Health
Nigeria Yet to Allocate 15% of Budget to Health as Promised—WHO
By Adedapo Adesanya
Almost 22 years after pledging to set a target of allocating at least 15 per cent of their annual budget to improve the health sector, the World Health Organization (WHO) has declared that Nigeria is still far from meeting the goal.
In April 2001, heads of state of African Union countries met in Abuja and pledged to set a target of allocating at least 15 per cent of their budget to the health sector.
In commemoration of this year’s World Health Day, which coincided with the 75th anniversary of the establishment of WHO, the Abuja Declaration on improving the health sector was revisited, and many setbacks remained.
April 7 every year was dedicated by the United Nations as World Health Day, and this year was themed, Health for All -Strengthening Primary Health Care to Build Resilient Systems.
Speaking around the declaration made by the then Olusegun Obasanjo administration, Dr Walter Mulombo, WHO Country Representative to Nigeria, explained that even after successive governments, “today, we are still far from achieving the target.’’
Dr Mulombo advocated more funding of the health sector to meet the said target, saying the sector was not adequately funded, compared to areas such as defence, and army, among others.
According to him, health is a human right and not a luxury or consumable, the more politically wise decisions the country makes now will benefit this nation.
“We need to start talking about human rights violations because it is not acceptable for any child to miss a vaccine,’’ he said.
He said that some areas where the organisation accessed showed that 80 per cent of the money went into tertiary hospitals.
According to him, primary healthcare is where 80 per cent of the population in the communities get their first exposure to healthcare services.
“The spending itself is distorted. That is the biggest challenge that has generated everything that we have seen.
“Lack of adequate budget to prepare responses to a pandemic, for instance, we have to struggle in many places,’’ he said.
According to him, the main challenge is the way health is featured as a political choice, and unfortunately, many governments do not live by the standard.
“Many countries continue to consider health as a luxury or something that is costing the government money whereas it should have been taken like an enabling factor for economic and socio-economic development,’’ Mr Mulombo said.
He said it was worrisome the way countries were dealing with social determinants of health, factors like socioeconomic status, education, neighbourhood and physical environment, employment, and social support networks and access to health care.
According to him, addressing social determinants of health is important for improving health and reducing longstanding disparities in health and healthcare.
Dr Mulombo further advocated more facilities with dialysis machines and more expensive equipment to combat the noncommunicable diseases as such was part of the organisation’s challenges.
He said that the organisation also had the challenges of demographic transition because the facilities that were used during the colonial period were still the same in Africa, although It may be possible that Nigeria had the same situation.
“The country is not expending in the space of demographic transition, and the way the population is increasing, Nigeria is projected to have more than 400 million population by 2040, 2050,’’ he said.
Dr Mulombo said that there was also the problem of how the county prepares for the response to any big outbreaks of pandemics.
He said the COVID-19 pandemic was not expected and as such caused havoc in many counties.
“The health body is still expecting the flu pandemic and has been preparing for it.
“When the COVID-19 pandemic hit the world, no country was ready, not even the US or the UK, and yet we have International Health Regulations and Global Health Security Agenda.
“The way we prepare was a challenge, and the other one was that the demographic transition and the prominence of disease civilisation, non-communicable diseases, our health facilities are not prepared to face these challenges,’’ he said.
The International Health Regulations (IHR) 2005 is a legally binding agreement of 196 countries to build the capability to detect and report potential public health emergencies worldwide.
It requires that all countries have the ability to detect, assess, report, and respond to public health events.
The Global Health Security Agenda (GHSA) is a global effort to strengthen the world’s ability to prevent, detect, and respond to infectious disease threats.
According to him, there is a need for the community to play their roles in identifying their needs and in providing the service to address the challenges.
Health
NARD Suspends Indefinite Strike, Gives FG Fresh Two-Week Ultimatum
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.
Health
Jacaranda Gets Funds to Expand Affordable Maternal Healthcare in Kenya
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.
Health
Nigeria Secures $350,000 FAO Support to Tackle Rising Bird Flu
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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