Health
Reps Query NHIS Over Use of N152.4m for Face Masks, Others
By Adedapo Adesanya
The House of Representatives Committee on Finance has queried the spending of N152.4 million by the National Health Insurance Scheme (NHIS) to procure facemasks, hand sanitisers, protective wears and hand gloves during the COVID-19 lockdown in 2020.
At a public hearing on monitoring revenue generation by government Ministries, Departments and Agencies (MDAs) in Abuja, the committee said it was greatly concerned by this development.
A member of the team, Mr Nicholas Ossai, said that documents available showed that some amount spent did not align with its intended purpose.
For instance, the committee said there was an issue with the N2.09 million purchase of toners and the N2.4 million expended on diesel on monthly basis for its head office in Utako, Abuja and office annex in Wuse 11, Abuja.
Responding, Executive Secretary of NHIS, Mr Nasri Sambo, explained that the agency was a strategic purchasing agency by its mandate.
He said the agency also provided more items under its social corporate responsibility for some social workers on the frontline during the peak of the pandemic.
“On the huge expenditure to tunes of millions with respect to the COVID-19 items, we are a National Health Insurance Scheme, we are supposed to be a strategic purchasing agency by mandate.
“During COVID-19, there was a plan of the Ministry of Health on sectorial response to COVID-19 and because we are dealing with healthcare facilities, we all know that at the beginning of COVID-19, most of the healthcare workers abandoned their duty posts because they don’t have items for their protection.
“As part our corporate social responsibility, we identified first line organisations like police and so on; we gave them those items and we also recognised hospitals that have a huge enrollment of NHIS enrollees and we supplied them with these items.
“All the documents are available if the lawmakers need them; this expenditure is not restrictive to NHIS, we have been directed to ensure the protection of our people,” he said.
On the amount spent on diesel, Mr Sambo said the scheme suffered erratic electricity supply within the period of expenditure, adding that there was the need to maintain a cooling system in both offices in Abuja to secure huge infrastructure that required cooling.
“In respect to the toners, NHIS has a total of 38 state offices, 9 zonal offices as well as two offices at Abuja; when we are buying these items, we are not buying them as one toner per purchase.
“We buy them within the threshold to furnish the state and zonal offices that is why you see that the consumption rate is high,” he explained.
Earlier, the executive secretary gave highlights of the revenue generation and remittance of the scheme between 2019 and 2021.
According to him, money generated from the addition of extra dependents enrolee in 2019 was N33.81 million; N12.88 million in 2020 and N6.8 million so far generated in 2021.
He said the accreditation and registration of Health Management Organisations (HMOs) generated N47.35 million in 2019, N45.5 million in 2020 and N11.49 million so far in 2021.
Mr Sambo said the agency also generated from the tenders paid by contractors N1.61 million in 2019, N620, 000 in 2020 and N700,000 so far in 2021.
“The total revenue generation for 2019 was N32.14 million, for 2020 is N58.9 million and 2021 is N18.5 million.
“We have remitted to the Consolidated Revenue Fund the sum of N20.5 million which represent 25 per cent of the total revenue for 2019.
“We have remitted N14.7 million which represents 25 per cent for 2020 and for 2021, we have remitted N4.46 million and all the evidence of remittances are encapsulated in this submission,” he said.
The Deputy Chairman of the Committee, Mr Saidu Abdullahi, who presided over the session, said the hearing was not to witch hunt but to ensure accountability and block revenue leakages.
Mr Abdullahi said the committee would not hesitate to activate relevant provisions of the law if any agency of government failed to appear before it.
“We have just started the revenue monitoring session for the year 2021. The objective is to ensure that we shore up the revenue generation of the country.
“As I stated that the country has the capacity to fund the budget size of N13 to N15 trillion, all we need to do is to work together with the executive, particularly the MDAs to ensure that we block all areas of leakages and ensure they are responsible to the consolidated revenue fund.
“We have just started and we expect to have taken more agencies today but unfortunately, just the NHIS turned up; this exercise is not a child’s play.
“It is in the spirit of measuring the performances of the agencies, in the spirit of ensuring that we mobilise more resources so that the executive will be able to fund the capital without necessarily looking at the angle of borrowing which has become the easiest way out of managing our budget.
“We expected to have Petroleum Equalisation Fund (PTDF) Nigeria Oil Spillage and Detection Response Agency and even the Export Processing Council, but only NHIS turned up.
“We will not take it lightly with any agency. It is not child’s play. We are here to make this country work and for us to do it, we have to work in collaboration, we have to work collectively for the good of our people,” he said.
He directed the clerk of the committee to re-invite the agencies that failed to appear, saying that should they fail to appear, appropriate sections of the constitution would be invoked against them.
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.
Health
Tinubu Transmits 24 Bills to Reduce Bloated Health Sector Boards to Senate
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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