Opinion
Transforming Nigeria’s Health Sector
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
Opinion
Judicial Fraud And Land Grabbing

About six years ago, my client, a UK-based Nigerian widow, became the target of an audacious scheme orchestrated by a notorious syndicate of land grabbers operating under the guise of a land owning family in Ikeja, Lagos. Their objective was clear: to dispossess her of her rightful ownership of three plots of land situated behind the former Tasty Fried Chicken building on Opebi Road, Ikeja. In a disturbing abuse of judicial process, these individuals approached a Magistrate Court then at Ikeja Local Airport, and by misrepresentation and fraudulent manipulation, secured a writ of possession against my client. It appeared their strategy was anchored on the assumption that the rightful owner was deceased. However, unknown to them, my client was very much alive, she only passed on last year.
Following this fraudulent judgment, the land grabbers, aided by a lawyer with an infamous reputation in the Ikeja axis for such sharp practices, took swift and forceful possession of the land. They began advertising the property to prospective buyers, offering each plot for several millions of naira. Upon being alerted by my client’s tenants, I conducted a search and discovered that the defendants had surreptitiously instituted the action using one of their own as the purported adverse party, who did not contest possession. Realising the magnitude of the fraud, I promptly secured my client’s Certificate of Occupancy and filed an application for joinder and a motion to set aside the judgment, backed by robust documentary evidence and affidavits deposing to the true facts.
The defendants, in a desperate and laughable defence, relied on a purported judgment allegedly delivered in the 1920s, claiming global ownership of lands stretching from Ikeja to Agege. When pressed to produce a survey plan or other definitive means of delineating the land covered by such a judgment, they failed woefully. The supposed plan was neither attached nor frontloaded.Fortunately, the presiding Magistrate, a sharp, fearless, and principled judicial officer saw through the deception and set aside the judgment accordingly.
What followed was a calculated legal standoff. After some days passed, I anticipated that the defendants would file a notice of appeal along with a motion for stay of execution, I acted strategically: by 8:00 a.m. of that day, possession had been recovered, effectively foreclosing their efforts to frustrate justice. They served their notice of appeal and motion for stay by 9:00am as I had anticipated.
Predictably, they resorted to harassment by filing a spurious petition at the Lagos State Police Command, alleging trespass. When that failed, they escalated the matter to the Assistant Inspector General of Police at Zone 2, Onikan. However, following a comprehensive review of all court documents and the title records, the Assistant Commissioner of Police, an officer of commendable integrity, sternly warned the fraudulent parties and their counsel never to return with such frivolous claims. He also threatened legal consequences for presenting forged or misleading documents. Regrettably, such land-grabbing tactics are far from isolated. I am presently handling another similar matter at the High Court of Lagos State, Ikeja Judicial Division. In this case, a property owner based in Jos, who has been in undisturbed possession of his land since before the Nigerian Civil War, was excluded from a suit for possession. The Plaintiffs falsely claimed adverse possession and obtained judgment using a family member as a nominal defendant. This is a land that had been returned to the owner (my client) by the Lagos State Government post-war, after a temporary wartime acquisition.
That matter is ongoing, and we remain confident that justice will again prevail. These cases serve as stark reminders of how certain individuals exploit procedural loopholes, such as substituted service and fictitious defendants, to perpetrate judicial fraud. It is common practice for notices of service to be pasted at the premises at odd hours, quickly photographed, and removed before anyone notices, thereby fabricating compliance with due process. This modus operandi, if not checked, undermines the integrity of our justice system. It may very well explain the plight Mr. Peter Obi’s brother, whose reported dispossession, despite a valid Certificate of Occupancy and long-standing possession, calls for judicial scrutiny and legal redress. While the wheels of justice may turn slowly, they remain capable of grinding exceedingly fine, provided legal practitioners act with diligence, and judicial officers remain vigilant and impartial.
There is a compelling need to amend our procedural rules regarding the use of unnamed or unknown persons as defendants in land litigation. Courts, both at High Court and Magistrate level – should be mandated to conduct locus in quo inspections where defendants are purportedly unknown or where substituted service is claimed. Such reforms will deter fraudulent practices and restore public confidence in the judiciary.In conclusion, let it be reaffirmed: the Nigerian legal system, though imperfect, is still a formidable instrument for the protection of property rights when wielded with integrity, precision, and tenacity.
Ubani, is a legal practitioner and public affairs analyst, Legal Advisor of Assemblies of God, Nigeria.
By: Monday Onyekachi Ubani
Opinion
Why Not Ban Alcohol Sachets?

As the National Agency for Food and Drug Administration and Control (NAFDAC), contemplates banning the production, distribution and consumption of sachet alcoholic beverages across Nigeria, the move has raised mixed reactions among Nigerians and interest groups. According to NAFDAC the proliferation of sachet alcoholic beverages has been linked to abusive usage resulting in increased health complications, and drunk driving that causes road accidents. The Federal Road Safety Commission (FRSC) corroborates some of NAFDAC’s claims. FRSC records show that the 10,617 road accidents recorded in 2023 were due mostly to over speeding and drunk driving.
It is noteworthy that the availability of alcohol in less than 200ml PET bottles and in sachets, makes alcohol quickly consumable even during work hours. Without standardised packaging and regulatory labelling compliances, most of these sachet products are unregistered, come with questionable contents and form the bulk of illicit alcohol. Though lesser in volume, their high alcohol concentrations makes them highly intoxicating. Their ready availability at motor-parks, increase over-indulgence by commercial drivers, most of whom thereafter mount the wheels on low mental alertness.
Alcohol is known to reduce mental acuity and consciousness of the mind. Endowing its addicts with elixir feelings that momentarily blur reality, the alcohol effect additionally boosts self-rating and confidence, placing addicts on realms of happy possibilities where almost every dream is attainable, even if unrealistically. By the time the effect wanes addicts are known to be sad to face stark reality, which is why most are prone to retaking repeated doses to shoot themselves back to the fantasy world. Such fantasy is also the reason many youths and adults would rather invest daily in game-betting gambles than invest in micro innovations that guarantee real economic advancements.
The dawn of neo-medicinal alcohol being marketed in sachets as herbal remedies for organ cleansing, aphrodisiacs, anti- malarial and diabetes cures, is drawing increasing patronage from gullible Nigerians, even as these claims remain medically questionable. Following the rising patronage, all shades of manufacturing quackery are currently cashing-out from the market. Because of the harmful health effects of quack products, it is no wonder that sicknesses relating to organ-damage and male impotency are on the increase. Apart from drunk-driving and the health risks posed by over-indulgence in alcohols, the precious time wasted by addicts in unproductive day-dreams, which should have been deployed to meaningful economic ventures, is also a concern. In times of economic difficulties, as presently facing many Nigerians, there is need for mental clarity to enable one articulate ways out of hardships.
These outcomes may have informed NAFDAC’s decision to pursue banning easily consumable volumes of alcohol. If the ban becomes successful, those who like alcoholic drinks would still enjoy them by taking bigger packs which are low in concentration. Bigger bottles are likely to be consumed at leisure times after work due to their sizes. At that point, most consumers must have spent a productive day, yet have time to enjoy some booze. NAFDAC’s decision to ban unhealthy, anti-productive alcohol packs should therefore be encouraged. It is however, unfortunate that even as NAFDAC had set a long-term goal to achieve the ban, from as far back as 2018, through the then Minister of Health, Prof. Isaac Folorunsho Adewole, and had engaged manufacturers on a five-year phase-out plan, the ban has failed to materialise. This is despite the signing of a five-year moratorium document between the Distillers and Blenders Association of Nigeria (DIBAN) and the Association of Food and Beverage & Tobacco Employers (AFBTE) on one hand, and the Ministry of Health, NAFDAC and the Federal Competition and Consumer Protection Commission (ECCPC), on the other.
Recall that same year, the minister had out-rightly banned over-the counter use of codeine syrups following a BBC documentary on the consequences of its abusive use in Nigeria. NAFDAC’s inability to check the indiscriminate use of sachet alcohol years after the expiration of the signed moratorium highlights how vested interests may stifle good institutional objectives. It becomes worrisome when the pressure on NAFDAC to shelve the ban on harmful alcohol is coming through a hallowed institution, like the House of Representatives. NAFDAC had swiftly introduced the ban on February 1, 2024 after the expiration of the five-year moratorium. But no sooner had the House come upon it to lift the ban. At the moment, the ban stands temporarily lifted till December 2025 even as lobbies intensify.
For the house to claim that “the ban was ill-timed because of the current economic conditions, staggering unemployment, soaring inflation and high rate of poverty,” it raises many questions about the rationale of members of the house, considering the correlation between alcohol addiction and the inability to exit poverty. Members of the legislature should be from the finest minds who go for the sublime. Why would members of the House choose to endorse a situation that is currently ensnaring many into addiction and anti-social behaviours, than safeguard societal sanity? Even as members of the house argue that sachet alcohol sales is sustaining some micro businesses, the anti-social behaviour and health risks engendered by such sales out-weigh any derivable economic benefits.
Opponents of the ban who support the house may also argue that the ban targets low-income earners who patronise sachet products due to affordability, and may further point out that substitutes of other herbal/alcoholic concoctions being marketed as health remedies are available through unregulated markets. Bowing to such arguments would mean that NAFDAC should choose a defeatist position, wherein it has been overwhelmed at discharging its core mandate of safeguarding the health of the nation. As NAFDAC mediates through legislative challenges and lobby groups, members of the executive should bear on the assembly to allow the institution pursue its core goals. Not doing so would be to build a nation of drunkards, where lunatics roam the streets.
By: Joseph Nwankwor