was done with the formal investiture of the Commissioner for Health, Professor Akin Abayomi, and the Special Adviser to the Governor on Health, Mrs Kemi Ogunyemi, as Enforcement Leads of the Lagos State Health Scheme Executive Order and ILERA EKO Champions.

The Commissioner described the recognition as both symbolic and strategic, noting that Lagos is deliberately shifting residents away from out-of-pocket healthcare spending to insurance-based financing.

“We have been battling with how to increase enrolment in ILERA EKO and change the culture of cash payment for healthcare. Insurance is a social safety net, and this mindset shift is non-negotiable,” he said.

He recalled that Lagos became the first state to domesticate the 2022 National Health Insurance Authority (NHIA) Act through an Executive Order issued in July 2024, making health insurance mandatory. He stressed that the decision reflected the Governor’s strong commitment to healthcare financing reform, adding, “When Mr. Governor personally edits and re-edits a document, it shows how critical that issue is to the future of Lagosians.”

Mr Abayomi also warned against stigmatisation of insured patients, describing negative attitudes towards Ilera Eko enrolees as a major barrier to uptake. “If someone presents an Ilera Eko card and is treated as inferior, uptake will suffer. That must stop,” he said, pledging to prioritise insurance compliance during facility inspections. “The key question I will keep asking is: ‘Where is the Ilera Eko?’”

In her remarks, Mrs Ogunyemi, said the enforcement role goes beyond a title, stressing that the health insurance scheme is now law.

“This is about Universal Health Coverage and equitable access to quality healthcare for everyone in Lagos State,” she said, noting that ILERA EKO aligns with the state’s THEMES Plus Agenda.

She commended the Lagos State Health Management Agency (LASHMA) for aggressive sensitisation efforts across the state, saying constant visibility was necessary to address persistent gaps in public knowledge. “People are still asking, ‘What is Ilera Eko?’ ‘Where do I enrol?’ Those questions tell us the work must continue,” she said.

She urged all directors and health officials to mainstream Ilera Eko promotion in every programme and engagement, emphasising that responsibility for health insurance advocacy does not rest with LASHMA alone. “When people come with medical bills, the first question should be: are you insured?” she said, adding that early enrolment remains critical as premiums rise over time.

Earlier, the Permanent Secretary of LASHMA, Ms Emmanuella Zamba, said the investiture marked a critical step in positioning leadership to drive enforcement of the Executive Order across the public service.

“What we are undertaking is pioneering in Nigeria. All eyes are on Lagos as we demonstrate how mandatory health insurance can work,” she said.

Ms Zamba disclosed that enforcement nominees across Ministries, Departments and Agencies have been trained, with a structure in place to ensure compliance beyond the health sector.

According to her, “This initiative cuts across the entire public service, particularly public-facing MDAs, in line with the provisions of the Executive Order.”

She explained that the formal designation of the Commissioner and the Special Adviser as Enforcement Leaders was meant to strengthen compliance, alongside the Head of Service, while also recognising their consistent advocacy for universal health coverage. “This decoration is to amplify their roles and appreciate the leadership they have shown,” she said.

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Health

Tinubu Transmits 24 Bills to Reduce Bloated Health Sector Boards to Senate

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Tinubu's Portrait

By Adedapo Adesanya

President Bola Tinubu has transmitted 24 bills for consideration of the Senate which seeks to reduce the country’s over-bloated board memberships in the health sector.

The bills were conveyed alongside a letter addressed to President of Senate, Godswill Akpabio, and read at plenary on Tuesday, in line with Section 58(2) of the 1999 Constitution of Federal Republic of Nigeria.

President  Tinubu said the proposed legislations followed a comprehensive review of existing health sector laws by the Attorney-General of the Federation and Minister of Justice.

He said the review, approved by the Federal Executive Council (FEC), was in collaboration with the Minister of Health and Social Welfare, Professor Muhammad Ali Pate.

According to the President, the bills aims at streamlining governance structures across health institutions by reducing over-bloated board memberships.

This, he said, would improve efficiency, effectiveness, and service delivery within the sector.

According to him, the proposed legislations cover a wide range of health institutions and regulatory bodies, including tertiary and teaching hospitals, specialty hospitals, professional councils, and regulatory agencies.

He said the bills transmitted to the Senate includes the National Hospital for Women and Children, Abuja, Federal Medical Centres, National Specialty Hospitals Management Board; Orthopaedic Hospitals Management Board

Others are the National Eye Centre, National Ear Care Centre, Nursing and Midwifery Council of Nigeria; Medical Laboratory Science Council of Nigeria, the National Agency for Food and Drug Administration and Control (NAFDAC) and the National Blood Service Agency, among others.

The President also listed additional legislative proposals such as the Records Officers Registration and Digital Health Bill 2025 and the Federal College of Complementary and Alternative Medicine Bill 2025.

President Tinubu expressed confidence that the Senate would give the bills careful and judicious consideration in the interest of strengthening Nigeria’s health sector.

After the letter accompanying the bills was read, Senate President referred all the 24 bills to the Senate Committee on Rules and Business for further legislative action.

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Health

Africa Wellness Voices Initiative Promotes Mental Wellbeing

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Africa Wellness Voices Initiative AMVI

By Adedapo Adesanya

A new pan-African mental wellness campaign, the Africa Wellness Voices Initiative (AWVI), is set to launch this February, bringing together voices from across Africa to promote mental wellbeing, reduce stigma, and encourage supportive conversations around mental health.

Led by SereniMind, a mental health and wellness organization, AWVI will spotlight different African countries daily throughout February by sharing short wellness statements from individuals, organizations, youth leaders, and institutions.

Each daily feature will highlight local perspectives on mental wellbeing while reinforcing a shared continental message: mental health matters, it said in a statement shared with Business Post.

Mental health remains a critical but under-addressed issue across Africa. According to the World Health Organisation (WHO), depression affects more than 66 million people in the African Region, while mental health services remain limited in many countries. Young people are particularly affected, facing stigma, lack of awareness, and barriers to accessing support.

AWVI said it aims to address these gaps through a unified, prevention-focused awareness campaign that leverages digital platforms to reach communities across borders. In addition to featured voices, members of the public are encouraged to participate by sharing short wellness videos on social media, fostering grassroots engagement and peer-to-peer support.

Speaking on the initiative, Mr Oyenuga Ridwan, Founder of SereniMind, said: “Across Africa, too many people suffer in silence when it comes to mental health. Africa Wellness Voices Initiative is about unity, bringing together Africans from different countries, ages, and backgrounds to normalize conversations around wellbeing and remind people that seeking support is a strength, not a weakness.”

The February campaign is expected to reach 15–25 African countries, feature 60–120 individuals and organizations, and generate over 500,000 digital impressions across platforms including Instagram, LinkedIn, X (formerly Twitter), and TikTok. The organizers hope to scale the initiative in future editions to include all 54 African countries.

AWVI says it aligns with broader continental and global priorities on health, youth empowerment, and wellbeing, contributing to conversations around preventive mental health, community resilience, and inclusive development.

Through technology, partnerships, and community engagement, SereniMind works to promote wellbeing and reduce stigma around mental health.

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