NEWS AGENCY OF NIGERIA

Experts discuss early detection, treatment challenges of childhood cancer

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Symptoms

By Folasade Akpan

Prof. Biobele Brown, a pediatric oncologist at the University College Hospital (UCH), Ibadan, highlighted the challenges of early childhood cancer detection in Nigeria.

He cited the similarities in symptoms with other illnesses, ignorance, poor referral systems, and high treatment costs as major barriers.

Brown said these factors contribute to delayed diagnoses, making it difficult for children to receive timely and effective treatment.

Speaking at a symposium in Abuja on Thursday to mark International Childhood Cancer Day (ICCD) 2025, Brown emphasised that about 75 per cent of childhood cancer cases are diagnosed at advanced stages.

The symposium was organised by the Ministry of Health and Social Welfare in collaboration with Akanimo Cancer Foundation.

Marked on Feb. 15, every year, the theme for the 2025 commemoration is “Inspiring Action: Actionable Solutions to Strengthen Health Infrastructure, Access to Care, and Early Detection for Childhood Cancer in Nigeria,”

Brown explained that pediatric cancers often present with common symptoms like abdominal swelling, weight loss, and fever, which are commonly seen in non-cancerous conditions.

“As a result, parents often delay seeking treatment, leading to late diagnoses.”

Brown also pointed out that inadequate healthcare manpower and facilities contribute to the late detection of cancer in children.

He urged Nigerians to engage with the National Health Insurance Authority (NHIA) programmes to help improve access to cancer treatment.

He further called for more modern healthcare facilities, particularly radiation oncology, to be made available for children in need of treatment.

Rep. Amos Magaji, Chairman of the House of Representatives Committee on Health, announced that cancer treatment would receive unprecedented attention in the 2025 Appropriation Bill.

He said this includes significant infrastructure upgrades to improve treatment facilities.

He also mentioned plans to introduce advanced equipment, such as Positron Emission Tomography (PET) scanners, to enhance cancer care in Nigeria.

The Minister of State for Health and Social Welfare, Dr Iziaq Salako, stated that the Federal Government, through the National Cancer Strategic Plan 2023-2027, had made comprehensive plans for childhood cancers.

Salako, represented by his Senior Assistant, Technical, Dr Kehinde Ololade, explained that childhood cancers were previously not covered under the plan.

He said, “Before, only adult cancers were covered, but now, childhood cancers are prioritised in the new strategic plan.”

He also highlighted the support from the World Health Organisation, which is helping to make childhood cancer treatment and care more affordable and accessible to the general population.

Salako commended the Akanimo Cancer Foundation for raising awareness about childhood cancer and assisting in the treatment and care of affected children.

The Founder and Executive Director of the foundation, Mrs Idara Ekanem, whose son, Akanimo, passed away from a rare type of cancer at 12 years old, shared the foundation’s vision.

She explained that the foundation’s vision stemmed from a need to help other children battling cancer stay alive.

“Our vision is to raise awareness about childhood cancer, provide support to families affected by it, including bereavement support, and also encourage increased research for better treatments and cures.”

She added that, based on feedback from the organisation’s awareness campaigns, consistent education about the disease yields positive results and should be everyone’s responsibility.

“I want you to spread the message that childhood cancer is real. It affects children in Nigeria. It is not a myth or a suspicion,” she said. (NAN) (www.nannews.ng)

Edited by Abiemwense Moru

NAFDAC sensitises Lagos students to dangers of illicit drugs abuse

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By Confidence Nwanesi and Kemi Akintokun

The National Agency for Food and Drug Administration and Control (NAFDAC) on Wednesday sensitised students of the Wesley Girls Senior High School in Lagos to the dangers of illicit drugs abuse.

Speaking during the programme, Mrs Yedunni Adenuga, NAFDAC Director of Narcotics and Controlled Substance, said the sensitisation was initiated by the agency to address the menace of drug abuse among youths in the country.

Adenuga said the disturbing trend prompted NAFDAC to introduce the “Catch Them Young” programme in schools as a way of educating students on the negative impact of drug abuse and the danger it posed to the society.

The News Agency of Nigeria (NAN) reports that Prof. Mojisola Adeyeye, the Director-General of NAFDAC, had in January stated that about 14.3 million Nigerians abuse drugs.

Adenuga said: “What prompted the NAFDAC Catch Them Young Programme is the menace of drug abuse among the youths, and most especially alcohol abuse in the country.

“Information is key and that is why we are going to schools for sensitisation campaigns to be able to meet up with these students in their own environment and inform them of danger of using illicit drugs.

“These campaigns going on across schools in the country will ensure that we have a well-informed generation of youths, who are ready to take their lives into their hands and make informed decisions to do away with drugs.”

Janet Falana, a Senior Secondary (SS) Two Student of the school, who commended NAFDAC for educating them on the dangers of drug abuse, described the programme as an eye-opener.

“This sensitisation programme is very educating and I’ve learned that drug abuse is a very harmful thing and should not be practised by teenagers and, even, adults.

“We’ve also been told that drugs can affect our education, cause school dropout, result to memory loss and even death,” she said.

Sofiyat Lasisi, another Student in SS one, said the sensitisation came at the right, noting that it would guide against the abuse of substances among teenagers who are already exposed.

“This programme is very good, I will share what I have learnt with my friends at home and in the Mosque,” she said. (NAN)(www.nannews.ng)

 

Edited by Christiana Fadare

JUTH  commences free obstetrics services for vulnerable women

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Obstetrics

By Blessing Odega

The Jos University Teaching Hospital (JUTH) has commenced free obstetrics services for indigent women to curb rising maternal mortality.

Dr Pokop Bupwatda, the Chief Medical Director (CMD) of JUTH, said this on Wednesday in Jos, during the inauguration of a standing committee for Comprehensive Emergency Obstetrics and NewbornCare (CEMONC) services in JUTH.

Bupwatda said CEMONC was being provided by the Federal Government through the National Health Insurance Authority (NHIA).

He said the service aimed at eliminating barriers to quality maternal healthcare, saving lives, and helping vulnerable women understand the importance of skilled healthcare services during pregnancy and childbirth.

The CMD said the programme was changing the narrative of maternal healthcare in Nigeria by reducing cases of avoidable maternal mortality and morbidity.

He explained that the beneficiaries would be selected and vetted by the committee to ensure that they were actually indigent women.

Bupwatda said that after screening, the women would have to register with the hospital to access the free services.

He urged the committee to be proactive in the discharge of its duty of ensuring the reduction to the barest minimum, incidences of maternal and neonatal mortality.

Prof. Shambe Iornum, chairman of the CEMONC committee, and Head of Obstetrics and Gynaecology (O&G) in JUTH, commended the CMD for finding the committee worthy of executing the task.

Iornum expressed sadness that one of the worst health indices in Nigeria was maternal mortality.

He said that most of the victims of maternal mortality and morbidity were usually indigent.

The chairman assured the CMD that the committee would be efficient in the discharge of its duty.

The News Agency of Nigeria (NAN) reports that the committee is made up of nine members from various departments of the hospital and a focal person for the NHIA. (NAN) (www.nannews.ng)

Edited by Nyisom Fiyigon Dore

 

Stakeholders advocate local condom production to boost HIV prevention

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Condoms

By Hawau Sulyman and Justina Auta

Stakeholders at the 2025 National Condom Summit in Abuja on Wednesday called for the local production of condoms to improve access to preventive measures against HIV and Sexually Transmitted Infections (STIs) in Nigeria.

The summit, held to commemorate International Condom Day (ICD), carried the theme “Just Use It: Protect, Prevent, Empower.”

Dr Temitope Ilori, Director-General of the National Agency for the Control of AIDS (NACA), acknowledged Nigeria’s significant progress in HIV prevention but highlighted the persistent concern of new infections among young people.

Represented by Dr James Anenih, Director of Community Prevention and Care Services, Ilori attributed the rise in new cases to myths, stigma and limited access to effective HIV prevention tools.

She emphasised the crucial role of youth in the HIV prevention response and the need to equip them with the necessary information, tools and access to condoms to reduce HIV transmission, STIs and unplanned pregnancies.

“While we acknowledge new innovations in HIV prevention, condoms remain one of the most effective, accessible and affordable tools in preventing HIV and other STIs.

“However, access and acceptance remain a challenge.

“We must work together to eliminate barriers to condom distribution, address stigma, and promote a culture of safe sex practices,” Ilori stated.

Ilori urged stakeholders to strengthen their commitment to sustainable condom programming, calling for increased investment, expanded availability, and the integration of condom distribution into broader sexual and reproductive health services.

Mr Ugochukwu Alexander, Director of the Family Planning Department at the Federal Ministry of Health and Social Welfare, stressed the importance of further educating the public on condom usage to prevent HIV and other STIs.

He also advocated the establishment of youth-friendly centres in all health facilities to offer family planning services.

Mr Taofeek Adeleye, Nigeria Prevention Programme Manager at the AIDS Healthcare Foundation (AHF), expressed concern over the poor usage of condoms and called for greater awareness to prevent the spread of HIV and STIs.

Adeleye further emphasised the need for government and stakeholders to invest in local condom production to enhance STI prevention, create jobs and boost national revenue.

“For condom security in Nigeria, it will not only serve public health purposes but also provide jobs and improve the economy.

“The policy direction should now focus on establishing condom production plants, which the government should promote,” Adeleye explained.

Mr Samuel Anya, Adviser on Science Systems and Services at UNAIDS, revealed that, based on the National AIDS Spending Assessment of 2021, only 0.09 per cent of the total HIV expenditure was allocated to condoms.

He deemed this allocation inadequate for addressing the needs of the general population.

He emphasised that the general population accounts for 89 per cent of new adult HIV infections, underscoring the importance of greater investment in condom distribution.

“We hope this summit will bring attention to the need to expand the correct use of condoms as a major tool in preventing HIV and ending the epidemic by 2030,” Anya said.

Mr Bayo Ewuola, Senior Media and Communications Officer at PATHFINDER International, reiterated the importance of accessible services and products to help individuals make informed decisions about their sexual and reproductive health. (NAN) www.nannews.ng

Edited by Abiemwense Moru

NAFDAC seals expired drugs warehouse in Aba

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By Ijendu Iheaka

The National Agency for Food and Drug Administration and Control (NAFDAC) has uncovered and sealed a warehouse of six flats containing expired foreign drugs and supplements in the outskirts of Aba.

 

The News Agency of Nigeria (NAN) reports that the building is located in the Umummeje, Umuocheala in Osisioma LGA of Abia.

 

The South East Zonal Coordinator of NAFDAC, Mr Martins Iluyomade, confirmed the discovery after taking newsmen through the buildings packed full with expired products.

 

“This is a twin two story duplex with Boy’s Quarters filled with expired products to the brim and to a level I have never seen before since my days of working in NAFDAC.

 

“What we are seeing here are expired drugs that people have stocked here.

 

“I am seeing here that some of the expired products were purchased recently and in new cartons,” he said.

 

The coordinator said that some of the products have shipment markings on their packs showing that they came recently through Ikeja Airport in Lagos.

 

Iluyomade said the owners of the buildings established a system of either buying expired products or receiving expired products from importers to repackage and sell to the public.

 

“All the work we have been doing in Abia are important but this is massive.

 

“I don’t understand how somebody can be this evil against his own people.

 

“We are all Nigerians and we should not be this evil to ourselves,” Iluyomade said.

 

He said he was speechless as he was made to enter one room after the other all packed to the brim with expired products.

 

“I felt like crying seeing many anti-hypertensive medicines here because if somebody has hypertension and you went to buy foreign drugs for him and you are ‘buying death again’, a person doing that deserves a death sentence,” he said.

 

The coordinator said that the agency could not yet quantify the volume of foreign expensive expired medicines in the place because the building is filled and work is still ongoing.

 

Iluyomade said that the suspicion of revalidation of the expired products made more sense when they saw a machine used to revalidate expired products and heaps of unused labels.

 

NAN learnt from a security personnel in the team that three persons including the suspect’s wife had been arrested.

 

However, Iluyomade only confirmed the arrest of ‘few persons’ including the wife of the suspect.

 

The coordinator said that when the suspect, who he said is on the run, was told by his wife that she was in custody, the man said they should “continue to keep her”.

 

Iluyomade promised that the agency and its allies would arrest the suspect and make him face the law.

 

“Regarding the house, the law will take its course because everything here including the buildings have become a scene of crime.

 

“The buildings, the vehicles and everything we are seeing here has become part of the exhibits,” he said.

 

Iluyomade said that the NAFDAC DG was already moving for a review of its laws to make it as strong as the Chinese law on fake adulterated medicines.

 

“Our DG made that clarification some days ago that anybody caught with fake and substandard medicines should be given a death sentence,” he said.

 

The NAFDAC zonal coordinator thanked Gov. Alex Otti of Abia for supporting the mopping of unregistered and expired drugs and also appreciated the Police, the Army and DSS for their assistance in making the screening successful.

 

He said that the outing was a collaborative effort of all the agencies and expressed hope that they would continue to work in synergy for the safety of Nigerians.(NAN) (www.nannews.ng)

Edited by Benson Iziama

Valentine’s Day: NACA urges safety against HIV, STIs

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By Justina Auta

The National Agency for the Control of AIDS (NACA) has urged Nigerians to prioritise their safety by making informed choices to protect themselves against HIV and other Sexually Transmitted Infections (STIs).

Dr Temitope Ilori, the agency’s Director-General, gave the advice in a statement on Tuesday in Abuja ahead of the Valentine’s Day celebration.

The NACA boss noted that HIV remains a major public health concern, even though it is preventable.

“Engaging in risky behaviours such as unprotected sex, multiple sexual partners, or substance use that impairs judgment increases the chances of HIV transmission.

“As the season of love approaches, this is to remind Nigerians that true love goes together with responsibility.

“During Valentine’s Day, let us celebrate affection with wisdom by making informed choices that protect us and our partners from HIV and other STIs,” the official said.

The NACA boss stressed the need for people to know their HIV status.

“People should engage in regular HIV testing; they should take proactive steps to stay safe, as this is essential to living a healthy lifestyle.

“The first step to protection is knowing your HIV status. Regular HIV testing is an essential part of a healthy lifestyle and ensures you can take proactive steps to stay safe.

“We want Nigerians to enjoy Valentine’s Day while making choices that safeguard their health.

“HIV is preventable; we have the tools to stop its spread. Love responsibly, get tested, and make informed decisions”. (NAN) www.nannews.ng.

Edited by Polycarp Auta

Illustration for migration

FG strategises to stop migration of Nigerian professionals

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Migration

By Emmanuel Afonne

The Federal Government says it has mapped out strategies to drastically reduce migration of professionals and skilled workers from the country.

The Minister of State for Humanitarian Affairs and Poverty Reduction, Dr Yusuf Sununu, said this on Tuesday in Abuja at the 2025 Annual International Conference on Migration.

The News Agency of Nigeria (NAN) reports that the conference with the theme, “Migration and Sustainable Development: Problem and Prospects” was organised by Centre of Excellence in Migration and Global Studies, National Open University of Nigeria (NOUN).

“The conference is a wake up call since migration has its own consequences; we must work as a nation to benefit maximally from the positive impact of migration,” he said.

Sununu said that the Ministry of Education and Tertiary Education Trust Fund (TetFund) were already partnering with local and international universities, through transactional education, to reduce the migration of professionals out of the country, especially in the healthcare sector.

“Migration can serve as employment opportunities.

“Family separation is one of the consequences of migration, but the major challenge is the migration of our  skilled professionals,” the minister said.

He said that efforts would also be geared towards providing the dividend of democracy to citizens to discourage them from leaving the country.

Prof. Olufemi Peters, Vice Chancellor of NOUN, said that irregular migration had necessitated the exploitation of migrants.

He said that the key to addressing the challenges of migration depended on addressing the reasons people leave the country.

Also, Mrs Abike Dabiri-Erewa, Chairman/Chief Executive Officer (CEO), Nigerians in the Diaspora Commission, said that ignorance had made a lot of people migrate in dangerous ways.

“Japa is not a bad thing, but why are some people doing it dangerously?

“At the end of the day, where you are running to is worse than what you are running from.

“Irregular migration is the bad side of migration. Awareness and sensitisation is important to prevent the next person that wants to indulge in irregular migration from doing so.

“The positive side of migration is that seven or eight players that played in the American Super Bowl are Nigerians.” She said.

She added that the government would do everything possible to ensure safe pathways for migration.

Ms Paola Pace, Chief of Mission to the Federal Republic of Nigeria, International Organisation for Migration (IOM), said the organisation would continue to support Nigeria in the fight against irregular migration.

Also speaking, Executive Secretary, Tertiary Education Trust Fund, Sonny Echono, said his office would continue to support programmes aimed at discouraging irregular migration.

Echono said that NOUN had proved to be a worthy partner in this direction and that TetFund would always collaborate with the University’s Centre of Excellence in Migration and Global Studies.

Earlier, Prof. Gloria Anetor, Director, Centre of Excellence in Migration and Global Studies, NOUN, said the essence of the conference was to brainstorm on possible solutions to irregular migration.

Anetor said NOUN was already collaborating with a University in Austria, to address migration challenges in Africa and beyond.

Dignitaries in attendance at the conference included former VCs of NOUN, Prof. Vincent Tenebe and Prof. Abdallah Adamu as well as the former Executive Secretary of TetFund, Prof. Suleiman Bogoro. (NAN)

Edited by Bayo Sekoni

NAFDAC seals Idumota open drugs market

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National Agency for Food and Drug Administration and Control (NAFDAC) official sealing a shop at the Idumota open drugs market in Lagos State on Tuesday, Feb. 11, 2025 (NAN)

Operations

By Kemi Akintokun

The National Agency for Food and Drug Administration and Control (NAFDAC) says its ongoing enforcement operations at the Idumota open drugs market in Lagos State will rid the country of counterfeit and substandard medicines.

Mr Shaba Mohammed, NAFDAC Director of Investigation and Enforcement, told newsmen during an enforcement exercise on Tuesday that the market was sealed on Sunday.

He said it was sealed alongside the Ariaria drug market in Aba and the Onitsha drug market in Anambra.

Mohammed said the week-long enforcement exercise was holding simultaneously in the three markets which are the hub of distributions of over 80 per cent of medication in the country.

Mohammed said the operation was carried out to checkmate the activities of traders who sold counterfeit, substandard, expired and rebranded drugs that are harmful to the health and wellbeing of Nigerians.

He said over 5,000 shops in the various markets which included warehouses and packing stores would be inspected in the ongoing operations to identify substandard medical products.

He said:” Today’s operation is about substandard medical products in Nigeria market.

“On Sunday night, we sealed the three major open drug markets in the country – Idumota drug market, Onitsha drug market and Ariaria drug markets in Aba.

“We have all the securities-  Military Police, Secret Service and Pharmacy Council of Nigeria, along with NAFDAC staff working in these markets.

“Before now, we were involved in so many investigations, and we go to all these markets to seize products, but what we are doing this week is to ensure that we remove virtually all counterfeit products from these markets,” he said.

The News Agency of Nigeria (NAN) reports that shop owners were seen on ground complying with the directives of NAFDAC officials who took turns to inspect their shops.

Fully armed security personnel were also on ground at the open drug market in Idumota to ensure a seamless exercise for officials of NAFDAC.

Seven fully loaded trucks of suspected falsified drugs, expired drugs, drugs with human parts pictures and others were confiscated. (NAN) www.nannews.ng

Edited by Vivian Ihechu

 

Society calls for improved awareness, screening for colorectal cancer

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By Oluwafunke Ishola

The Society for Nurses in Endoscopy and Minimally Invasive Surgery – Nigeria (SNEMIS) has called for greater awareness and increased screening for colorectal cancer to reduce morbidity and mortality in Nigeria.

Dr Johnson Ogundare, Founder and CEO of SNEMIS-Nigeria, made this statement during the society’s free colorectal cancer screening initiative in Lagos.

He emphasised that colorectal cancer, a type of cancer affecting the colon or rectum, is one of the most common and deadly cancers globally.

Ogundare noted that early detection through screening could significantly reduce the incidence and impact of colorectal cancer.

He pointed out that many Nigerians have undetected colorectal cancer, which contributes to high mortality rates.

To address this, Ogundare said that SNEMIS-Nigeria would provide screenings for 100 Nigerians aged 45 and above as part of its commitment to community health.

He said the screenings began at Evercare Hospital in Lekki, with additional screenings scheduled at Lagos University Teaching Hospital (LUTH) until the first week of March.

Ogundare explained that the screening methods, including colonoscopies, could detect and remove precancerous polyps before they became cancerous.

He also shared his personal experience with the procedure, highlighting that the cost of screening in the U.S. would have been 6,000 dollars, while in Lagos, the cost ranges from N200,000 to N900,000, depending on the facility.

“SNEMIS-Nigeria is offering this screening free of charge to promote early detection because we believe no Nigerian should die from colorectal cancer if it is detected early,” Ogundare said.

He also urged both federal and state governments to prioritise measures to reduce the burden of non-communicable diseases, particularly colorectal cancer.

He highlighted the lack of adequate equipment in many public health facilities and called for increased funding for necessary equipment and training for health workers.

Additionally, Ogundare said that the SNEMIS conference would take place alongside the screening initiative, focusing on improving standards and competencies for perioperative nurses in endoscopy and minimally invasive surgery in Nigeria.

Dr Toyin Asaolu, Consultant Gastroenterologist at Evercare Hospital, noted that many patients with colorectal cancer were diagnosed at advanced stages, when treatment options were limited.

She added that while colorectal cancer predominantly affected those aged 45 and above, younger individuals were increasingly being diagnosed.

She advised those with a family history or genetic predisposition to screen early.

Asaolu also stressed the importance of collaborative efforts to raise awareness and improve advocacy for early detection, urging the government to introduce policies that reduced the financial burden on patients.

She suggested that strengthening health insurance could help address the challenges of non-communicable diseases like colorectal cancer.

Dr Akwi Asombang, Consultant Interventional Gastroenterologist at Massachusetts General Hospital in the U.S., called for a team-based approach to care to improve health outcomes.

She also emphasised the need for improved training for doctors and health workers to enhance their skills, commending SNEMIS for its contributions to nursing education.

Mr Henry Eyowun, a beneficiary of the screening, thanked SNEMIS and Evercare Hospital for their life-saving intervention, noting that the procedure would have been financially prohibitive for him without this initiative.

According to the World Health Organisation (WHO), colorectal cancer is the third most common cancer worldwide, accounting for around 10 per cent of all cancer cases and is the second leading cause of cancer-related deaths globally. (NAN) (www.nannews.ng)

 

Edited by Abiemwense Moru

Enrollees raise concerns, say Nigeria’s health insurance services getting poorer (NAN Survey)

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Health

By Folasade Akpan/Racheal Abujah

The health insurance policy in Nigeria is designed to reduce out-of-pocket health expenses and promote Universal Health Coverage (UHC).

The National Health Insurance Act (NHIA) of 2022, signed into law on May 19, 2021, replaced the 1999 National Health Insurance Scheme Act.

Its primary aim is to regulate and integrate health insurance schemes, ensuring that every Nigerian has mandatory health coverage while catering to vulnerable groups.

However, many enrollees are expressing dissatisfaction with the current state of the scheme.

They claim that the quality of services has declined, and some benefits have been reduced or are no longer available.

Mrs Ese Williams, a civil servant, who has been using the scheme for 15 years, shares her concerns.

“It used to be effective, but not anymore. Previously, an enrollee only paid 10 per cent of the hospital bill after treatment.

“But during the New Year, I was hospitalised and told to pay 40 per cent.

“There was no consultation with stakeholders before this increase.

“Also, my hospital used to provide quality drugs, but now they only give me paracetamol,” she lamented.

Williams believes that the recent reforms did not serve the best interests of enrollees as they did not cover a wide range of ailments, while designated hospitals provide low-quality medications.

She urged the government to revisit the reforms to make the scheme more affordable and comprehensive.

Mrs Bella Andrew, another enrollee, expressed her surprise that the scheme does not cover basic treatments, such as toothache.

She also complained that hospitals are prescribing medications to be obtained from external pharmacies, undermining the purpose of the insurance.

“I almost had an inflamed appendix and couldn’t be treated at my assigned hospital because the procedure wasn’t covered.

“I had to go to a private hospital for malaria. I was told to get a test at another lab because the hospital couldn’t conduct it.

“The lab was expensive, but I had no choice. So, why am I even enrolled in the NHIA,” she asked.

Andrew believes that Nigeria’s health insurance system should be compared with other countries and should offer free treatment for common illnesses like malaria.

Mr Ernest Okon, also a civil servant, argued that enrollees should have the flexibility to choose their premiums, similar to private sector workers.

He lamented that public servants have limited access to services because their premiums only cover a small fraction of treatments.

“I know private sector workers who receive top-notch care based on their premiums.

“We should be allowed to pay higher premiums for more services,” he said.

Okon also suggested that hospitals should clearly display what services are covered by the scheme to avoid confusion and ensure enrollees are not short-changed.

Another enrollee, Mr Emmanuel Afonne, shared a troubling experience with his family’s healthcare.

“My wife and three children were diagnosed with malaria and typhoid, but the hospital gave us prescriptions to buy the medication elsewhere.

“The hospital claimed that Health Management Organisations (HMOs) owed them money, which delayed treatment.

“I reported the issue to the NHIA, and after follow-up, I was reimbursed for the out-of-pocket expenses,” he said.

These concerns highlight several issues with the management of the health insurance scheme in Nigeria, which has led to a perceived decline in the scheme’s effectiveness.

In July 2024, the NHIA announced a 60 per cent increase in capitation rates and a 40 per cent rise in Fee-For-Service (FFS) fees.

Dr Kelechi Ohiri, the Director-General of NHIA, explained that the price hikes were due to rising healthcare delivery costs.

“The increased capitation will provide healthcare providers with more resources to manage patient care effectively,” he said.

However, he acknowledged that these increases might burden patients and employers who contribute to the health insurance scheme.

On Feb. 3, 2025, Ohiri announced even larger increases in capitation and FFS payments, with capitation rising by 93 per cent and FFS payments increasing by 378 per cent, compared to rates from December 2023.

These revised rates, approved by the Minister of Health and Social Welfare, Prof. Muhammad Pate, will take effect in April 2025.

Ohiri stated that the goal of the adjustments is to improve healthcare quality, incentivise better services, and maintain financial sustainability.

“The increase in premiums should lead to better care without additional costs for enrollees. We will enforce strict quality standards,” he said.

Dr Aminu Magashi, Coordinator of the Africa Health Budget Network (AHBN), commented on the NHIA’s decision, saying it represents a significant shift in the cost structure of health insurance in Nigeria.

While the adjustments aim to improve services, Magashi cautioned that the challenge lies in balancing affordability with quality care.

He suggested that the NHIA must monitor the effects of the changes and adjust them, if necessary, to maintain a robust healthcare system for all Nigerians.

Edited by Abiemwense Moru

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