Lancet Nigeria Commission: A Roadmap to Nigeria’s Health Sustainability

  • Historical past was made in Nigeria lately because the UCL’s Institute of International Well being launched the Lancet Nigeria Fee report in Abuja
  • The report offers a historic perspective on the state of well being in Nigeria and likewise insights into the challenges in healthcare supply in Nigeria and
  • It additionally presents analyses and proof for a framework and new narrative for UHC and the way forward for well being in Nigeria

FCT, Abuja In August 2020, Nigeria attained wild polio-free standing after assembly all the standards for certification, which embrace three years of non-detection of any wild poliovirus case within the nation. It was a monumental success as, on the time, solely Nigeria, Afghanistan, and Pakistan had been the one polio-endemic nations within the nation.

Though current stories as of March 2022 confirmed a small variety of vaccine-derived poliovirus sort 2, Nigeria has largely contained the unfold, in response to the World Well being Organisation.

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The success of Nigeria’s polio administration is a small beacon of hope in a rustic the place the well being sector has not been correctly managed. This identical success was additionally seen within the administration of the outbreak of Ebola in 2014. The administration of the 2 well being conditions reveals a will that has to this point not unfold by way of the well being sector within the nation.

The Lancet Fee, in its report titled: “Investing in well being and way forward for the nation” examines the connection between Nigeria and its residents in relation to the prioritisation of well being, issues bedevilling the sectors, and proposals on how Nigeria can enhance within the sector.

It additionally highlights the implications of not prioritising the sector and failing to place a few of its suggestions into motion.

Over a two-year interval, the fee, led by Professor Ibrahim Abubakar, studied and examined well being inequalities in Nigeria. The fee delivered the report at an occasion in Abuja with the Nigerian vp, Professor Yemi Osinbajo, in attendance.

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Prof Ibrahim Abubakar
Professor Ibrahim Abubakar presenting the Fee report on the launch.
Photograph credit score: @nighealthwatch
Supply: Twitter

Talking to journalists on the sidelines of the occasion, Professor Abubakar who’s the Dean, UCL Institute for International Well being, London mentioned:

“Well being financing is a matter that we checked out in nice element within the report. We did bottom-up estimates and modelling and we collected information from inside Nigeria to give you our suggestions.

“We’re clear that for 83 million least rich Nigerians, the sum of N15,000 will likely be sufficient to supply them with a fundamental well being package deal.”

On his half, the Assistant Director-Normal, Well being Emergency Intelligence, World Well being Group, Dr. Chikwe Ihekweazu mentioned:

“What we’ve performed on this report by assortment of very competent Nigerians on this subject, is to look deeper into the drivers of maternal mortality.

“What this piece of labor has helped us to do is to dig deeper into the causes, and due to this fact, present options or suggestions on learn how to transfer ahead. As a result of well being is much more advanced than constructing a street. Enhancing maternal mortality requires interventions.”

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Whereas delivering his keynote deal with on the occasion, Osibanjo famous that the entire notion of the ‘One Nation, One Well being’ coverage to realize Common Well being Protection would profit  the poor in Nigeria.

VP Osibanjo delivering his keynote deal with on the launch of the report.
Photograph credit score: @nighealthwatch
Supply: Twitter

His phrases:

“The report is aptly described as a report by Nigerians for Nigerians. The report established for my part and did so indisputably, displaying a linkage between well being funding and the socio-economic improvement of our nation.

“To this finish, the report proposes a brand new social contract centred on well being to handle Nigeria’s have to outline the connection between the citizen and the state.

“There’s a additional suggestion that prevention must be on the coronary heart of well being coverage, given Nigeria’s younger inhabitants, requiring a whole-of-government method and group engagement.

“The entire notion of the “One Nation, One Well being” coverage to realize common well being protection, which might significantly profit these segments of the inhabitants bearing the very best illness burden.

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“An formidable programme of healthcare reform to ship a centrally decided, regionally delivered well being system, together with offering medical insurance protection for 83 million poor Nigerians who can’t afford to pay premiums.

“A well being system that encourages innovation and engages communities, to make sure that present nationally pushed schemes have native buy-in and are sustainable, and reforming the coverage and regulatory panorama to unleash the market potential of the personal sector.”

In April 2001, heads of state of African Union international locations met and pledged to set a goal of allocating a minimum of 15% of their annual finances to enhance the well being sector in what’s now referred to as the Abuja declaration. Greater than 20 years later, Nigeria has failed to succeed in this objective. The little beneficial properties made in some well being areas have been overshadowed by underperformance in the entire sector.

The Lancet Nigeria COmmission report couldn’t have been extra well timed because it offers data-based proof on the path the nation’s well being sector goes and its impression on the folks and, by extension, the economic system.

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Africa’s most populous nation additionally has one of many highest youth populations on the earth. Nevertheless, failure to adequately spend money on the well being sector coupled with institutional failures has made its life expectancy the bottom within the subcontinent.

Based on the report:

“Addressing Nigeria’s well being challenges requires a whole-of-government and whole-of-society method to forestall unwell well being. This implies investing in extremely cost-effective health-promoting insurance policies and interventions.”

Medical tourism has turn into a time period synonymous with Nigeria. As a result of substandard medical sector, individuals who can afford it – the higher class and the ever-shrinking decrease class – go away the nation to Europe or America to obtain medical therapy leaving the decrease class and poor folks on the mercy of a system in want of an overhaul. That is additionally coupled with the mind drain within the sector the place docs are continuously searching for alternatives to select up jobs exterior of the nation. There was a stir in 2021 when Saudi Arabia got here to ‘store’ for docs in Nigeria.

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The Lancet report comprehensively explores the shortcomings within the Nigerian medical system and recognized corruption and funding as two of the most important issues stifling the event of the sector. This corruption is a testomony to the dearth of acceptable systematic insurance policies to enhance the sector and checkmate actions of individuals that may derail this objective.

The mantra: Well being is wealth offers an umbrella description of a major side of Nigeria’s downside. Lack of sound well being in some properties has exponentially elevated the poverty degree of some households; For example, a house the place the breadwinner falls sick and doesn’t get entry to sound and reasonably priced medical alternatives, there’s a excessive likelihood it’ll have an effect on the education of the youngsters and by extension situation them to poverty.

The Lancet report proposes:

“An formidable programme of healthcare reform to ship a centrally decided, regionally delivered well being system…that may present medical insurance protection for 83 million poor Nigerians who can’t afford to pay premiums.”

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This will likely be in keeping with a “One Nation, One Well being” coverage the place all Nigerians, no matter standing, could have entry to high quality healthcare.

Reaching this objective is certainly not a straightforward feat. Nonetheless, it’s doable with political will engineered in direction of touching (weak) Nigerians by way of coverage adjustments, funding from each personal and public contributions and sustained dedication over an extended time frame. The report notes that the seriousness of the federal government can unleash the curiosity of the personal sector and supply an all-round reform.

Probably the most troublesome a part of Nigeria’s well being challenges and doable future points has already been performed within the exhaustive Lancet report put collectively by a workforce of seasoned specialists. How finest Nigeria implements the suggestions will go a great distance in defining the place the nation stands in its concern in regards to the well being of its residents and the construction of its socio-economic sustainability and progress.

The Lancet report has already supplied a roadmap. How effectively Nigeria navigates the route will inform what turns into of its residents in all different improvement indices.


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Lancet Nigeria Commission: A Roadmap to Nigeria’s Health Sustainability

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