Health care in Nigeria

Health care provision in Nigeria is a concurrent responsibility of the three tiers of government in the country. [Rais Akhtar; Health Care Patterns and Planning in Developing Countries, Greenwood Press, 1991. pp 264] However, because Nigeria operates a mixed economy, private providers of health care have a visible role to play in health care delivery. The federal government's role is mostly limited to coordinating the affairs of the university teaching hospitals, while the state government manages the various general hospitals and the local government focus on dispensaries, (which are regulated by the federal government through NAFDAC). The total expenditure on health care as % of GDP is 4.6, while the percentage of federal government expenditure on health care is about 1.5%. [Ronald J. Vogel; Financing Health Care in Sub-Saharan Africa Greenwood Press, 1993. pp 18] A long run indicator of the ability of the country to provide food sustenance and avoid malnutrition is the rate of growth of per capita food production; from 1970-1990, the rate for Nigeria was 0.25%. [Ronald J. Vogel; Financing Health Care in Sub-Saharan Africa Greenwood Press, 1993. pp 1-18] Though small, the positive rate of per capita may be due to Nigeria's importation of food products.

Health insurance

Historically, health insurance in Nigeria can be applied to a few instances: free health care provided and financed for all citizens, health care provided by government through a special health insurance scheme for government employees and private firms entering contracts with private health care providers. [Ronald J. Vogel; Financing Health Care in Sub-Saharan Africa Greenwood Press, 1993. pp 101-102] However, there are few people who fall within the three instances.

In May 1999, the government created the National Health Insurance Scheme, the scheme encompasses government employees, the organized private sector and the informal sector. Legislative wise, the scheme also covers children under five, permanently disabled persons and prison inmates. In 2004, the administration of Obasanjo further gave more legislative powers to the scheme with positive amendments to the original 1999 legislative act. [Felicia Monye; 'An Appraisal of the National Health Insurance Scheme of Nigeria', Commonwealth Law Bulletin, 32:3 415-427]

Mental health

The majority of mental health services is provided by 8 regional psychiatric centers and psychiatric departments and medical schools of 12 major universities. A few general hospitals also provide mental health services. The formal centres often face competition from native herbalists and faith healing centres.

The ratio of psychologists and social workers is 0.02 to 100,000. [Oyedeji Ayonrinde, Oye Gureje, Rahmaan Lawal; 'Psychiatric research in Nigeria: bridging tradition and modernisation', The British Journal of Psychiatry (2004) 184: 536-538]


Drug policy in Nigeria

In terms of drug regulation, Nigeria took an interesting step in 1989, when it passed a legislation to make effective a list of essential drugs in the country. The regulation was also meant to limit the manufacture and import of fake or sub-standard drugs and to curtail false advertising. However, the section on essential drugs list was later amended. [ National Drug Policy in Nigeria, O. Ransome Kuti. Journal of Public Health Policy > Vol. 13, No. 3 (Autumn, 1992), pp. 367-373]

Drug quality is primary controlled by the agency for food and drug administration.

patial inequality

Health care in Nigeria is influenced by different local and regional factors that impacts the quality or quantity present in one location. Due to the aforementioned, the health care system in Nigeria has shown spatial variation in terms of availability and quality of facilities in relation to need. However, this is largely as a result of the level of state and local government involvement and investment in health care programs and education. Also, the Nigerian ministry of health usually spend about 70% of its budget in urban areas where 30% of the population resides. It is assumed by some scholars that the health care service is inversely related to the need of patients. [Rais Akhtar; Health Care Patterns and Planning in Developing Countries. Greenwood Press, 1991. 265 pgs.]


Migration of health care personnel to other countries is a taxing and relevant issue in the health care system of the country. From a supply push factor, a resulting rise in exodus of health care nurses may be due to dramatic factors that make the work unbearable and knowing and presenting changes to arrest the factors may stem a tide. [Darlene A. Clark, Paul F. Clark, James B. Stewart; The Globalization of the Labour Market for Health-Care Professionals. International Labour Review, Vol. 145, 2006] However, because a large number of nurses and doctors migrating abroad benefited from government funds for education, it poses a challenge to the patriotic identity of citizens and also the rate of return of federal funding of health care education. The state of health care in Nigeria has been worsened by a shortage of doctors as a consequence of severe 'brain drain'. Many Nigerian doctors have emigrated to North America and Europe. In 2005, 2,392 Nigeria doctors were practising in the US alone, in UK number was 1529 . Retaining these expensively-trained professionals has been identified as an urgent goal.


The World Health Organization's definition of health is not merely the absence of disease but the attainment of a state of physical, mental, emotional and social well being.
*In 1993, adulterated paracetamol syrup entered into the health care system in Oyo and Benue State, the end result of was the death of 100 children. A year after the disaster, batches of fake ethylene glycol, the major cause of the death, could still be purchased.
*In 1996, about 11 children died of contamination from an experimental trial drug: trovafloxacin. Nevertheless, the long delayed action of the government to prosecute the perpetrators is considered another tragedy.
*The life expectancy of the country is low and about 20% of children die before the age of 5.
*The 2000 WHO report on the performance of health care systems rank the country 187 out of 191.
*Traffic congestion in Lagos, environmental pollution and noise pollution are major issues that the government is faced with.
*In 1985, an incidence of yellow fever devastated a town in Nigeria, leading to the death of 1000 people. In a span of 5 years, the epidemic grew, with a resulting rise in mortality. The vaccine for yellow fever has been in existence since the 1930's. [ [ Nigerian National Merit Award ] ]


See also

* Health care systems
* HIV/AIDS in Nigeria

External links

* " [ 'A breakdown of our primary health care system'] ," "Seattle Post-Intelligencer"

Wikimedia Foundation. 2010.

Look at other dictionaries:

  • Health care (disambiguation) — Health care is the prevention, treatment, and management of illness.Regional health care* Health care in Argentina * Health care in Australia * Health care in Canada ** Health care in Calgary * Health care in Europe * Health care in Iran * Health …   Wikipedia

  • Health care systems — This article describes policy related systems. For the article on hospital networks, which are sometimes referred to as health care systems, see hospital network. A health care system is an arrangement in which health care is delivered. There are …   Wikipedia

  • Health care system — A health care system is the organization of people, institutions, and resources to deliver health care services to meet the health needs of target populations. There is a wide variety of health care systems around the world, with as many… …   Wikipedia

  • Nigeria — This article is about the country. For other uses, see Nigeria (disambiguation). Federal Republic of Nigeria Jamhuriyar Taraiyar Nijeriya …   Wikipedia

  • Nigeria–United States relations — Nigeria – United States relations Nigeria …   Wikipedia

  • Health and Disease — ▪ 2009 Introduction Food and Drug Safety.       In 2008 the contamination of infant formula and related dairy products with melamine in China led to widespread health problems in children, including urinary problems and possible renal tube… …   Universalium

  • Health effects of tobacco — Part of a series on Tobacco …   Wikipedia

  • Health Information Systems Programme — The Health Information Systems Programme (HISP), which aims to support the improvement of health care systems in the southern hemisphere by increasing the capacity of health care workers to make decisions based on accurate information. HISP… …   Wikipedia

  • Nigeria Society of Physiotherapy — The Nigeria Society of Physiotherapy (NSP) is the national professional association representing Nigerian trained physiotherapists as well as foreign trained physiotherapists practising in Nigeria. The NSP was formed on August 29, 1959, by a… …   Wikipedia

  • Nigeria — Nigerian, adj., n. /nuy jear ee euh/, n. a republic in W Africa: member of the Commonwealth of Nations; formerly a British colony and protectorate. 107,129,469; 356,669 sq. mi. (923,773 sq. km). Cap.: Abuja. Official name, Federal Republic of… …   Universalium

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”

We are using cookies for the best presentation of our site. Continuing to use this site, you agree with this.