Nigeria’s healthcare challenge is not just about access.
Insight
Healthcare delivery in Nigeria operates within a fragmented financing structure dominated by out-of-pocket payments. This creates a system where access is directly tied to income, limiting utilization and worsening health outcomes.
Public healthcare facilities remain underfunded, while private providers who deliver a significant portion of care operate in a largely unstructured market. The result is inefficiency at both ends: overstretched public systems and under-optimized private capacity.
Under the Renewed Hope Agenda, there is increasing focus on expanding health insurance coverage and improving system coordination. However, scaling access requires more than coverage expansion it requires predictable, pooled financing mechanisms.
Why It Matters
Healthcare shocks are one of the leading drivers of household financial distress. A weak financing model not only affects health outcomes but also economic stability.
PROVAN Perspective
Sustainable healthcare reform should prioritize:
- Risk Pooling at Scale
Expand insurance penetration through employer-based, community-based, and national schemes. - Provider Payment Reform
Shift from fee-for-service to bundled payments and capitation models to control costs and improve outcomes. - Private Sector Integration
Leverage private hospitals through structured purchasing frameworks and guaranteed payments. - Infrastructure PPP Models
Finance critical assets—beds, diagnostics, power—through long-term partnerships.
Healthcare must transition from a reactive, out-of-pocket system to a prepaid, structured financing ecosystem.