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Nigeria’s Health Indicators Among Worst in Africa—Report

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By Aduragbemi Omiyale

A new report by ONE Campaign has revealed that the health sector in Nigeria is woeful, with key indicators showing that urgent steps are needed to put things in order.

For example, the report noted that despite the realities of the COVID-19 pandemic, Nigeria’s health budget as a percentage of the total budget is declining, with 13 states reducing their fiscal allocations to the health sector.

It was observed that only two states (Kaduna and Sokoto) consistently met the 15 per cent health allocation target between 2020 and 2022, while public health allocations per person have fallen from $10.8 per person in 2020 to $8.5 per person in 2022.

In 2020, while the globe was battling with COVID-19, the Secretary to the Government of the Federation (SGF), Mr Boss Mustapha, confessed that the nation’s health system was in comatose.

However, the federal and several state governments have continued to fail to fund the sector, resulting in several medical doctors seeking greener pastures abroad, especially in the United Kingdom.

In the report titled Post-Pandemic Health Financing by State Governments in Nigeria 2020 to 2022, One Campaign noted that the proportion of total budgets allocated to health by most state governments is on a downward trend, reflecting the quality of healthcare delivery in the country.

In 2001, the heads of state of African Union countries met in Abuja and pledged to devote at least 15 per cent of their annual budgets to improving the health sector. But two decades after the Abuja Declaration, Nigeria still struggles to meet this goal.

The COVID-19 pandemic also revealed the challenges in Nigeria’s healthcare system, with stakeholders and many Nigerians hoping it would be the game-changer that finally motivates governments at all levels to prioritize healthcare, commit more funds to revitalize the sector, drive improved health outcomes and protect the masses from future health emergencies.

The report’s findings, however, show a deviation from this expectation, with more than 10 state governments in Nigeria reducing their fiscal allocations to healthcare since the pandemic hit in 2020, putting a strain on an already-stressed sector.

“Nigeria’s health indicators are reportedly some of the worst in Africa. COVID-19 has exposed additional gaps in the country’s healthcare system and has shown why the sector requires ambitious strategies and adequate funding in order to serve the masses, particularly the poor and most vulnerable in the society,” Nigeria Country Director at The ONE Campaign, Mr Stanley Achonu, said.

“It is, therefore, extremely worrisome that some state governments are slashing their annual allocations to health when they should be striving to meet the Abuja Declaration’s 15 per cent funding benchmark.

“As the 2023 budget season approaches, governments at all levels must prioritize health care and allocate a significant portion of their budget to improving healthcare delivery. Adequate disbursements should follow these allocations to finance health infrastructure and programs,” Mr Achonu added.

The report has urged governments to demonstrate strong political will and commitment to the Abuja Declaration by allocating at least 15 per cent of their total budget to health.

In addition, it stressed that governments must commit to evidence-based programming, ensure effective stakeholder participation in budgeting processes, invest in primary health care centres, and complement adequate funding with sufficient health workers and effective health system governance.

Business Post reports that the One Campaign report is a follow-up on the State of Primary Healthcare Service Delivery in Nigeria released in July to track state governments’ performance in implementing the Basic Health Care Provision Fund (BHCPF).

It provides an in-depth analysis of sub-national and federal government health expenditure trends, revealing that while the combined budgetary allocations of all 36 states increased by 12.8 per cent between 2020 and 2022, in real terms, the health sector received less funding in 2022 than in 2020 when adjusted for inflation.

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Nigeria Launch €4.2m Initiative to Boost Capacity Against Outbreaks

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By Adedapo Adesanya

Nigeria has launched a €4.2 million programme supported by the European Union (EU) and implemented by the World Health Organisation (WHO) to strengthen the country’s capacity to detect and respond to disease outbreaks.

The initiative, known as the EU Support to Public Health Institutes in Nigeria (EU SPIN), will be carried out over four years in partnership with the Federal Ministry of Health and Social Welfare.

It is aimed at improving the performance of selected public health institutions through better coordination, faster information sharing and enhanced workforce capacity.

Speaking at the launch in Abuja on Monday, the Minister of State for Health and Social Welfare, Mr Iziaq Adekunle Salako, described the programme as a significant step towards strengthening Nigeria’s healthcare system.

“This initiative is designed to strengthen our health institutions, and it is truly a welcome development. It will improve the well-being of Nigerians, especially our vulnerable populations,” he said, noting that it aligns with the federal government’s broader health reform agenda.

Nigeria continues to face a dual health burden, with recurring infectious disease outbreaks alongside a growing prevalence of non-communicable diseases such as hypertension and diabetes.

According to the WHO, non-communicable diseases now account for 27 per cent of deaths in the country, while malaria alone contributes about 30 per cent of global malaria fatalities.

Recurrent outbreaks of cholera, diphtheria, Lassa fever, meningitis and Mpox also remain a major public health concern.

The EU SPIN programme is expected to address systemic gaps that slow outbreak response by strengthening collaboration among public health institutions and clarifying roles across federal, state and local levels.

It will also support real-time data systems to enable quicker and more informed decision-making during health emergencies.

A key component of the initiative is workforce development, with plans to train up to 75 per cent of public health staff in leadership, prevention and response strategies, as well as digital skills.

The European Union Ambassador to Nigeria, Mr Gautier Mignon, said the programme reflects a shared commitment to building resilient health systems.

“Through EU SPIN, the European Union is investing in strong, digitally enabled public health institutions in Nigeria. This partnership underscores our commitment to health security and sustainable systems strengthening,” he said.

Also speaking, the WHO Representative in Nigeria, Mr Pavel Ursu, noted that improved coordination and digital tools would enhance the country’s ability to protect lives.

“By improving coordination, skills and digital tools, the project will help protect lives and keep communities healthier,” he said.

Officials said the programme would ultimately strengthen links between public health systems and primary healthcare services, ensuring that communities benefit from faster and more effective responses to health threats.

By 2028, the initiative is expected to deliver more efficient inter-agency coordination, clearer institutional responsibilities and more reliable public health data nationwide, with progress tracked through national monitoring systems and periodic reviews involving government and development partners.

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Malaria: SUNU Health Advocates Wider Adoption of HMO Plans

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By Aduragbemi Omiyale

To achieve a malaria-free Nigeria, a leading Health Maintenance Organisation (HMO) with a robust nationwide presence, SUNU Health Nigeria Limited, has called for a wider adoption of HMO packages for citizens.

It stressed that managed care provides a critical safety net, ensuring families can access quality preventive services without the burden of immediate, high costs, adding that this structured approach transforms healthcare from an unpredictable expense into a manageable, guaranteed service.

The company, which officially unveiled a comprehensive strategic roadmap aimed at drastically cutting down on malaria-related deaths, emphasised that the disease can be eradicated if citizens and stakeholders adopt consistent preventive measures.

“Eradication is within our reach if we synchronise our efforts,” the chief operating officer of SUNU Health, Dr Faith Nwachi, said, noting that the tools for victory range from environmental hygiene to the consistent use of treated nets, which are easily accessible to every Nigerian.

The organisation noted that it came up with the latest framework to significantly reduce the disease burden that has historically hindered Nigeria’s productivity and public health stability.

The urgency of this intervention is underscored by concerning data from late 2025, which revealed a sharp upward trend in cases, it stated.

With over 24.5 million confirmed cases reported in the first nine months of last year alone, the 2026 landscape demands aggressive action. Currently, malaria remains a leading cause of mortality, responsible for approximately 30 per cent of child deaths and 11 per cent of maternal deaths annually.

A central pillar of the roadmap is a focus on preventative care. As of early 2026, according to the World Health Organisation, malaria still accounts for nearly 30 per cent of all hospital admissions in Nigeria.

By addressing the root causes and transmission cycles, SUNU Health seeks to drastically lower these statistics, ensuring Nigerians can lead more active lives without the constant threat of infection.

Dr Nwachi further underscored the economic necessity of this shift, stating that “prevention is significantly cheaper than cure.”

The financial toll on the Nigerian economy is staggering, with billions of Naira lost annually to treatments and diminished man-hours. For the average family, frequent bouts of illness lead to catastrophic out-of-pocket expenses that undermine financial security.

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AltBank, Partners Recommend Autism Care Financing Options, Others to Government

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Autism Care Financing Options

By Aduragbemi Omiyale

Plans are underway by the Alternative Bank (AltBank) to present a policy brief to relevant government ministries, recommending vocational pathways, autism care financing options, and a 12-month Lagos pilot across selected schools and primary healthcare centres.

The recommendations are from the inaugural Autism Stakeholders Roundtable and Policy Dialogue in Lagos, organised by the lender in partnership with the Private Sector Health Alliance of Nigeria (PSHAN), Eliakim Foundation, and Sterling One Foundation under the theme, It is How You Show Up.

The programme served as a critical platform to address the country’s fragmented autism support systems, with leading healthcare professionals, policymakers, and autism advocates in attendance, praising the financial institution’s decisive shift toward early intervention, systemic inclusion, and comprehensive capacity building for parents and caregivers.

The president of the Medical Women’s Association of Nigeria (MWAN) Lagos State Branch, Dr Ime Okon, stressed her group’s alignment with the bank’s initiatives.

“We recognise caregivers and families as central to the success of any intervention. We are showing up, holding their hands, to ensure they are never left to navigate this journey alone.

“For a physician, showing up means ensuring that a parent’s first concern is met with a strengthened, inclusive system rather than a clinical dead-end with no solution. The Alternative Bank has signalled a shift toward a high-level platform for national action,” she stated.

Validating this urgent need for systemic early response, the keynote speaker and founder of the Patrick Speech and Languages Centre (PSLC), Mrs Dotun Akande, advocated the integration of universal developmental screening into primary healthcare, stressing that Nigeria must transition from relying on parallel private centres to building a coordinated national response.

“What Nigeria must now build is a system where intervention happens early, equitably, and at scale, without depending on chance, geography, or privilege,” Mrs Akande noted, outlining the necessity of a caregiver support scheme that addresses both the financial and social needs of families navigating autism.

Answering this call to action, the Executive Director of Commercial and Institutional Banking (Lagos and Southwest) at The Alternative Bank, Mrs Korede Demola-Adeniyi, unveiled the financial institution’s concrete commitments to parent and professional training.

Noting that showing up in Nigeria has “too often meant showing up late,” she announced a robust three-pillar intervention agenda focusing on inclusive education, targeted training for caregivers and health professionals, and behavioural change advocacy.

As an immediate first step, Mrs Demola-Adeniyi announced the launch of a specialised capacity-building programme on Receptive Language Disorder, executed in collaboration with Eliakim Global Resources, which commenced on Sunday, April 26, 2026.

“Early recognition and sustained support depend on a workforce and caregivers who know what to look for, and what to do next,” she explained, emphasising that receptive language is a consequential developmental marker that is frequently missed.

The roundtable fostered dynamic discussions on practically designing and sustainably funding high-impact support programmes.

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