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Tag: Universal Health coverage

  • Stakeholders urge govts to fast-track reforms for universal health coverage

    Stakeholders urge govts to fast-track reforms for universal health coverage

    Governments at all levels in Nigeria have been urged to accelerate reforms, close persistent gaps, and strengthen the nation’s health system to achieve Universal Health Coverage (UHC).

    The appeal follows a consensus among stakeholders on a comprehensive set of measures designed to improve service delivery, enhance transparency, and expand access to quality healthcare.

    The resolutions were adopted at the end of the three-day 2025 Joint Annual Health Sector Review held in Abuja, chaired by the Coordinating Minister of Health and Social Welfare, Prof. Ali Pate, and the Minister of State, Dr. Adekunle Salako.

    The meeting convened government representatives, development partners, civil society organizations, and private sector stakeholders to assess progress on health sector renewal and outline urgent priorities needed to fast-track UHC across the country.

    A communique presented by the Permanent Secretary of the Federal Ministry of Health and Social Welfare endorsed the full operationalisation of the Universal Health Coverage Compact Addendum by the first quarter of 2026 through a jointly designed implementation framework. 

    Stakeholders also agreed on the adoption of biometric verification across primary health centres and health insurance platforms to eliminate ghost workers and strengthen transparency in workforce management, with the Gombe State model expected for potential nationwide scale-up.

    The meeting further supported rolling out digital expenditure tracking and biometric attendance across all facilities supported by the Basic Health Care Provision Fund by the third quarter of 2026. 

    Improving data quality and evidence-based planning featured prominently, with commitments to optimise the District Health Information Software platform and strengthen the culture of using reliable data for decision-making.

    The stakeholders backed the establishment of a national programme for human resources for health and the introduction of new workforce cadres aligned with Nigeria’s long-term service delivery and economic goals. 

    The Maternal and Newborn Mortality Reduction Innovation and Initiative was endorsed for expansion nationwide, supported by increased domestic resource mobilisation, private sector contributions and stronger community engagement. 

    States were also urged to ensure the full rollout of the Maternal, Perinatal and Child Death Surveillance and Response system and improve referral pathways by 2026.

    On sexual and reproductive health, the meeting agreed to accelerate the implementation of key policies, enhance family planning supply chains, and integrate reproductive health services into all levels of maternal healthcare. 

    Civil society organisations were tasked to deepen public awareness, address harmful social norms and promote demand for essential services. 

    A life-cycle approach was encouraged to ensure State-specific priority-setting and inclusion of interventions such as post-menopausal care.

    Financial and governance reforms were highlighted as essential, with the stakeholders endorsing a wider rollout of the Primary Health Care Financial Management System and strengthened linkages with financial institutions to reduce fiduciary risks. 

    Expanding health insurance coverage remained a major priority, with commitments to enforce employer insurance mandates, scale equity programmes and enroll five million additional Nigerians, including one million vulnerable individuals, by the end of 2026.

    The Review also supported boosting local pharmaceutical manufacturing through Medipool and incentives aimed at transitioning at least twenty priority commodities to domestic production by 2026. 

    The federal government reaffirmed its commitment to fully releasing counterpart funds for vaccine procurement under updated accountability frameworks.

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    State and Local Governments were directed to improve accountability systems, strengthen emergency response capacity, enforce transparency for Drug Revolving Funds, and enhance inter-agency collaboration to ensure primary health centres meet readiness standards for emergency and routine services. 

    The stakeholders also pledged to improve resource mapping, public expenditure reviews and joint monitoring so that funding and partner support remain aligned with national priorities.

    In his remarks, Pate stressed the need to translate the review’s resolutions into practical actions, urging State governments and technical stakeholders to adopt the newly launched tools as operational instruments, integrate them into their planning systems and provide continuous feedback to the Federal Government. 

    He noted that sustained progress in reducing maternal and neonatal mortality, expanding zero-dose immunisation coverage, strengthening health security and revitalising primary healthcare would depend on routine performance tracking, reliable data and strengthened accountability.

    The highlight of the JAR was the launch of a suite of national data tools designed to improve planning, resource allocation and health service delivery. 

    The products, among others, include the Health Sector Strategic Blueprint, the National Health Facility Registry, the Health Management Information System Assessment and multi-source analytics systems to enhance data coordination. 

    He said the tools will reinforce policy implementation, improve accountability and support evidence-based decision-making across the health sector, adding that digitising these frameworks provides operational clarity, strengthens standards and ensures Nigeria can sustain the recent momentum in health sector reform.

  • Bold steps towards universal health coverage in Lagos

    Bold steps towards universal health coverage in Lagos

    Lagos State is making significant strides towards Universal Health Coverage (UHC) with the expansion of the ILERA EKO health insurance scheme. By implementing innovative initiatives, including the ILERA ‘N TIWA Cooperative for informal sector workers, the state is ensuring that quality, affordable healthcare is accessible to all residents, regardless of income. Associate Editor ADEKUNLE YUSUF reports

    Lagos, Nigeria’s bustling megacity, has long been recognised as a melting pot of diverse cultures, industries and aspirations. With a population exceeding 20 million, the city is a thriving economic hub, home to people from all walks of life. However, the rapid urbanisation and the rising pressure on infrastructure have also presented significant challenges, particularly in the realm of public health. Addressing these challenges and ensuring that all residents have access to high-quality healthcare has been a primary goal for the Lagos State Government.

    In a bold and progressive move toward achieving Universal Health Coverage (UHC), the Lagos State Health Management Agency (LASHMA) has ramped up efforts to provide accessible and affordable healthcare for everyone. At the heart of this ambitious plan is the ILERA EKO health insurance scheme, designed to bridge the gap between Lagosians and healthcare services. The state’s commitment to UHC is seen as a game-changer in the Nigerian healthcare landscape, setting the stage for a more inclusive and equitable health system for all residents.

    During the 2025 Q1 Media Parley held at LASHMA’s Conference Room in Alausa, Ikeja, the Permanent Secretary of LASHMA, Dr. Emmanuella Zamba, shared the agency’s strategic initiatives to expand participation in the ILERA EKO health insurance scheme. The media parley highlighted the importance of the scheme, its role in improving the state’s healthcare system, and the steps LASHMA is taking to ensure that more people, especially the underserved populations, can access its benefits.

    In her address, Dr. Zamba emphasised the importance of public awareness, announcing LASHMA’s commitment to reinforcing the message that health insurance is not a privilege, but a necessity. “We are committed to make sure that every Lagosian understands the importance of social health insurance and the fact that it is now a mandatory requirement,” she asserted.

    Lagos, home to a diverse demographic, faces the complex challenge of providing healthcare to its rapidly growing population. This includes addressing the needs of not only the affluent urban residents but also the millions of individuals who live in informal settlements or work in the informal sector. The challenge is compounded by inadequate healthcare infrastructure, overcrowded public health facilities, and financial barriers that prevent many residents from seeking or receiving medical care.

    Governor Babajide Sanwo-Olu’s administration has recognised that universal access to healthcare is essential for a prosperous future. As part of his health reform agenda, the Governor issued an Executive Order on Social Health Insurance, making health insurance mandatory for all residents in Lagos. This policy underscores the commitment of the Lagos State Government to make healthcare accessible and affordable for everyone, regardless of their income or employment status. At the core of this policy is the ILERA EKO health insurance scheme, which was introduced as a statewide initiative to provide affordable healthcare services to residents. Dr. Zamba referred to ILERA EKO as more than just a health insurance program—it is a “movement” aimed at transforming the healthcare landscape in Lagos. Through the ILERA EKO scheme, the Lagos State Government aims to create a model for Universal Health Coverage that can serve as an example for other states in Nigeria and beyond. The ILERA EKO scheme provides comprehensive healthcare coverage, including primary care, specialist consultations, diagnostics, hospitalisations and emergency services. The goal is to ensure that every Lagosian, regardless of their financial background, can access essential health services without worrying about the cost of treatment.

    Key initiatives to achieve universal health coverage

    Among the most notable initiatives launched by LASHMA is the ILERA ‘N TIWA Cooperative. This innovative programme targets the informal sector, including artisans, traders and low-income earners, who often find themselves excluded from formal healthcare schemes due to high premiums and rigid payment structures. The ILERA ‘N TIWA Cooperative aims to offer flexible and affordable health insurance options to these groups.

    The inclusion of ILERA ‘N TIWA Cooperative stands out as a unique aspect of LASHMA’s plan to integrate the informal sector into the health insurance fold. Described as a financial inclusion strategy, this initiative allows members to make small, incremental payments towards their health insurance premiums. Furthermore, the cooperative model incorporates additional benefits such as access to low-interest loans, preventive health programmes and even a food bank initiative.

    Mr. Rotimi Olatunji, LASHMA’s Head of Business Development, expanded on the cooperative’s potential, noting that members could also earn commissions by referring others to the scheme, creating a sustainable income stream while expanding the scheme’s reach. “This is the first of its kind in Nigeria, and we encourage all residents to take advantage of this opportunity,” he added.

    The cooperative model is designed to allow members to contribute to their health insurance premiums based on their income levels. For many in the informal sector, making a lump sum payment for health coverage is financially unfeasible. The ILERA ‘N TIWA Cooperative solves this problem by offering instalment-based payment plans, thus ensuring that even people with irregular incomes can participate in the health insurance scheme. This approach not only makes healthcare coverage more accessible but also fosters a sense of collective responsibility and community among participants. The cooperative structure encourages individuals to join together, pooling their resources to ensure that everyone has access to the healthcare they need when they need it. This model has the potential to drastically improve health outcomes for marginalised groups, providing them with a safety net they previously did not have.

    As the scheme gears up for full-scale implementation, LASHMA is also laying the legal foundation for enforcement. Mr. Nifesimi Akinnagbe, Technical Assistant on the Lagos Social Health Insurance Executive Order, explained that the initiative is underpinned by a legally binding framework. “By the third quarter of 2025, we will begin enforcing the Executive Order, ensuring that all Lagos residents comply with the health insurance mandate,” he revealed.

    An essential part of LASHMA’s efforts to increase participation in the ILERA EKO health insurance scheme is its emphasis on public awareness. Many Lagosians, particularly those in informal settlements or those with limited access to information, may not fully understand the benefits of health insurance or may have misconceptions about its affordability and accessibility. During the 2025 Q1 Media Parley, Dr. Zamba emphasised the need for continuous public engagement to ensure that residents are informed about the importance of health insurance. LASHMA has ramped up its public awareness campaigns through a combination of media platforms, including radio, television, social media, and community-based outreach programs. LASHMA’s quarterly media engagements are designed to provide updates on the ILERA EKO scheme, educate the public about the benefits of health insurance, and reinforce the message that health insurance is now mandatory for all Lagosians. The agency has also partnered with community organizations, local influencers, and health advocates to spread the message about the scheme’s importance in every corner of Lagos.

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    Through these efforts, LASHMA aims to ensure that all residents—regardless of their income or social status—understand that health insurance is not just a luxury but a fundamental right that they are entitled to. The public awareness campaigns also serve as a platform to address concerns or misconceptions, such as the belief that health insurance is too expensive or difficult to access. While expanding health insurance coverage is crucial, it is equally important to ensure that adequate healthcare infrastructure is in place to meet the increased demand. In recognition of this, the Lagos State Government is also focusing on improving healthcare facilities across the state. This includes the renovation and expansion of public hospitals, as well as the establishment of more primary healthcare centres in underserved communities. The goal is to create a network of accessible and well-equipped healthcare facilities that can serve the needs of both the insured and the uninsured. In addition to the physical infrastructure, the state is also investing in the training of healthcare personnel to ensure that they are equipped with the skills needed to provide high-quality care to all patients.

    One of the critical challenges facing health insurance schemes in developing countries is ensuring financial sustainability. Without a solid funding model, even the most well-intentioned health insurance schemes can falter under the pressure of rising healthcare costs. To ensure the sustainability of the ILERA EKO scheme, LASHMA has designed a financing model that relies on a mix of public and private sector contributions. While the state government provides a significant portion of the funding, the program also encourages private sector participation, including partnerships with health insurance providers, corporate organizations, and international donors. By diversifying the funding sources for the ILERA EKO scheme, LASHMA is creating a more resilient health insurance system that can weather economic fluctuations and continue to provide affordable coverage to all residents.

    Despite the progress made, significant challenges remain on the road to achieving Universal Health Coverage in Lagos. One of the primary obstacles is the reluctance of some residents, especially in the informal sector, to enrol in health insurance schemes. Many people still view health insurance as an unnecessary expense, while others remain unaware of the long-term benefits of having coverage. To overcome these challenges, LASHMA is continuing its advocacy efforts and building trust with the public. By showing tangible improvements in healthcare delivery and providing clear examples of how health insurance can reduce out-of-pocket expenses, the agency hopes to shift public perception and encourage more Lagosians to enroll in the ILERA EKO scheme.

    Looking ahead, the Lagos State Government remains committed to making health insurance accessible to all, ensuring that everyone—regardless of their income, employment status, or social background—can access the healthcare services they need to live a healthy and fulfilling life. Through bold, forward-thinking policies, innovative programs, and a focus on inclusivity, Lagos is making significant strides toward achieving Universal Health Coverage, setting an example for other states in Nigeria and beyond.

    The event also featured powerful testimonies from enrolees who shared their personal experiences with ILERA EKO. Elder David Alabi, a beneficiary, spoke emotionally about how the scheme saved his life. “If I had not subscribed to ILERA EKO, I might have died,” he said, recalling how the scheme enabled him to receive critical medical care for his family without any out-of-pocket expenses. Alhaja Sowemimo Airat Ayinke also shared her gratitude, detailing how she benefited from a series of health screenings at no cost, thanks to ILERA EKO. “I went to the hospital for a general body test, and I didn’t pay a dime for all the medical tests I did,” she said, commending the Lagos State Government for its proactive approach to healthcare.

    In her concluding remarks, Dr. Zamba reiterated the broader vision for the ILERA EKO programme: “This is not just a health insurance scheme. It’s a movement towards a healthier, more secure Lagos. Together, we can achieve Universal Health Coverage and ensure that no resident is left behind.”

  • Nigeria calls for ethical health workforce migration, stronger UK partnership

    Nigeria calls for ethical health workforce migration, stronger UK partnership

    The federal government has emphasized the need for ethical and mutually beneficial health workforce migration while calling for stronger collaboration with the United Kingdom to enhance Universal Health Coverage (UHC) and strengthen its healthcare system.  

    Speaking at the UK-Africa Health Summit in London, the Minister of State for Health and Social Welfare, Adekunle Salako highlighted the importance of a structured approach to migration. 

    He stressed that while the movement of healthcare professionals fosters knowledge exchange and addresses workforce shortages, unregulated migration negatively impacts source countries like Nigeria.  

    “Between 2020 and 2022, the number of Nigerian doctors, nurses, midwives, and laboratory scientists seeking migration documents increased dramatically. 

    “The UK received 68% of these doctors and 52% of nurses and midwives, making it the primary destination,” Salako said. 

    He called for legally binding bilateral agreements, investment in training programs, and enhanced capacity building to ensure migration benefits both sending and receiving countries.  

    Salako also addressed Nigeria’s broader commitment to universal health coverage, stating that President Bola Tinubu’s administration is implementing the National Health Act of 2014. 

    This policy mandates that at least 1% of the consolidated revenue, alongside contributions from sub-national governments and international donors, be allocated to strengthen primary healthcare, expand social health insurance, and improve emergency medical services.  

    The Minister acknowledged Nigeria’s long-standing partnership with the UK in health, education, business, and humanitarian efforts. 

    He commended the Foreign, Commonwealth & Development Office (FCDO) for its continued engagement in Nigeria’s development and stressed the need for deeper collaboration, particularly in healthcare financing and workforce retention.  

    Noting that one of the key concerns raised was the decline in international aid for health programs, Salako pointed out that aid freezes by countries such as the US, UK, France, Germany, and the Netherlands present a challenge to achieving universal health coverage. 

    “This is a wake-up call for African nations to take greater ownership of their healthcare systems by mobilizing domestic resources and ensuring efficient utilization,” he said. 

    While advocating for a phased approach to reducing aid dependence, he urged donor countries to reconsider cuts that impact low-income populations.  

    Salako praised Nigerian healthcare professionals in the UK for their role in promoting partnerships, skills transfer, and resource mobilization. 

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    He cited the Strengthening Collaboration and Advancing Clinical Excellence (SCALE) program, led by the Medical Association of Nigerians Across Great Britain (MANSAG), as an example of effective collaboration between the UK and Nigerian medical institutions.  

    He also commended the efforts of the Global Health Partnership and the UK Department of Health and Social Care for their contributions to Nigeria’s health system, including capacity building, skills exchange, and antimicrobial stewardship. 

    He, however, reaffirmed Nigeria’s commitment to mobilizing domestic resources to sustain these initiatives while underscoring the necessity of global cooperation in health

    “Our world today cannot operate within borders when it comes to healthcare. 

    “We must continue to collaborate and build mutually rewarding partnerships to protect humanity from public health threats and future pandemics while ensuring a resilient global health system for economic stability and the well-being of all,” he said.

  • How quality healthcare can fasttrack 2030 UHC target, by public health experts 

    How quality healthcare can fasttrack 2030 UHC target, by public health experts 

    Experts have emphasizing the critical need for quality healthcare as a cornerstone for achieving UHC in Nigeria. 

    According to the experts, the importance of inclusivity, collaboration, and practical solutions that prioritize the health needs of Nigerians as essential for achieving UHC in the country cannot be overemphasized.

    The experts and stakeholders spoke in Abuja on Friday during the 2024 Universal Health Coverage (UHC) Day commemoration, organized by the Nigeria UHC Forum.

    The event brought together policymakers, healthcare professionals, development partners, and civil society, including the Director General of the National Health Insurance Authority (NHIA), Kelechi Ohiri; Yobe State Commissioner for Health, Mohammed Gana; Nasarawa State Commissioner for Health, Gaza Gwamna; and United States Agency for International Development (USAID) LHSS Project Chief of Party, Bolanle Olusola-Faleye to discuss challenges and strategies for improving healthcare delivery

    Others are PharmAccess Country Director, Njide Ndili; Senior Health Specialist at the World Bank, Olumide Okunola; and Managing Partner of DGI Consult and Co-Convener of the Nigeria UHC Forum, Gafar Alawode, among others.

    In her opening remarks, the Convener of the Nigeria UHC Forum, Chief Moji Makanjuola, highlighted the need for a unified approach involving both public and private sectors. 

    She stressed that practical, people-centered solutions are essential for advancing UHC. 

    The Director General of the National Health Insurance Authority (NHIA), Ohiri, emphasized the critical role of quality healthcare in building trust and improving health outcomes. 

    He called for political will and evidence-based planning to drive reforms, while commending partnerships like those with PharmAccess to standardize care delivery.

    Country Director of PharmAccess, Ndili, in her presentation stressed the unsustainability of UHC efforts without a focus on quality care. 

    She shared the transformation of FMC Ebute Metta through targeted investments in infrastructure, skilled personnel, and clinical protocols, which increased patient visits from 70,000 in 2018 to over 211,000 in 2022. 

    This improvement also led to a significant boost in revenue, illustrating how quality care strengthens both health outcomes and financial sustainability.

    “When we advocate for Universal Health Coverage (UHC), we often focus on access, but quality is of the utmost importance,” she stressed, noting that while increasing access is crucial, without ensuring quality, UHC efforts will be unsustainable.

    “Quality healthcare hinges on a combination of skilled personnel, proper equipment, and established clinical protocols. 

    “This focus on quality has not only enhanced health outcomes but also significantly boosted patient trust, leading to an increase of unique patients at FMC Ebute Metta from 70,000 in 2018 to over 211,000 in 2022. 

    “It also translated to over 2000% increase in annual revenue. This growth illustrates that high-quality care not only improves health outcomes but also strengthens the financial sustainability of healthcare facilities,” Ndili said.

    The Special Adviser to the President on Health, Salma Ibrahim Anas, commended the Forum’s efforts and reiterated the Federal government’s commitment to achieving UHC. 

    Represented by Umar Yakasai, she emphasized the importance of partnerships between the government and civil society to ensure accountability and address gaps in healthcare delivery. 

    A panel discussion further explored barriers such as inadequate infrastructure, funding gaps, and workforce shortages, with panelists calling for stronger public-private partnerships and better resource allocation.

    With a call to action for stakeholders to prioritize quality improvement and equity in healthcare access, the participants agreed that achieving UHC in Nigeria requires innovative solutions, strengthened primary healthcare delivery, and sustained collaboration among all sectors.

  • Public health experts make case for universal health coverage in Nigeria

    Public health experts make case for universal health coverage in Nigeria

    Efforts to achieve Universal Health Coverage (UHC) in Nigeria face significant challenges, including systemic hurdles, slow progress, and low public awareness of financial mechanisms aimed at reducing out-of-pocket healthcare expenses.

    These issues were brought to the fore during a one-day hybrid orientation for media professionals in Abuja, organized by Breakthrough ACTION Nigeria and the Local Health System Sustainability Project (LHSS), both funded by the United States Agency for International Development (USAID). 

    The event aimed to raise awareness about UHC and the critical role of government agencies, particularly the National Health Insurance Authority (NHIA), in promoting equitable healthcare access.

    Bolanle Olusola-Faleye, Chief of Party for the LHSS, acknowledged progress in UHC initiatives but emphasized persistent gaps in financial risk protection, equitable healthcare delivery, and access to essential services.

    “Our health insurance coverage remains at about 80%, far from the 90% ideal. Out-of-pocket expenses, a key barrier to UHC, remain as high as 76%,” she explained.

    She emphasised that achieving UHC becomes clearer when viewed through the lens of out-of-pocket payments. 

    According to her, paying for healthcare at the point of need is undesirable and should ideally be minimized to no more than 30%, as such payments place a significant burden on individuals during vulnerable moments.

    Highlighting the current state of health insurance in Nigeria, she noted that only about 19 million people are covered nationwide, with just 2.4 million enrolled under the Basic Health Care Provision Fund (BHCPF) mainly due to lack of awareness.

    She emphasized the critical need to boost enrollment significantly to meet the 2030 UHC target while encouraging other States to replicate the Kwara State model, which has made notable progress in advancing UHC.

    Olusola-Faleye emphasized inefficiencies stemming from fragmented efforts within the health sector, saying, “We all mean well, but the lack of coordination leads to resource wastage. Strategic, unified approaches are essential to achieve more with less”. 

    While emphasizing the importance of stronger accountability, Faleye praised the government’s Nigerian Health Sector Renewal Investment Initiative (HSRII), describing it as a framework aimed at driving UHC reforms.

    We must work together, leveraging resources efficiently, to transform the health system and ensure access to quality care for all Nigerians,” Faleye noted.

    Prof. Chima Onoka, a community physician and health systems economist with NHIA, underscored key challenges, including limited awareness and trust in the health insurance system. 

    “Many Nigerians see health insurance as a loss if they don’t fall ill, not as social solidarity to share risks. Trust in government and institutions is also low, affecting enrollment,” he said. 

    While stressing the need to rebuild trust by addressing governance issues, ensuring transparency, and amplifying success stories, Onoka added, “While negative experiences dominate public discourse, many lives have been saved through health insurance. These stories need to be told to shift perceptions”.

    He also noted that operational inefficiencies also hamper progress while identifying delays in service delivery, quality gaps, and strike actions as factors undermining public confidence. 

    “These challenges discourage the uptake of health insurance and undermine the entire system. Providers, regulators, and stakeholders must act responsibly to ensure seamless service,” he stated.

    According to him, the economic climate further complicates UHC efforts, adding that many Nigerians struggle to afford insurance, making public subsidies crucial, through health insurance.

    “Health insurance is a measurable poverty alleviation tool. Government funding for insurance is one of the best ways to reduce the financial burden on citizens,” he said.

    Read Also: NHIA unveils plan to achieve universal health coverage by 2030

    Onoka urged the NHIA to strengthen enforcement and hold all stakeholders accountable while highlighting the frequent frustrations enrollees face with Health Management Organizations (HMOs) and service providers, particularly hospitals, at the point of care.

    “The NHIA must address complaints effectively and ensure that providers deliver the care they are paid for,” he said while encouraging citizens to demand their entitled services, stressing that information and active participation are critical.

    He, however, noted that despite the challenges, there are signs of improvement, acknowledging recent efforts by NHIA to enhance communication and complaint resolution. 

    “Increasing responsiveness and addressing compliance issues are positive steps forward,” he noted.

    Reiterating that achieving UHC requires collective action, “Providers, regulators, and citizens all have roles to play,” he stressed.

  • Govt will support research, technology

    Govt will support research, technology

    The Federal Government has reiterated its commitment to transforming Nigeria’s health sector by leveraging research, technology, and innovation to achieve Universal Health Coverage (UHC) and provide affordable, quality healthcare for all Nigerians.

    Speaking in Abuja at the 2024 Research Symposium, organized by PharmaAccess and its partners, National Coordinator of the Presidential Unlocking Healthcare Value Chain Initiative (PVAC), Abdul Mukhtar, stressed the central role of research in driving the nation’s healthcare strategy.

    Mukhtar, while describing research as the cornerstone of effective policies, improved health outcomes, and a resilient healthcare system, dispelled the perception of research as an academic exercise confined to laboratories, highlighting its practical relevance in addressing Nigeria’s healthcare challenges.

    He noted that the Health Sector Renewal Investment Initiative (HSRII), anchored on a sector-wide approach (SWAp), underpins the government’s four-point agenda for health, which focuses on governance, efficient service delivery, fostering innovation, and strengthening health security.

    Mukhtar said the symposium’s theme, ‘Innovating Healthcare in Nigeria: Connecting Research and Policy for UHC’, was timely, emphasizing that government initiatives heavily depend on research and digital innovation to align with UHC goals and provide both financial and physical access to healthcare.

    According to him, the government had to prioritize reducing reliance on imported healthcare products, as nearly 80per cent of medicines, almost all vaccines, and most medical devices are sourced internationally, placing a significant strain on local resources and capacity.

    Revealing that the Presidential Initiative for Domestic Healthcare Manufacturing aims to reverse these trends by 2030, creating jobs and boosting self-reliance in healthcare production, Mukhtar said these goals are unattainable without research and digital innovation.

    Highlighting the need for resilient systems, Mukhtar called for the development of robust information technology infrastructure and the use of tools like artificial intelligence for data collection, analysis, and visualization.

    This, he explained, would enable evidence-based policymaking and align Nigeria with global advancements in personalized medicine and clinical research.

    He also praised existing initiatives, such as the establishment of the Centre for Genomic Research at Redeemer’s University in Osun State, as proof of Nigeria’s potential to lead in healthcare innovation.

    However, he stressed that sustained funding, advocacy, and collaboration are essential for scaling such efforts while calling on stakeholders to harness Nigeria’s talent and resources to drive transformative change in the health sector.

    Research is not only the foundation of progress but also the catalyst for a healthier and more resilient nation, he added.

    In his remarks, Consul-General of the Kingdom of the Netherlands Consulate in Nigeria, Michel Deelen, highlighted his country’s €46 million investment in Nigeria through the Health Innovation Fund (HIF).

    He underscored the importance of linking research to policy to achieve UHC targets and strengthen healthcare systems.

    Deelen cited the HIF’s success in Lagos and Kwara states, where digitized social health insurance schemes have enhanced healthcare inclusivity, particularly for vulnerable populations.

    In Lagos, the adoption of SafeCare Quality Standards has improved service delivery in 220 public and private health facilities, with a 66per cent improvement in facility scores.

    According to him, the National Health Insurance Authority (NHIA), with support from the HIF, is now scaling these efforts nationwide, incorporating over 7,000 healthcare facilities into quality improvement initiatives.

    The diplomat also highlighted the enactment of the Mandatory Health Insurance Act, facilitated by the HIF, as a pivotal step toward reducing out-of-pocket healthcare expenses and bridging access gaps.

    The envoy urged sustained collaboration to build on these successes, emphasizing that integrating research and policy is critical to achieving Nigeria’s UHC goals.

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    Earlier, Njide Ndili, Country Director of PharmaAccess, noted that the symposium sought to address the persistent challenge of ineffective health policies informed by imported data that fail to reflect Nigeria’s realities.

    She emphasized the need for data-driven, context-specific solutions to transform healthcare systems across Africa.

    Ndili also emphasized the transformative potential of mobile technology in healthcare,  citing tools like the Mobile App for Triage and Screening (MATS) as examples of how digital solutions can enhance access, efficiency, and scalability in healthcare delivery.

    She called for continued innovation and collaboration to address persistent challenges, such as low enrollment in health insurance and inconsistent care quality.

    “The symposium served as a platform for stakeholders to explore innovative solutions and share lessons learned, with the goal of driving sustainable progress toward universal health coverage in Nigeria,” she said.

  • FG reaffirms commitment to harnessing research, technology for improved healthcare

    FG reaffirms commitment to harnessing research, technology for improved healthcare

    The federal government has reiterated its commitment to transforming Nigeria’s health sector by leveraging research, technology, and innovation to achieve Universal Health Coverage (UHC) and provide affordable, quality healthcare for all Nigerians.

    Speaking in Abuja on Tuesday at the 2024 Research Symposium, organised by PharmaAccess and its partners in Abuja, Abdul Mukhtar, National Coordinator of the Presidential Unlocking Healthcare Value Chain Initiative (PVAC), emphasised the central role of research in driving the nation’s healthcare strategy.

    Mukhtar, while describing research as the cornerstone of effective policies, improved health outcomes, and a resilient healthcare system, dispelled the perception of research as an academic exercise confined to laboratories, highlighting its practical relevance in addressing Nigeria’s healthcare challenges.

    He noted that the Health Sector Renewal Investment Initiative (HSRII), anchored on a sector-wide approach (SWAp), underpins the government’s four-point agenda for health, which focuses on governance, efficient service delivery, fostering innovation, and strengthening health security.

    Mukhtar noted that the symposium’s theme, ‘Innovating Healthcare in Nigeria: Connecting Research and Policy for UHC’, was timely, emphasising that government initiatives heavily depend on research and digital innovation to align with UHC goals and provide both financial and physical access to healthcare.

    According to him, the government had to prioritize reducing reliance on imported healthcare products, as nearly 80% of medicines, almost all vaccines, and most medical devices are sourced internationally, placing a significant strain on local resources and capacity.

    Revealing that the Presidential Initiative for Domestic Healthcare Manufacturing aims to reverse these trends by 2030, creating jobs and boosting self-reliance in healthcare production, Mukhtar emphasized that these goals are unattainable without research and digital innovation.

    Highlighting the need for resilient systems, Mukhtar called for the development of robust information technology infrastructure and the use of tools like artificial intelligence for data collection, analysis, and visualisation.

    This, he explained, would enable evidence-based policymaking and align Nigeria with global advancements in personalized medicine and clinical research.

    He also praised existing initiatives, such as the establishment of the Centre for Genomic Research at Redeemer’s University in Osun state, as proof of Nigeria’s potential to lead in healthcare innovation.

    However, he stressed that sustained funding, advocacy, and collaboration are essential for scaling such efforts while calling on stakeholders to harness Nigeria’s talent and resources to drive transformative change in the health sector.

    Research is not only the foundation of progress but also the catalyst for a healthier and more resilient nation, he added.

    In his remarks, Michel Deelen, Consul-General of the Kingdom of the Netherlands Consulate in Nigeria, highlighted his country’s €46 million investment in Nigeria through the Health Innovation Fund (HIF).

    He underscored the importance of linking research to policy to achieve UHC targets and strengthen healthcare systems.

    Deelen cited the HIF’s success in Lagos and Kwara States, where digitized social health insurance schemes have enhanced healthcare inclusivity, particularly for vulnerable populations.

    In Lagos, the adoption of SafeCare Quality Standards has improved service delivery in 220 public and private health facilities, with a 66% improvement in facility scores.

    According to him, the National Health Insurance Authority (NHIA), with support from the HIF, is now scaling these efforts nationwide, incorporating over 7,000 healthcare facilities into quality improvement initiatives.

    The diplomat also highlighted the enactment of the Mandatory Health Insurance Act, facilitated by the HIF, as a pivotal step toward reducing out-of-pocket healthcare expenses and bridging access gaps.

    The Consul General urged sustained collaboration to build on these successes, emphasizing that integrating research and policy is critical to achieving Nigeria’s UHC goals.

    Earlier, Njide Ndili, Country Director of PharmaAccess, noted that the symposium sought to address the persistent challenge of ineffective health policies informed by imported data that fail to reflect Nigeria’s realities.

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    She emphasised the need for data-driven, context-specific solutions to transform healthcare systems across Africa.

    Ndili also reiterated the transformative potential of mobile technology in healthcare, citing tools like the Mobile App for Triage and Screening (MATS) as examples of how digital solutions can enhance access, efficiency, and scalability in healthcare delivery.

    She called for continued innovation and collaboration to address persistent challenges, such as low enrollment in health insurance and inconsistent care quality.

    “The symposium served as a platform for stakeholders to explore innovative solutions and share lessons learned, with the goal of driving sustainable progress toward universal health coverage in Nigeria,” she said.

  • Experts explore innovative solutions for universal health coverage

    Experts explore innovative solutions for universal health coverage

    At the Private Sector Health Alliance of Nigeria (PSHAN) two-day annual conference, experts will explore innovative solutions fo a universal health coverage.

    The physical conference holds June 25 on Victoria Island, Lagos, and the virtual on June 27.

    The theme: “Harnessing Private Sector Solutions for Universal Health Coverage in Nigeria’s Evolving Health Insurance Landscape,” followed passage of Nigeria Health Insurance Act (NHIA), a huge iniitiative in our healthcare.

    “We are excited to host the 2024 PSHAN Annual Conference. By harnessing the strength of private sector, we aim to drive progress towards achieving Universal Health Coverage. This conference is opportunity to engage leading experts, share ideas, and develop strategies to shape future of healthcare in Nigeria,” Dr Tinuola Akinbolagbe, PSHAN’s chief executive officer, said.

    For the physical conference, Dr Tayo Aduloju, chief executive officer of Nigeria Economic Summit Group (NESG), will be special guest of honour. Speakers include Abimbola Adebakin, founder of Advantage Health Africa; Prof Alero Roberts, associate professor of College of Medicine, University of Lagos; Dr. Ngozi Onyia, managing director of Paelon Memorial Hospital; and Peju Ibekwe, chief executive officer of Sterling One Foundation, among others.

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    The virtual conference parades Nicole Spieker, chief executive officer of PharmAccess Group as keynote speaker. Others include Dr Emmanuella Zamba, permanent secretary of Lagos State Health Management Agency (LASHMA); Ikechukwu Ofuani, director of Worldwide Government Affairs & Policy West & Central Africa, J&J; and Oluwakolade Abayomi, group Medical consultant of Dangote Industries, among others.

    Last year, PSHAN held the first edition: “Building Sustainable Health Systems in Nigeria”. The conference stressed need for multi-sectoral collaboration and innovation to achieve Universal Health Coverage. Building on the response and success, this conference will focus on innovative solutions for achieving this.

  • Nigeria on track for Universal Health Coverage 2030

    Nigeria on track for Universal Health Coverage 2030

    It emerged over the weekend that Nigeria may be laying the groundwork for achieving Universal Health Coverage (UHC) by the 2030 deadline established by the World Health Organization (WHO).

    Denis Cherian, an Associate Vice President and Senior Technical Director for Health and Nutrition at CORUS International, Baltimore, USA acknowledged that despite challenges such as conflict, lack of peace, and inequity, achieving universal health care is feasible with targeted efforts and interventions.

    He emphasised that implementing primary healthcare and investing in the healthcare system’s transformation, among other strategies, would effectively reduce mortality rates and enhance life expectancy, mirroring successes observed in several countries.

    Speaking at the Science Cafe during the Africa-wide Faith Leaders conference on UHC in Abuja last week, Cherian, noted that UHC is achievable even if the 2030 global has to be shifted due to some uncontrollable circumstances.

    Speaking on the theme of the conference, ‘Achieving UHC: The role of science, faith and the media’ Chieran said if Health for All is a human right, then it is a right that everyone has the right to achieve.

    He said: “Now to achieve that, obviously, we know, we live in context and countries that are affected by conflict, good governance issues and a lot of natural calamities as well.

    “But despite that, the question is, is UHC achievable? I don’t think we have an option.

    “But to achieve it we can pick a number of examples, it may be a very difficult example or not a fully compatible but often comparable, looking at Ethiopia, Vietnam, and even the State of Kerala in India.

    “If you look at Ethiopia, for example, I’m not saying there are no challenges.

    Read Also: Navigating the road to universal health coverage

    “The transformation of the healthcare system and introducing primary health care for example, and investing in Primary Health Care has definitely reduced mortality and increased life expectancy in Ethiopia, for example, the same applies to Ghana.

    “The same also applied for Vietnam, for example, where investment in Primary Health Care has increased life expectancy by multiple folds”.

    He however expressed optimism that UHC is achievable in Nigeria with sustained deliberate efforts, saying, “Certainly, strides are being made as it is.

    “It will take time, I’m not sure if we will be able to achieve within the projected time of 2030 but I think we need to learn from what has been achieved and look at this to improve governance.

    “Take lessons learned from other countries that we can apply into our own context as well”.

    However, Nigeria may be heading in the right direction with certain actions initiated by the government considering the announcement of the Coordinating Minister of Health and Social Welfare, Prof. Ali Pate in December 2023 after the Ministerial Oversight Committee (MOC) in Abuja, that the Federal government would by the first quarter of 2024 deploy N50b from the Basic Health Care Provision Fund (BHCPF) to the rehabilitation and expansion of primary healthcare centres nationwide.

    He reiterated the deployment of the fund last week at the sectoral ministerial press briefing where he also restated plans to train 120,000 frontline health workers at Primary Health Centers (PHCs) in effectively handling and responding to health issues, being the initial point of contact before referral.

    The Minister of State for Health and Social Welfare, Tunji Alausa also recently disclosed that cancer centres of excellence are set to be established in six Federal University Teaching Hospitals in each geo-political zone.

    Additionally, the government has improved its routine immunization program, following the eradication of the Poliovirus by introducing the Human Papillomavirus (HPV) vaccine and preparing to include a new malaria vaccine in the program.

  • Navigating the road to universal health coverage

    Navigating the road to universal health coverage

    • A key target of the United Nations‘ Sustainable Development Goals (SDGs), universal health coverage (UHC) will make quality health services accessible and affordable for everyone

    The Federal Government has unveiled a promising path towards ensuring that every Nigerian gains access to vital health services without facing financial burdens. With a vision to achieve Universal Health Coverage (UHC) by 2030, the government is set to introduce the Nigeria Health Sector Renewal Investment Initiative. Professor Muhammad Pate, the Coordinating Minister of Health and Social Welfare, shared this optimistic development during a press briefing in Abuja, coinciding with the annual celebration of UHC Day in December. This initiative aims to celebrate strides made towards health for all and underscores the crucial role of robust and resilient health systems in realizing UHC.

     The Minister further revealed that a comprehensive strategy to materialise this ground-breaking initiative will be formally endorsed in Abuja by governments at all levels and their development partners during the upcoming 2023 UHC Day. “The quest to achieve UHC and better health for all Nigerians requires a multi-sectoral and whole-of-government approach. Further to this, the government of Nigeria has articulated NHSRII to advance the nation’s journey towards UHC.”

     The Nigeria Health Sector Renewal Investment Initiative is strategically designed to lead the revitalisation of Nigeria’s health system, forming a crucial component of the government’s comprehensive health agenda. It directly addresses the challenge of suboptimal population health outcomes exacerbated by deeply inequitable access to healthcare. The initiative will harness the power of the Basic Health Care Provision Fund, collaborating with state governments and development partners in an overarching, transformative sector-wide programme aimed at enhancing health outcomes. This encompasses initiatives to bolster human resources for health through extensive training and the establishment of a minimum of 17,000 fully functional primary healthcare centers. “The commitment to expanding BHCPF and increasing the number of PHC aligns with the National Health Act’s objectives. The comprehensive strategy outlined involves assessing existing facilities, improving infrastructure, ensuring a sufficient health workforce, and actively engaging local communities for feedback,” Pate said.

    The current state of health coverage in Nigeria

    Nigeria’s healthcare landscape is characterised by significant disparities, with urban areas enjoying a relatively better access than their rural counterparts. The majority of the population faces financial barriers, limiting their ability to seek medical attention. Existing health insurance schemes, while present, have struggled to provide comprehensive coverage. In recent years, Nigeria has made commendable efforts to advance UHC. Initiatives such as the National Health Insurance Scheme (NHIS) and partnerships with international organisations have aimed to expand access to healthcare services. Improvements in healthcare infrastructure and services are noticeable, but challenges persist.

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     Financial barriers, shortage of healthcare professionals, and limited resources continue to impede progress. The cultural nuances surrounding health-seeking behaviour and a lack of awareness further complicate efforts to achieve UHC. The COVID-19 pandemic has also laid bare the vulnerabilities in Nigeria’s healthcare system. The pandemic has underscored the importance of resilient healthcare systems. Nigeria’s response to the crisis, while commendable in certain aspects, has highlighted gaps in preparedness and response mechanisms. The strain on health infrastructure has prompted a renewed focus on strengthening UHC as a vital component of pandemic preparedness. Innovations in technology offer a promising avenue for advancing UHC in Nigeria. Telemedicine, digital health records, and mobile health applications present opportunities to bridge gaps in healthcare delivery. The government is increasingly recognising the transformative potential of these technologies.

    The transformative potential of UHC

    Nigeria’s health sector faces a myriad of challenges, from limited access to healthcare services to financial barriers that impede the well-being of its citizens. The implementation of universal health coverage (UHC) can serve as a transformative solution to address the pressing health challenges in the country. One of the core tenets of universal health coverage is ensuring that everyone has access to essential healthcare services without facing financial hardship. By removing financial barriers, UHC aims to increase the utilization of preventive, diagnostic, and treatment services, ultimately improving health outcomes across the population.

     Universal health coverage provides a financial safety net for individuals and families. By establishing comprehensive health insurance schemes, the burden of out-of-pocket payments is alleviated, preventing catastrophic health expenditures that often push families into poverty. Financial protection ensures that no one is forced to choose between health and economic stability. A key advantage of UHC is its emphasis on preventive care. With increased access to healthcare services, individuals can engage in regular check-ups and screenings, enabling early detection and intervention for health issues. This shift towards preventive care has the potential to reduce the prevalence of advanced-stage diseases and improve overall population health.

     The implementation of universal health coverage necessitates an investment in healthcare infrastructure. As more people access healthcare services, there is an increased demand for well-equipped facilities and a skilled workforce. This, in turn, creates a positive feedback loop where strengthened infrastructure further enhances the effectiveness of UHC. Universal health coverage goes beyond financial protection; it empowers communities to take charge of their health. By incorporating health education and community engagement initiatives, UHC promotes a culture of wellness and disease prevention. Informed communities are better equipped to make healthy lifestyle choices, reducing the overall burden on the healthcare system.

    The pains and challenges of out-of-pocket payments

    Nigeria’s healthcare system grapples with a persistent challenge that significantly impacts its citizens – the reliance on out-of-pocket payments for medical services. Out-of-pocket payments place a heavy burden on individuals seeking medical care in Nigeria. A recent survey conducted by NOI Polls has brought to light a concerning reality: an overwhelming 80 percent of Nigerians bear the financial burden of healthcare services directly from their pockets, irrespective of the healthcare facility they choose. This survey underscores the pressing need for enhanced health insurance coverage in Nigeria’s healthcare financing landscape. With a considerable percentage of the population living below the poverty line, the financial strain of unexpected health expenses can lead to catastrophic consequences. Families often find themselves forced to make difficult choices between healthcare and other essential needs.

     The reliance on out-of-pocket payments exacerbates the existing issue of limited access to essential healthcare services. Many Nigerians, particularly those in rural areas, face barriers to accessing quality medical care due to financial constraints. This perpetuates a cycle of preventable illnesses and hampers the overall health and well-being of the population. The out-of-pocket payment system has profound implications for public health outcomes. Preventive measures and early interventions are often neglected due to financial considerations, leading to the escalation of health issues that could have been addressed with timely and affordable care. This, in turn, contributes to the overall deterioration of public health indicators.

     Healthcare facilities also bear the brunt of the out-of-pocket payment system. Overwhelmed by the financial constraints of their patient population, many hospitals and clinics struggle to maintain necessary infrastructure, invest in medical technology, and attract skilled healthcare professionals. This strain compromises the quality of care provided. In response to the evident challenges, there is a growing call for systemic change in Nigeria’s healthcare financing. Advocates argue for the implementation of sustainable health insurance models, where citizens can contribute to a shared pool to finance universal healthcare. Such a shift could alleviate the burdens of out-of-pocket payments and enhance access to essential services.

     As Nigeria grapples with the pains of its current healthcare financing system, there is an opportunity to learn from global models that have successfully transitioned away from heavy reliance on out-of-pocket payments. Countries with effective health insurance and financing mechanisms can provide valuable insights for reshaping Nigeria’s healthcare landscape. The challenges presented by Nigeria’s prevailing out-of-pocket payment system are complex and deeply rooted. Effectively addressing these issues demands a comprehensive and cooperative approach involving policymakers, healthcare professionals, and the public.

    Countries leading the way in universal health coverage

    Several countries have made significant strides in ensuring their citizens have access to essential healthcare services without facing financial hardship, with their exemplary efforts providing valuable lessons for nations aspiring to achieve similar milestones. Japan, since 1961, stands out as one of the early adopters of UHC, launching its universal health insurance system 62 years ago. The country’s approach is characterised by mandatory enrollment, with citizens and residents enjoying comprehensive healthcare services. Japan’s emphasis on preventative care and cost containment has contributed to the sustainability of its UHC model.

     Also in the league of early adopters of UHC is Germany whose healthcare system is built on the principle of social solidarity, with citizens contributing to health insurance based on their income. This model ensures that everyone, regardless of economic status, has access to high-quality medical services. The German approach combines public and private elements, offering a versatile framework for UHC. As a welfare state with comprehensive coverage for citizens, Sweden’s commitment to social welfare extends to its healthcare system. The nation provides free access to healthcare services, financed through taxes. Sweden’s emphasis on primary healthcare, preventive measures and equitable distribution of resources has led to positive health outcomes for its citizens.

     Nigeria also has a lot to learn from Canada where healthcare is publicly funded for all. Canada’s single-payer healthcare system is a testament to its commitment to UHC. The government funds healthcare services through taxation, ensuring that every Canadian has access to medical care when needed. The system prioritizes essential services and operates on the principle of universality. In South Korea, it is the amazing story of rapid achievements in universal health coverage, with the country’s journey towards UHC marked by impressive achievements. South Korea transformed its healthcare landscape in a relatively short period, employing a mix of public and private providers. South Korea’s emphasis on health technology and preventive care has contributed to its success in achieving UHC.

     Analysing the experiences of these nations provides valuable insights and common themes that have played a pivotal role in the successful implementation of Universal Health Coverage (UHC). These success stories not only inspire but also serve as a guide for nations aspiring to achieve UHC, offering crucial lessons to forge a healthier, more equitable future for all. These include strong political will, sustainable financing mechanisms, a focus on primary healthcare, and an emphasis on equity and accessibility. Nations like Nigeria aspiring to achieve UHC can draw valuable lessons from the policies and practices of these trailblazing countries. The experiences of Japan, Germany, Sweden, Canada, and South Korea underscore the diverse approaches nations can take to achieve UHC. While there is no one-size-fits-all model, the common thread is the commitment to ensuring that every citizen can access healthcare without facing financial barriers.

     Amid the challenges, there are pockets of success. Examining specific regions or communities that have made strides towards UHC can provide valuable insights. Lessons learned from these success stories can inform broader strategies for nationwide implementation. To address existing challenges, policymakers must consider robust healthcare financing mechanisms, address workforce shortages, and engage communities in healthcare decision-making. Strengthening primary healthcare, enhancing disease prevention, and fostering partnerships between the public and private sectors are crucial components of a comprehensive strategy.

     Drawing lessons from countries that have successfully implemented universal health coverage, such as Japan and the United Kingdom, Nigeria can tailor its approach to align with its unique socio-economic and healthcare landscape. Learning from these models can guide policymakers in developing a robust UHC framework. Universal health coverage stands as a potent solution to Nigeria’s health challenges. By expanding access to essential services, providing financial protection, fostering preventive care, strengthening infrastructure, and empowering communities, UHC has the potential to revolutionise the country’s healthcare system. Drawing inspiration from successful global models and prioritising systemic changes, Nigeria can transition towards a healthcare financing system that guarantees dignity, accessibility, and enhanced health outcomes for all its citizens.