Health
Yellow Fever: Vaccination of 25m Nigerians Enters Day 2
By Modupe Gbadeyanka
The mass vaccination campaign launched by Federal Government to prevent the spread of yellow fever on Thursday, January 25, 2018, has entered the second day.
During the exercise, which is supported by the World Health Organization (WHO) and partners, aims to vaccinate more than 25 million people in four states.
The vaccination will hold throughout 2018 and is the largest yellow fever vaccination drive in the country’s history.
The immunization plan is part of efforts to eliminate yellow fever epidemics globally by 2026. The preventive campaign will use vaccines funded by Gavi, the Vaccine Alliance, and will be supported by UNICEF.
It started on January 25 in Kogi, Kwara and Zamfara States, and then move to Borno state where the campaign will focus on camps for internally displaced persons and surrounding host communities. More than 8.6 million people will be vaccinated in the four states in the coming days.
“The goal of the Yellow Fever Preventive Mass Vaccination Campaign is to reduce yellow fever transmission by achieving 90 percent coverage in implementing states and local government areas in line with the strategy for the Elimination of Yellow fever Epidemics by 2026,” said Dr Faisal Shuaib, Executive Director of National Primary Healthcare Development Agency.
Yellow fever is a vaccine-preventable acute viral haemorrhagic disease transmitted by infected mosquitoes.
The current yellow fever outbreak in Nigeria began in Ifelodun, Kwara State in western Nigeria in September 2017. By early January 2018, a total of 358 suspected cases had been reported in 16 states, with 45 deaths.
In late 2017, Nigeria vaccinated more than three million people in an initial emergency yellow fever vaccination campaign with the aim of quickly containing the outbreak.
However, the yellow fever virus continues to circulate in different parts of the country where people remain largely unprotected.
WHO is supporting the vaccine drive by training thousands of healthcare workers on how to administer the vaccine, helping to track cases of yellow fever and providing coordination and logistical support for this highly complex operation.
“With a single dose of vaccine, an individual is protected for life against yellow fever,” said Dr Wondimagegnehu Alemu, WHO Representative in Nigeria. “This is a massive undertaking which took weeks of planning. Nearly 3000 vaccination teams are being deployed across the four states participating in the campaign.”
EYE: setting sights for 2026
A coalition of partners developed the Eliminate Yellow fever Epidemics (EYE) Strategy, steered by WHO, Gavi and UNICEF, to protect at-risk populations, prevent international spread and contain outbreaks rapidly.
As a zoonosis (any disease or infection that is naturally transmissible from vertebrate animals to humans), yellow fever cannot be eradicated, but epidemics can be eliminated if population immunity levels are effectively raised through mass vaccination and sustained by routine infant immunization. The EYE Strategy’s goal is to eliminate yellow fever epidemics globally by 2026.
A second phase of the mass vaccination campaign in Nigeria is expected to occur later in 2018. This is part of a phased approach to build immunity among residents.
“This should provide high population immunity nationwide. WHO calls for partners’ continued support to protect the Nigerian people and end yellow fever epidemics by 2026,” Dr Alemu said.
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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