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Transforming Nigeria’s Health Sector

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Where does one start analysing the recent claim by the Coordinating Minister of Health and Social Welfare, Prof. Muhammad Ali Pate, that Nigeria is becoming a hub for quality health care and a destination choice for patients from the West African subregion and other parts of the world? Is it from the fact that as at the time he was making the statement on Tuesday, the number one citizen of the country, President Bola Tinubu was almost ready for a private visit, (believed by many to be health check related) to Paris, France the following day? Or, that the minister did not explain what he meant by “quality healthcare” nor did he tell the State House correspondents the number of patients that come to Nigeria from the USA and the UK for treatment and why.
Are they Nigerians in the diaspora visiting Nigeria and receiving treatment? Do the so-called people from all over the world come to Nigeria for medical treatment because Nigeria offers the best medical care better than anywhere in the world? No doubt, there may be some people who visit hospitals in Nigeria, maybe for fertility treatment due to certain restrictions in the countries they reside, who come to consult some particular health experts or those that find the treatment of certain ailments cheaper in Nigeria. There also exist some specialised hospitals in the country, particularly in Lagos and Abuja, who do attract patients from neighbouring West African countries for treatments in such areas as organ transplants, cardiology, fertility treatments, and advanced surgeries. But on a global scale, can Nigeria be regarded as a top destination for medical tourism? How did the minister arrive at that
And talking of quality healthcare, as earlier stated, it would have been nice if the Minister had given us the indices he used to arrive at his assertion and his own meaning of quality healthcare. Experts have defined quality healthcare as medical services that are effective, safe, timely, patient-centred, equitable, and efficient. It ensures that patients receive the right care at the right time, leading to better health outcomes. This means that, for healthcare to be considered quality, the treatments and interventions should be based on scientific evidence and best practices to improve patient health; it should minimise risks, errors, and harm to patients; patients should receive care without unnecessary delays; it should respect and respond to individual patient needs, values, and preferences; it should be accessible to all, regardless of socio-economic status, race, gender, or geographic location.
Above all, it should be efficient – resources should be used wisely to avoid waste and keep healthcare costs manageable. Are these the case in Nigeria? It is no hidden fact that many hospitals and clinics in the country, especially the public hospitals lack basic amenities like clean water, stable electricity, and modern medical equipment.  Rural areas suffer from a lack of healthcare facilities, forcing patients to travel long distances for medical attention. Many doctors, nurses, and other medical workers migrate abroad (japa syndrome) due to low wages and poor working conditions. The doctor-to-patient ratio is far below the WHO recommendation. Not once have we seen a doctor dozing off while consulting patients due to fatigue and heavy workload. All the doctors’ strike actions for these reasons have not brought about a significant change.
How easily do patients receive medical attention in our hospitals and clinics? In most government hospitals, patients spend almost a full day or more to see a doctor. When the doctor is a consultant, the waiting period will definitely be longer.  And how affordable are the treatments and the drugs? The National Health Insurance Scheme (NHIS) was established in 1999 in response to increased out-of-pocket payments and the call for a movement towards Universal Health Coverage (UHC). Since the scheme started its operations in 2005, how many people have enrolled in the programme? The current Minister for Education, Dr. Tunji Alausa, while serving as the Minister of State for Health in May 2024 said that the government had allocated dedicated funds and initiated collaborations to enhance primary healthcare services and expand health insurance coverage and that the president had mandated them to increase coverage from about seven million then to about 50 million people.
Today, records show that only a small percentage of the citizens are still covered by the scheme. According to a report by the Journal of Global Health Economic and Policy, less than 5 percent of Nigerians are enrolled in NHIS, while 70 percent still rely on out-of-pocket payments, making healthcare unaffordable for the poor The challenge of poor drug regulation, counterfeit medicine, inadequate funding, poor emergency response, inconsistent government policies and corruption, poor sanitation and hygiene are yet to be dealt with. How then do we have quality healthcare in Nigeria? What about the careless and nasty attitude of healthcare providers towards the patients. Many Nigerians are left with permanent scars and disabilities due to the negligence of so-called healthcare experts who treated them.
Sure, medical negligence is not peculiar to Nigeria but it has become a constant occurrence in our health facilities and must be looked into by the Medical and Dental  Council of Nigeria, the Nigeria Medical Association and other relevant authorities. To take the nation’s healthcare system to the desired eldorado, a combination of policy reforms, increased funding, infrastructure development, workforce enhancement, attitudinal change among the healthcare providers and reduction of corruption in the health sector is necessary. Pate on Tuesday revealed that federal government has approved the sum of N12 billion for Magnetic Resonance Imaging, an advanced diagnostic equipment, across six tertiary health institutions in addition to Nigeria’s ratification of the African Medicines Agency (AMA) Treaty, which aims to harmonise medical regulatory standards across the continent.
That is a commendable step by the government if only the government will ensure that the money when released will be used for the stated aim and the right equipment purchased and regularly maintained. It is also important that the government allocates at least 15 percent of the national budget to health, as recommended by the Abuja Declaration. They should explore public-private partnerships (PPPs) to attract investments in healthcare infrastructure. There is also the need to upgrade and equip existing hospitals with modern medical technology, establish more primary healthcare centers (PHCs), especially in rural areas and invest in digital health solutions such as telemedicine to improve access. The issue of shortage of healthcare workers must be addressed through improved salaries, benefits, and working conditions.
Incentives (such as scholarships, housing, and career growth opportunities) should be regularly offered to retain healthcare professionals. Other important measures to be taken include expansion of the NHIS to cover more citizens, including the informal sector; introduce community-based health insurance programmes to increase access to affordable healthcare; the government, both federal and states, should subsidise low-income families to reduce out-of-pocket expenses.The authorities should strengthen immunisation programmes to prevent disease outbreaks and promote health education campaigns on sanitation, hygiene and healthy lifestyles. The National Agency for Food and Drug Administration and Control (NAFDAC) should be empowered to monitor and regulate pharmaceutical products more effectively, while the law enforcement agencies should do more in the area of enforcing stricter penalties for drug counterfeiters.
Implement technology-driven tracking systems to detect and remove fake drugs from circulation.The government should also increase funding for medical research and encourage local drug production. Partnership with universities and research institutions to develop innovative health solutions will certainly be productive. Government should also consider supporting the development of traditional medicine through scientific validation. As Africans, many Nigerians in the diaspora believe in the potency of herbs. A story was recently told of how some Nigerians make money by sending herbal medicine to Nigerians abroad. So, developing and properly regulating this sector might be the major attracter of patients. To have people come from all over the world to Nigeria, with the assurance that they will get the best of medical care here is the wish of many Nigerians.
Maybe that will reduce the president’s trip to France and save the nation some money. But achieving that goes beyond rhetorics or making political statements. Let there be more actions than words

 

Calista Ezeaku

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Opinion

Fighting Insecurity: Shagari’s Model

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What we see across the country today can only be surmounted through a decisive Presidential agenda devoid of politics and sentiments. Alhaji Shehu Shagari, faced with similar security threats, wasted no time in restoring order.
Shagari was still in his first year in office when Islamic fundamentalists, led by Muhammadu Marwa, better known as Maitatsine, visited terror on Kano. Domiciled in the Yan Awaki area, the man who originally hailed from Cameroon, began to create an empire of terrorists.
Kano was under the control of the Peoples Redemption Party (PRP) while the National Party of Nigeria ( NPN) controlled the Federal Government. Shagari, a Muslim, did not want to be politically correct because Kano was involved. He placed national security above everything else.
Realising that the terrorists had overwhelmed the police, killing about 100 of them including a Commissioner who was moved from Aba, the president applied military force. It took just two days for soldiers to crush Maitatsine and his followers. At the end, 5,000 civilians died and the Army lost 35 souls.
That was in 1980. Shagari set up a Judicial Commission headed by Justice Anthony Aniagolu. Hundreds of the trouble makers were sent to jail. And it turned out that among them were fighters from Chad, Niger Republic, Cameroon, Burkina Faso and Mali.
On May 16, 1981, there was a skirmish at the Nigeria – Cameroon frontier. Second Lieutenant Seyiveh Sewhenu Amosu of the Nigerian Army, leading a patrol on the Akpa Yafe River, was killed in an ambush by Cameroonian forces. Four other soldiers, Felix Bemigho, Emmanuel Kasar, Joseph Imaja and Emmanuel Akpan also died.
Shagari wasted no time in showing Cameroon the power of Nigerian forces. His Service Chiefs had tasted battle during the Civil War. Chief of Defence Staff, Gibson Jalo, was a General Officer Commanding (GOC). Army Chief, Mohammed Wushishi, was part of the First Division, Chief of Naval Staff, Akin Aduwo, commanded a warship, his Air Force counterpart, Dominic Bello, was one of the few Federals that flew jet bombers.
The world watched as Nigerian forces moved to the border for war on Cameroon, whose troops had never seen battle anywhere. Having frightened the aggressor, Shagari diplomatically halted the planned assault.
In October 1982, some of Maitatsine’s loyalists, regrouped in Bulunkutu, Maiduguri. Among them were many released from jail, like what we see with Boko Haram fighters today. They burnt mosques, churches and humans, using body parts as charm. Again, Shagari acted decisively to decimate the terrorists.
On April 18, 1983, one Idris Debby, led Chadian troops to seize 21 Nigerian fishing villages. Shagari showed his stuff, once again. As Commander – in – Chief of the Armed Forces, he chose seasoned fighters, after consulting with his Defence Team.
Muhammadu Buhari, GOC of the 3rd Amoured Division was given the task of clearing the intruders. As the first governor of Borno State, the general knew the terrain so well. His mother was Kanuri, whose people knew much about Debby and the Zaghawa.
To support Buhari, Chris Ugokwe, a seasoned warrior and Commander of the 21 Armoured Brigade, led the battle. Ugokwe commanded Biafra’s 52 Brigade during the Civil War and was the officer who led 13 Armoured vehicles, under Ibrahim Babangida in 1976, to flush Bukar Dimka out of Radio Nigeria.
Ugokwe and Buhari were friends and Nigeria Military Training College (NMTC) course 5 mates. Babangida was their junior by one Course. It was because of Biafra that Ugokwe lost seniority but he was trusted by PMB and IBB. Ugokwe and Babangida were together in Kaduna during the January 15, 1966 coup.
Ugokwe drove Debby out of Nigeria and led troops into Chad. To show the strength of his Brigade, he planned to capture Ndjamena and was going to accomplish that task when Shagari, again, turned to diplomacy. The president called on Buhari to stop his troops.
That war with Chad gave the Armed Forces so much respect. The Air Force had men like Ben Ekele and Adamu Sakaba. Ekele was so good in all his training abroad that he was nicknamed ‘Air Hooligan’. His friend, Isaac Alfa, was known as ‘Air Warrior’.
Ekele played with the MiG fighter jets, like a toy. Some admirers gave him another name, ‘Ben The MiG’. Unfortunately, the officer was executed with Sakaba, in March 1986. Both were found guilty of treason by the Charles Ndiomu Military Tribunal, for their alleged roles in the Mamman Batss plot of 1985.
Shagari pushed our best into battle. Second Lieutenant Amosu, who was killed by Cameroonians, belonged to the Nigerian Defence Academy Regular Course (RC) 22. That RC later produced a Chief of Naval Staff, Dele Ezeoba, a governor, Inua Bawa, a Senator, Austin Akobundu and other prominent officers like Brigade of Guards Commander, J. O. Shoboiki, Task Force Commander, Sarkin Bello and Paul Izukanne. Another Amosu, Nunayon, became Chief of Air Staff.
President Bola Tinubu should follow Shagari’s footsteps. Nigeria is in trouble and there must be no consideration of tribe, tongue or party. Our Armed Forces can do better. We have many saboteurs in and out of power. What is paramount now is a new strategy.
The bloodletting is unprecedented. Citizens are slaughtered like chicken, daily all over the country. We call them bandits, in the North – West, killer herdsmen in the North – Central, terrorists in the North – East and Fulani herdsmen, in the entire South.
There is only one President and Commander – in – Chief. Tinubu is a strong man, cowardice is not part of his profile. He was part of the NADECO battalion that waged war on Sani Abacha. This is another war. Tinubu can and must fight like a Field Marshal.

Emeka Obasi
Obasi is an online journalist and analyst.

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Opinion

Flood Disaster In Nigeria: Predictable Tragedy

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Each year, Nigeria is struck by a disaster that has become so routine it barely shocks the national conscience anymore: devastating floods that displace thousands, destroy livelihoods, and cost the country billions in damages. From Lagos to Lokoja, Borno to Bayelsa, the story is the same—swollen rivers, submerged homes, lost farmland.
Children drop out of school as their homes or schools are flooded. Health crises follow, as stagnant water breeds Cholera and other waterborne diseases. Women and children bear disproportionate burdens, from increased caregiving duties to heightened vulnerability in overcrowded displacement camps.
Just last week, the country woke up to another flood disaster. Mokwa, a commercial hub in Niger State was swept away. About 200 lives were lost, 3,000 people were displaced, bridges washed away, families left heart broken.
The painful thing is that the meteorological agencies, the Nigeria Hydrological Services Agency (NIHSA) and Nigerian Meteorological Agency (NiMet) usually issue annual warnings about impending floods but little or nothing will be done by both the authorities and the citizens to avert the disaster until it happens and everybody starts running helter skelter. At a press conference in Abuja on Tuesday, June 3, the Minister of Water Resources and Sanitation, Joseph Utsev, clearly stated that flood warnings were given but they were not adhered to.
Speaking against the speculations that Mokwa flood was caused by the release of water from Kainji and Jebba Dams, he said, “Nigerians would recall that the Federal Ministry of Water Resources and Sanitation through the Nigeria Hydrological Services Agency in the 2025 Annual Flood Outlook on the 10th of April, 2025 predicted flooding in 19 LGAs of Niger State including Mokwa LGA.”
He also referred to the report of 2025 AFO, which indicated that 1,249 communities in 176 Local Government Areas in 33 States and the FCT fall within the High Flood Risk Areas, while 2,187 communities in 293 LGAs in 31 States, including the Federal Capital Territory, fall within the Moderate Flood Risk Areas.
Indeed, the floods in Nigeria are no longer unpredictable phenomena. Reports have it that in 2022, for example, over 600 lives were lost, 1.4 million people displaced, and over 200,000 homes damaged.
Crop-lands were washed away, leading to spikes in food prices and food insecurity. Infrastructure—already fragile—was further crippled. Subsequent years had similar reports. And yet, each year, State governments and citizens alike act surprised when the waters rise.
The causes of these floods are not mysterious. Climate change plays a role, with increasingly intense rainfall and rising sea levels. However, much of the devastation has been traced to human failings: poorly planned urban development, inadequate drainage systems, deforestation, and the mismanagement of river basins and dams.
For instance, the release of water from Cameroon’s Lagdo Dam annually inundates many States across the country, especially when the Dasin Hausa Dam, meant to contain the excess flow, remains incomplete decades after it was conceptualised. Similarly, urban expansion in many cities of the country often encroaches on natural floodplains and wetlands, replacing them with concrete that prevents water absorption and channels run-off into homes and roads.
Experts have claimed that at the heart of the flood disaster in the nation lies a deeper governance problem. Environmental policy is fragmented, implementation is weak, and coordination between federal, state, and local governments is almost non-existent. Flood response is often reactive—focused on rescue and relief—rather than preventive. Agencies like the National Emergency Management Agency (NEMA) and State Emergency Management Agencies (SEMAs) are underfunded and overwhelmed. There is no better truth.
How many government agencies whose job is to prevent floods and other disasters do their jobs? Just like past floods in Nigeria, Mokwa flood has been largely attributed to unregulated buildings and construction activities, poor drainage infrastructure and the likes. And the question is, whose responsibility was it to ensure that these illegal buildings were not erected in the first place? Whose duty is it to ensure that refuse is disposed of properly and that defaulters are punished?
Of course, citizens are not to be exonerated from the blame. Many Nigerians find it difficult to obey rules. Many care less about the environment and they will be the first to cry woes when a disaster occurs. But the point remains that if the regulatory authorities do not wake up to their duties of ensuring that people comply with building codes and urban development guidelines, if they would rather collect money from developers and look the other way when water channels are covered with buildings, then, the floods so far seen might just be a child’s play.
It is high time the governments at all tiers and across all levels stopped seeing floods as seasonal inconveniences rather than existential threats. These authorities are quick to make promises in the aftermath of a flood, but once the waters recede, so does the urgency. Reports are written, funds are pledged, but structural action is rare. The cycle continues: warnings, inaction, disaster, aid appeals, and then silence—until the next year. How can this help the situation?
There is an urgent need for the completion of the Dasin Hausa Dam project in Adamawa State. Experts say that this dam, if functional, would serve as a buffer for the Lagdo Dam releases from Cameroon. The same goes with the need for rehabilitation and expansion of the country’s drainage systems, especially in urban centres. Most existing systems are outdated, clogged, or simply inadequate for today’s volume of rainfall.
Building codes and urban development guidelines must be enforced without compromise. State governments must stop the unchecked development on floodplains and demolish illegal structures that obstruct natural drainage. New developments must include adequate drainage systems, and environmental impact assessments must be mandatory and rigorously enforced.
Government should carry out resettlement programmes for people living in high-risk zones. It is not enough to announce that people living along river banks and flood prone areas should move to higher lands. Are provisions made for them to move and to settle on higher lands?
Also, early warning systems must go beyond press releases and scientific bulletins. They must translate into community-level awareness and preparedness. NEMA and SEMAs should partner with local governments, traditional institutions, and civil society to educate the public on flood risks and evacuation plans.
Community-based disaster response teams can be trained and equipped to act swiftly when floods occur. More importantly, simulations and drills should be conducted periodically, not just after disasters strike.
It is also important that the government, both state and federal, collaborate with the private sector to introduce subsidised flood insurance scheme, especially for farmers and small business owners who bear the brunt of flood damages.
Climate change is no longer an abstract threat; it is a daily reality. Federal and state governments must integrate climate resilience into all development policies. Ministries of Environment, Works, Water Resources, and Agriculture must collaborate to build climate-smart infrastructure.
This also includes reforestation projects, sustainable agriculture practices, and policies to reduce carbon emissions. Nigeria’s national climate adaptation plan must be updated and fully implemented, with budgetary allocations that reflect the seriousness of the problem.
Transparency in the use of emergency funds and infrastructure budgets is essential. Anti-corruption agencies should investigate diversion of funds meant for disaster preparedness and flood mitigation.
Nigeria’s flood disaster is now a national emergency that requires urgent, collective, and sustained action. We can no longer afford the complacency that treats annual floods as inevitable. The science is clear, the patterns are consistent, and the solutions are known. What is missing is the will to act.
A flood-resilient Nigeria is possible. It begins with planning, continues with investment, and is sustained by accountability. We must break the cycle of annual disaster and move toward a future where the rainy season is a blessing, not a curse.
President Bola Tinubu must be commended for approving the release of ?2 billion, 20 trucks of rice for victims. That will go a long way in helping them if they are not diverted by those in the chain of their release and distribution.

Calista Ezeaku

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Opinion

AI And Transformation of Nigeria’s Education

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The increasing advent of technology is slowly, but evidently taking over major sectors in the world today, but not so much in Nigeria. Education is the backbone of any country, especially if it is one that hopes for the better future of its youths and the growth of the country at large.
Despite the known fact that education is key to national development, Nigeria’s education sector seems to be buckling under pressure ranging from a limited access to quality learning resources, poor school infrastructure, and overcrowded classrooms, among others.
It does not end there as many educators lack the digital literacy to properly use these tools. Proper strategies, digital literacy training and a focus on providing proper infrastructure in schools are the barriers that need to be tackled to surmount this challenge. Addressing these issues first would pave way for Artificial Intelligence (AI) integration in schools.
Though, AI is more than technical jargon, it just might be what Nigeria needs to level the playing field, especially since it looks like we are being left behind with all the innovation technology has brought along. With its personalised features, teachers can tailor lesson plans based on each student’s weaknesses which would positively affect learning outcomes. Imagine a school in Kano, where students learn English through AI-powered applications and resources. It would give better opportunities for the teacher to have more time to give them more personal attention.
However, to fully realise these benefits, there are certain underlying issues that AI can easily tackle, especially those in rural areas, where there is lack of electricity, proper ICT tools, and internet connectivity.
A United States based publication, EdTech, noted that there is an increasing strain in the ability of teachers to carry out their occupational demands with planning lessons, meeting parents and guardians, and other administrative responsibilities.
However, according to Carnegie Learning, teachers who have embraced AI have seen notable changes in students’ outcome and their work flow. In their research, 42 per cent found out that using AI reduced time spent on administrative duties, 25 per cent noted that AI was particularly useful in assisting with personalised learning, and 18 percent of them reported an increase in students’ engagement. Only one percent could report no change at all with the use of AI in the classroom.
Notably, the United Nations Educational, Scientific and Cultural Organisation (UNESCO), highlighted the potential of AI to address challenges in education, and its ability to innovate teaching and learning, as long as it is deployed safely and ethically. This connotes that every good innovation has a negative downside, and Artificial intelligence is not without.
According to UNESCO, well thought out strategies to maximise the use of AI in classrooms is what our education sector needs. I believe that as a nation we need to set policies that are channelled towards AI integration into the education system, and more importantly, all hands should be on deck to facilitate its process.
Teachers as well as students have a role to play in ensuring that it is not misused and rendered a vice. If we do not integrate AI soon enough, the learning gap between Nigeria and other nations will continue to widen, as it is already the case for most sectors of the country. This gap would not only widen, but it would go on to affect our youths who will be left behind in the global workforce.
Though, schools are known to be institutions of socialisation, where teachers play a major role in shaping the minds and outlook of the students in the classroom, I do not see AI as a replacement for teachers and evidently cannot take the job of educators. Additionally, the World Economic Forum noted that while AI can enhance the learning processes, it cannot replicate the human element that is needed by every student – that which is provided by teachers.
Therefore, AI is not a threat to teachers; rather it is a partner that benefits not just the teachers, but the students as well. It is important that policy makers move to develop and implement policies that integrate AI into the education system in Nigeria. The earlier we embrace this innovation, the better it will be for the future of every child.

Eniola Shobiye
Shobiye, a student, writes from the University of Ilorin.

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