Health
Will Nigerian Senate Get it Right on Healthcare?
By Carl Ndukwe
The timeless aphorism says that health is wealth yet one of the biggest challenges facing Nigeria since independence has been the country’s inability to guarantee affordable and universal health care to its citizens.
Little wonder we are consistently ranked in the comity of poor nations. Access to healthcare is not only important, it is fundamental to all areas of social development, from combating poverty to achieving a high standard of living.
In May 2017, the Nigeria Academy of Pharmacy in partnership with the Pharmaceutical Society of Nigeria organized a symposium in Lagos, tagged Health of the Nation – the imperative of Interprofessional collaboration. The keynote address delivered by Prof. Eyitayo Lambo, a former Minister of Health and foremost health economist was revealing and damning.
Nigeria, said Lambo, was ranked 187 among 191 countries by World Health Organization in 2000.
X-raying the sundry challenges which the nation’s health system has had to face over the years, Lambo noted that the constitution makes very scant provision for health while there is hardly any legislation that defines the roles and responsibilities of the three tiers of government, while adding that the National Health Act 2014 has not resolved the problem.
In Nigeria today, demands on the health care systems have increased alarmingly and health care organizations are feeling overwhelmed and pressured to provide more timely services while at the same time working with limited human and financial resources. There is an urgent need to strengthen national health systems and improve health outcomes for the citizenry.
According to data from the National Demographic Health Surveys (NDHS), in a research conducted by the National Bureau of Statistics, about 900,000 children and mothers die each year in Nigeria from health reasons that could often have been successfully resolved with an effective healthcare system.
Nigeria contributes just under 15 percent of all maternal deaths globally and about 13 percent of all under-five deaths worldwide. If we are to challenge these grim statistics, then we must get good healthcare into every home.
Along these lines, the weakness and gaping holes in our health system especially from an insurance point of view is evidently manifest in the rise of crowd-funded medical cases.
Remember Mayowa of blessed memory, Baby Ade and most recently, Sadiq Daba as well as the many other Nigerians who have resorted to platforms like Gofundme to raise funds for medical reasons. While Nigeria has several private healthcare providers, their service, expensive and limited, are largely exclusive to the well-to-do citizens residing in the cities and urban areas.
The National Health Insurance Scheme, which largely caters to public service employees, is also, as currently constituted, very limited in scope. Neither existing solutions can cater to the healthcare needs of the majority of Nigerians, who are either rural dwellers, unemployed or involved in the informal sector. In view of the aforementioned, the importance of reforming our healthcare system cannot be overemphasized.
Fortunately, it would seem that the need to get our Healthcare system right is fast rising on our list of national priorities and gaining attention in the right quarters. With our population growing astronomically, urbanization more rapid than ever, there is now a greater call for social development to catch up with societal expansion.
It, therefore, gladdens the heart to see some level of advocacy in the National Assembly where senators are tabling bills and debating ideas on how to get an efficient and effective healthcare system for every Nigerian.
Recently, Senate President, Bukola Saraki stated that one of the best ways to achieve Universal Health Coverage was to provide health insurance scheme to the informal sector.
Perhaps, he is drawing from his experience as the Governor of Kwara State, when he introduced the Informal Health Insurance Scheme to cater to people in the rural areas.
To see Saraki leading the charge and leading his colleagues in the upper chambers with the same drive and determination to see healthcare extended to every man, woman and child who is Nigerian is a clean break from the selfish toga with which the Red chamber had been adorned.
The ongoing amendment of the National Health Insurance Scheme is evidence of moving from passion to action. Central to this bill, which seeks to repeal the National Health Insurance Scheme Act and enact the National Health Insurance Commission Bill 2017, is the need to ensure a more effective implementation of a health insurance policy that enhances greater access to health care services for all Nigerians.
This means that the bill would lay down the framework for a universal healthcare care system where everyone pays into the Insurance Scheme and everyone gets quality healthcare delivery, regardless of their employment status or personal wealth. The bill is also geared towards effectively regulating private health insurance providers in Nigeria to ensure that they deliver, not just for the well to do, but also the poor and people in rural areas.
In December, the Senate Committee on Health held a public hearing on the amendment, which was well attended by the representatives of public and private health institutions, regulatory and professional bodies as well as labour and trade unions.
At the public hearing, the Senate Committee Chairman on Health, Senator Olanrewaju Tejuoso disclosed that in order to ensure that Nigeria attains the Universal Health Coverage (UHC), the Senate had passed a resolution mandating the Appropriation Committee of the Senate to make provision for the Basic Health Care Provision Fund (BHCPF) in the 2018 budget.
This is a crucial step toward achieving the objective of the National Health Act, signed into law in 2014, which stipulated that one percent consolidated fund for the improvement of Primary Health Care (PHC) services through the Basic Health Care Provision Fund (BHCPF). This consolidated fund means that in addition to what it gets from the annual budget, healthcare would also gain more financing go forward.
Going forward to achieve Universal Healthcare will never be an easy road, but staying on our current path is much worse. This is why we all as Nigerians must follow and actively support the Senate’s resolution, passed last year, to implement the Basic Health Care Provision Fund.
At the heart of this resolution is the fundamental principle that to achieve a healthy, and thereby prosperous, society, we need cross subsidization and solidarity in healthcare, whereby the rich support the poor, the well support the sick and the haves support the haves not. Senate bills, acts and resolutions cannot on their own bring these principles to life, they need the active support and buy-in of the general public.
Carl Ndukwe is an Abuja based communications professional.
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.
Health
Chimamanda: Euracare Raises Concerns Over MDCN Investigation Panel Process
By Aduragbemi Omiyale
A Lagos-based healthcare facility currently in the limelight, Euracare Multi-Specialist Hospital, has faulted the outcome of the investigation panel of the Medical and Dental Council of Nigeria (MDCN) on the death of a 21-month-old Nkanu Nnamdi Esege, son of a renowned author, Chimamanda Ngozi Adichie.
The toddler died some weeks ago after an alleged overdose of sedative propofol, with the family alleging medical negligence.
This week, the panel suspended the two doctors of Euracare, Dr Tosin Majekodunmi and Dr Titus Ogundare.
Reacting to the development in a statement, the hospital claimed it observed “a number of serious concerns that have arisen in the course of these proceedings.”
In the statement made available to Business Post, Euracare emphasised that it vouches for the “professionalism and integrity of our clinical team,” pointing out that “certain established processes and protocols have not been followed in the manner required” during the probe.
While it empathised “with the family of Master Nkanu Nnamdi Esege” over the unfortunate incident, the healthcare firm said there was a “serious breach” by the investigators that “cannot go unaddressed.”
It identified this breach as the disclosure of “matters covered by patient and institutional confidentiality” outside the appropriate channels.
Below is the full statement from Euracare;
Our attention has been drawn to widespread media reports concerning the interim suspension orders and other findings issued by the Medical and Dental Practitioners Investigation Panel against thirteen doctors, two of whom are our clinical staff members in connection with the ongoing proceedings relating to the death of Master Nkanu Nnamdi Esege. We remain fully committed to cooperating with all relevant regulatory and judicial authorities in the course of their inquiries.
We however wish to place on record our confidence in the professionalism and integrity of our clinical team. Dr. Tosin Majekodunmi and Dr. Titus Ogundare who are experienced professionals whose records of service to patients in Nigeria span many years. Both doctors have, in their respective careers, contributed meaningfully to the delivery of quality healthcare to Nigerian patients at a standard comparable to what is obtainable in the world’s leading medical facilities.
In the interest of transparency, since the commencement of this matter, we have conducted a thorough internal review of the clinical events in question, in line with our clinical governance standards and best practices. We have actively demonstrated our commitment to transparency and will continue to engage openly with all inquiries directed at us.
We are also compelled to draw attention to a number of serious concerns that have arisen in the course of these proceedings. It is our position that certain established processes and protocols have not been followed in the manner required. We have further noted, with deep concern, that matters covered by patient and institutional confidentiality appear to have been disclosed outside the appropriate channels, and we consider this a serious breach that cannot go unaddressed.
We wish to state that we stand by the principles of equality, fairness, and good governance. Every party in this matter, including our institution and our staff, is entitled to a process that is conducted with rigour, impartiality, and respect for the rules that govern it. We will be raising these concerns through the appropriate legal and regulatory channels.
We continue to empathize with the family of Master Nkanu Nnamdi Esege. The loss of a child is a grief without measure, and we carry that awareness in everything we say and do in relation to this matter.
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