Health
My Encounter with a Nigerian Healthcare Professional
By Jerome-Mario Utomi
This piece stemmed from an unusual occurrence/event which glaringly did more than anything else to support the claim by well-meaning Nigerians that a healthcare professional does not feel bound to seriously observe basic standards of care or are generally unwilling to accept responsibility for their failure to deliver expected quality services.
It was an extract of a mental account on Saturday, November 6, 2021, at Ketu Lagos, where/when my son Pascal Onyinyechukukwu Utomi (now late) suffered a health crisis. To assist the innocent boy arrest the troubling reality, we (myself, the mother/my wife and a very good neighbour), went to one of the private hospitals in the neighbourhood. The hospital gate was firmly locked and understandable as it was dead in the night.
To get the needed attention, I thus pleaded: please help! Help!! Help!!! Emergency! Emergency!! Emergency!!! Some minutes later, one of the hospital’s personnel walked but leisurely towards us. Without getting close to the gate or enquires what the situation was, he, to our astonishment initiated the following conversation;
It will cost you a certain amount to obtain the hospital card. I responded; no problem. He again fired; you need to pay another Naira as a deposit (this time around mentioning a bigger amount). Yet again, I responded, no problem. And the next statement he uttered was; can I have the money? Looking at the time, to meet this demand, I pleaded that he assists me with the hospital’s account number to make the transfer or better still allow me to pay with my ATM card/POS as I do not have much cash on me.
At this point, I received what met the criteria of unimaginable and unexpected response!
Let’s listen to him; we cannot accept transfer/POS at this time of the night. Besides, our Oga (boss) who will confirm the transaction alert/notification is not here and we don’t have the power to wake him from his sleep.
So, can I pay cash tomorrow morning, I queried? No, he responded. Then, what is the way forward? We cannot help, he declared.
With this concluding statement and without consideration to the dying innocent boy, he slowly left us in the cold to our fate and walked back to the main building where he firmly locked the door.
We were left with no other option than to move to another hospital where he finally got admitted but the experience/services were not too different from the first.
Indeed, while the above accounts typify one out of millions of unavailability of quality services, failure of oversight and the impunity of healthcare professionals in both private and public healthcare sector in Nigeria, using the right to health as thematic focal points, there are ingrained reasons that render such development as not just a crisis but paint the public and private health operators in the country as both inefficient and culprits of poor health care providers.
First, the questions that are as important as the piece itself are; what has happened to the strengthened accountability mechanisms relevant to healthcare delivery in Nigeria? How can the nation ensure greater responsibility and accountability of healthcare facilities and professionals in the country? Which one should come first when considering treatment of patents, monetary gain or burning desire to save lives? If it is a desire to save lives, why are medical operators in the country so insensitive to the plights of Nigerians? Why are governments at all levels in Nigeria reputed for poor funding of the health sector?
Have medical professionals in the country forgotten that maximum/quality services provided with efficiency and under the cost-effective arrangement are more profitable than abnormal or counterfeit services as currently witnessed by Nigerians?
Also troubling is the fact that our nation’s health institutions (both private and public) are still unmindful of the fact that serving the people is a serious responsibility and the people involved must abide by the code of conduct and strive to remain within certain limits. This goal should be achieved in an environment of positive and fair competition. They must provide Nigerians with the opportunity to access quality health services without falling prey to fake or any unlawful service or practices.
Talking about the right to health, it is worth mentioning that Nigeria voluntarily assumed obligations to respect, promote, protect and fulfil the right to health under major regional and international human rights instruments, including the African Charter on Human and People’s Rights and the International Covenant on Economic, Social and Cultural Rights.
As noted elsewhere, by the Revised National Policy on Health (2004), “health and access to quality and affordable healthcare is a human right”.
It declares further that “a high level of efficiency and accountability shall be maintained in the development and management of the national health system.”
In its declaration of commitment, the policy asserts that “the people of this nation have the right to participate individually and collectively in the planning and implementation of their healthcare . . . this is not only their right but also their solemn duty.”
So, why is it that these principles and values are yet to permeate the “development and management” of healthcare planning and delivery systems? It is a lamentable development that many healthcare professionals and institutions lack knowledge of the existence of the policy let alone the ideas, principles, targets and expectations that the policy embodies.
This is not the only concern about the nation’s health sector. There are others that are more government-specific in outlook.
Take, as an illustration, Nigerians are particularly not happy that the capital flight lost to medical tourism in one year by Nigerians is huge enough to build a world-class hospital in this country that can attend to these needs, create employment, bring back the array of Nigerian medical specialists littered the world over and bring foreign earnings to our nation’s coffers.
They are not happy that the same medical tourism which in 2017 alone kept our dear president away for about 150 days is left without anything dramatic done to redress or forestall such future occurrence.
And sadly, Nigerians will continue to ‘cry’ because they are tired of going through this state-sponsored human degradation.
It will, however, be of considerable significance to this discussion if the FG realizes that globally, there is no codified principle for lifting a nation from poverty to prosperity. All that is needed is for the FG to go the extra mile to accelerate economic development, social progress and get deeply committed to developing strategies that will guarantee the protection of lives and property of Nigerians while holding health workers (private and public) accountable for their professional misdeed.
Jerome-Mario Utomi, Programme Coordinator (Media and Public Policy), Social and Economic Justice Advocacy (SEJA), wrote from Lagos. He could be reached via [email protected] or 08032725374.
Health
Polaris Bank Sponsors Free Breast, Prostate Cancer Screenings
By Modupe Gbadeyanka
To commemorate World Cancer Day observed on Wednesday, February 4, 2026, Polaris Bank Limited is bankrolling free screenings for breast and prostate cancers across the country.
The financial institution partnered with a non-governmental organization (NGO) known as Care Organization and Public Enlightenment (COPE) for this initiative.
At least 100 women would be screened during the exercise, scheduled for Saturday, February 21, 2026, at the C.O.P.E Centre on 39B, Adeniyi Jones Avenue, Ikeja, Lagos, from 10:00 am to 2:00 pm.
The exercise will be conducted by trained health professionals and volunteers, ensuring participants receive both screening services and educational guidance on cancer prevention, self-examination, and follow-up care.
To participate in the free breast cancer screening programme, the applicants must be women, must be Polaris Bank account holders, and must have registered ahead of the day via bit.ly/BCS2026, with selection based on early and confirmed submissions.
Polaris Bank said the initiative was designed to promote awareness, screening, early detection, and preventive care, reinforcing its belief that access to health services is a critical foundation for individual and economic well-being.
The organization is already supporting an on-going free prostate cancer screening programme for 250 men aged 40 years and above across Nigeria.
The prostate cancer screening is being conducted at the Men’s Clinic, situated at 18, Commercial Avenue, Sabo, Yaba, Lagos, providing accessible, professional medical support for male participants seeking early detection and preventive care for prostate cancer.
Both initiatives (free breast and prostate cancer screenings) directly aligns with the United Nations Sustainable Development Goals, particularly SDG 3 (Good Health and Well-being) through improved access to preventive healthcare and early detection services, SDG 5 (Gender Equality) by prioritizing women’s health and empowerment, and SDG 17 (Partnerships for the Goals) through strategic collaboration with civil society organizations such as C.O.P.E to deliver community-centered impact.
Educational materials, community engagement sessions, and digital awareness campaigns will be deployed to reinforce key messages around early detection, lifestyle choices, and the importance of regular medical check-ups.
The Head of Brand Management and Corporate Communications for Polaris Bank, Mr Rasheed Bolarinwa, emphasised that early detection remains one of the most effective tools in the fight against cancer.
Health
NSIA Gets IFC’s Naira-financing to Scale Oncology, Diagnostic Services
By Adedapo Adesanya
International Finance Corporation (IFC), a subsidiary of the World Bank, and the Nigeria Sovereign Investment Authority (NSIA) have partnered to provide Naira-denominated financing to NSIA Advanced Medical Services Limited (MedServe), a wholly owned healthcare subsidiary of the country’s wealth fund.
Supported by the International Development Association’s Private Sector Window Local Currency Facility, this financing enables MedServe to scale critical healthcare infrastructure while mitigating foreign exchange risks. IFC is a member of the World Bank Group.
The funds will support MedServe’s expansion program to establish diagnostic centers, radiotherapy-enabled cancer care facilities, and cardiac catheterisation laboratories across several Nigerian states.
These centres will feature advanced medical technologies, including CT and MRI imaging, digital pathology labs, linear accelerators, and cardiac catheterisation equipment, thereby enhancing specialised diagnostics and treatment.
MedServe provides sustainable service delivery with pricing that matches local income levels, helping ensure broader access to affordable oncology care for low-income patients.
The initiative will deliver over a dozen modern diagnostic and treatment centers across Nigeria, create 800 direct jobs, and train more than 500 healthcare professionals in oncology and cardiology specialties.
The total project size is $154.1 million, with IFC contributing roughly N14.2 billion ($24.5 million) in long-tenor local currency financing, marking IFC’s first healthcare investment in Nigeria using this structure.
This comes as Nigeria advances its aspirations for Universal Health Coverage. This partnership provides an opportunity to leverage private investment to complement government efforts to expand oncology care and diagnostic services.
IFC’s provision of long-tenor Naira financing addresses a significant market gap and unlocks institutional capital for healthcare infrastructure with strong development upside while MedServe’s co-location strategy with public hospitals maximises capital efficiency and strengthens the public-private ecosystem, establishing a replicable platform for future investment.
“This partnership with IFC represents a significant milestone in NSIA’s commitment to strengthening Nigeria’s healthcare ecosystem through sustainable, locally anchored investment solutions,” said Mr Aminu Umar-Sadiq, managing director & chief executive of NSIA.
He added, “By deploying long-tenor Naira financing, we are addressing critical infrastructure gaps while reducing foreign exchange risk and ensuring that quality diagnostic and cancer care services are accessible to underserved communities. MedServe’s expansion underscores our belief that commercially viable healthcare investments can deliver strong development impact while supporting national health priorities.”
“This ambition is consistent with our broader vision for Africa, one where resilient health systems and inclusive growth reinforce each other to deliver long-term impact across the continent,” said Mr Ethiopis Tafara, IFC Vice President for Africa.
Health
Lagos Steps up 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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