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.
By Aduragbemi Omiyale
The National Agency for Food and Drug Administration and Control (NAFDAC) has announced the recall of a sexual enhancement product known as WAP Sensual Enhancement Capsules.
In a statement on Monday, the Nigerian agency disclosed that the recall is due to “undeclared pharmaceutical ingredients” in the product, whose country of origin is unknown, but is marketed and distributed online in the US through eBay.
It was emphasised that the recall is being “voluntarily” made by the manufacturer, Best Supplements Best Prices Company.
The detection of the undeclared pharmaceutical ingredients was made by the US Food and Drug Administration (FDA).
Laboratory analysis by the US FDA revealed that the product contained undeclared sildenafil, tadalafil, and flibanserin, which were not mentioned on the product label. Such substances may include phosphodiesterase type-5 (PDE-5) inhibitors or related compounds commonly used for the treatment of erectile dysfunction, the statement by NAFDAC stated.
Sildenafil and tadalafil are ingredients in FDA-approved prescription drugs used to treat erectile dysfunction.
It was noted that these undeclared ingredients may interact with nitrates found in some prescription drugs, such as nitroglycerin, and may lower blood pressure to dangerous levels. Consumers with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates.
Flibanserin is the active ingredient in an FDA-approved prescription drug used to treat low sexual desire in women. Flibanserin can cause drowsiness, sedation, dangerously low blood pressure, and fainting, especially when combined with alcohol.
Consumers have been encouraged to report compromised products (medicines or medical devices) to the nearest NAFDAC office, call 0800-162-3322, or send an email to sf******@********ov.ng.
By Modupe Gbadeyanka
Dr Obi Adigwe has been appointed as the pioneer National Coordinator of the National Health Technology and Data Analytics Office (NHTDAO).
The body was created by the Ministry of Health under the approval of President Bola Tinubu.
NHTDAO will be domiciled in the Office of the Coordinating Minister of Health and Social Welfare, a statement on Friday by the Special Adviser to the President on Information and Strategy, Mr Bayo Onanuga, stated.
The agency will serve as a meta-level national platform for coordinating the country’s digital-health agenda. It will reinforce, not replace, the existing statutory functions of relevant departments and agencies, it was emphasised.
The organisation will also harmonise and empower the public and private institutions across the health system, set the standards that connect them, and operationalise the National Digital Health Architecture, approved by the National Council on Health in November 2025.
It was stated that President Tinubu expects NHTDAO to accelerate Nigeria’s transition to a secure, interoperable and data-driven health system that improves outcomes for all citizens.
Mr Adigwe, as Director General of the National Institute for Pharmaceutical Research and Development, has leveraged science to catalyse interventions in artificial intelligence, translational research, and technology transfer.
He coordinated major projects, including the ¥300m Nanotechnology grant and the AFREXIMBank grant for Africa’s first API Training Facility. He led the roadmap development that underpinned an €18 million EU grant, the largest in Africa for the thematic area. During the last pandemic, Adigwe globally showcased African science by undertaking the world’s first analysis to debunk claims about the Covid Organics preparation.
The Office’s Steering Committee, which provides strategic direction and oversight, comprises:
- Professor Muhammad Ali Pate, Coordinating Minister of Health and Social Welfare (Co-chair)
- Mr Olaniyi Yusuf, Chairman of the Nigerian Economic Summit Group (Co-chair)
- Dr Iziaq Adekunle Salako, Minister of State for Health and Social Welfare (Alternate Co-chair)
- Ms Kachollom Daju, Permanent Secretary, Federal Ministry of Health and Social Welfare
- Mr Idris Alubankudi Saliu, Special Adviser to the President on Technology and Digital Economy
- Dr Muntaqa Umar-Sadiq, National Coordinator, SWAp Coordination Office
- Dr Abdu Mukhtar, National Coordinator, Presidential Initiative to Unlock Healthcare Value Chain
- Dr Muyi Aina, Executive Director, National Primary Health Care Development Agency
- Dr Kelechi Ohiri, Director General, National Health Insurance Authority
- Director, Health Planning, Research and Statistics, Ministry of Health and Social Welfare
- National Information Technology Development Agency Representative
- Six representatives of the State Commissioners of Health, one from each of the six geopolitical zones
- Pharm Hamza Buhari, Stakeholder representing Industry and Community.
By Modupe Gbadeyanka
The Lagos State government has kicked off an initiative to ensure that every newborn is screened for Sickle Cell Disease within 48 to 72 hours after birth using a simple heel-prick test.
It was gathered that babies identified as being at risk will immediately be placed on preventive care while awaiting confirmatory testing.
The Head of the Haematology Department at the Alimosho General Hospital, Dr Olubukola Orolu, revealed that an estimated 150,000 babies are born annually with Sickle Cell Disease in Nigeria, giving the country one of the highest SCD burdens globally.
She, however, applauded the Lagos State Government and the Clinton Health Access Initiative (CHAI) for introducing the state-wide newborn screening programme, describing it as a major step towards reducing childhood deaths associated with the disease.
The commencement of this scheme coincides with the 2026 World Sickle Cell Day, themed Young Voices Rising for Sickle Cell Disease – Closing the Survival Gap: Equity in Sickle Cell Disease.
It highlights the importance of listening to the experiences and aspirations of young people living with Sickle Cell Disease.
Mrs Orolu noted that SCD warriors are increasingly breaking barriers as advocates, leaders, students and change-makers, adding that their voices have continued to reshape the narrative through advocacy for equitable, patient-centred healthcare, self-care and experience sharing.
She, therefore, called for equal access to quality healthcare, survival opportunities and dignity for everyone living with Sickle Cell Disease.
Also commenting, the chief executive of Alimosho General Hospital, Dr Akinyele Akinlade, described Sickle Cell Disease as an inherited blood disorder that is not contagious, noting that individuals living with the condition are more susceptible to infections.
He advised SCD warriors to stay well hydrated, avoid stress, and protect themselves from extreme cold or heat, as these are common triggers of sickle cell crises, adding that these preventive measures can significantly reduce the frequency and severity of crises.
One of the participants, Ms Borokini Zainab, an SCD warrior and student nurse, expressed appreciation to the organisers for the enlightenment programme.
Sharing her personal journey, she spoke about the challenges of balancing recurrent pain crises with her academic pursuits and personal life. Despite moments of frustration, she encouraged fellow warriors not to lose hope.
“Don’t let sickle cell put you down. Be encouraged from within. Don’t let your dreams be shattered because of this,” she said, adding that her personal experience with Sickle Cell Disease inspired her to pursue a career in nursing so she could support others living with the condition.
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