
Access to healthcare in Nigeria is a pressing issue that affects millions of citizens and poses significant challenges to the nation’s overall development. Despite being one of the largest economies in Africa, Nigeria’s healthcare system is plagued by inadequate funding, poor infrastructure, and a lack of trained personnel. This situation has created a scenario in which many citizens cannot access essential medical services, raising the urgent question of whether healthcare should be regarded as a fundamental human right rather than a privilege.
The current state of healthcare in Nigeria is alarming, with one of the highest maternal and infant mortality rates in the world. The healthcare crisis disproportionately impacts vulnerable populations, with many Nigerians compelled to seek medical care from private facilities that are often unaffordable for the average citizen. This situation has resulted in a two-tiered system where only the wealthy can access quality healthcare, while the poor are left to fend for themselves. The lack of adequate public healthcare facilities means that even basic medical needs often go unmet, leading to preventable deaths and worsening health outcomes. The masses are massively suffering, relying on the government to provide avoidable healthcare solutions as part of the dividends of democracy. Unfortunately, these promises have often turned out to be empty, leaving the most vulnerable citizens without the care they desperately need.
As the country approaches another election cycle, this is the right time for the government to fulfil its promises to the people. The poor also deserve better lives, and it is imperative that the government recognises this need for change. Citizens should not have to endure unnecessary hardships in accessing healthcare services that are essential for their survival and well-being. The government’s commitment to healthcare reform is not merely a policy choice; it is a moral obligation to ensure that every individual, regardless of their socio-economic status, has access to the care they need.
A comparative analysis with countries like Rwanda reveals that universal health coverage is achievable and can lead to significant improvements in health outcomes. Rwanda has successfully implemented a healthcare model that prioritises accessibility and affordability for all citizens, resulting in remarkable reductions in mortality rates and improved overall health. By learning from such successful models, Nigeria can develop strategies to ensure healthcare is accessible to all citizens. This approach can serve as a blueprint for reforming Nigeria’s healthcare system to prioritise the needs of its population.
The Nigerian government bears a significant responsibility in this regard. Prioritising healthcare funding and policy reform is essential for creating an equitable system that meets the needs of all citizens. Immediate reforms could include increasing the healthcare budget to at least 15% of the national budget, as recommended by the Abuja Declaration, which would provide necessary resources for health infrastructure and services. Establishing a universal health insurance scheme could ensure that all citizens have access to necessary medical care without financial hardship. Investments in training healthcare professionals and improving facilities in rural areas are vital steps toward enhancing health outcomes.
To assist the masses who have poor orientation regarding healthcare, the government can implement several strategies. One effective approach is to launch extensive public health campaigns that educate citizens about available healthcare services, preventive care, and the importance of seeking medical attention early. These programmes should focus on grassroots initiatives, utilising local leaders and community health workers to convey information effectively. Additionally, deploying mobile health units to remote and underserved areas can provide essential services such as vaccinations, maternal care, and screenings at little or no cost. This would ensure that healthcare reaches those who might otherwise be unable to access it.
Furthermore, the government could establish a system of subsidies for essential healthcare services, making them available to low-income individuals at minimal or no charge. This could include free or low-cost medications, consultations, and preventive services. Collaborating with non-governmental organisations (NGOs) and international bodies can enhance service delivery, as many NGOs possess the expertise and resources to implement effective health programmes that bridge gaps in governmental services.
Investing in training local health workers who can provide basic medical services and health education in their communities is another crucial strategy. This not only creates jobs but ensures that healthcare is delivered by individuals who understand the cultural and social dynamics of their communities. Additionally, developing a simplified health insurance enrolment process, particularly for low-income families, can facilitate greater participation in health insurance schemes. Reducing bureaucratic barriers and creating awareness are essential for this initiative to succeed.
Encouraging public-private partnerships can further expand the reach of healthcare services. Such partnerships can enhance service quality and availability, especially in underserved areas. By leveraging the strengths of both public and private sectors, Nigeria can create a more robust healthcare system that meets the needs of its citizens.
Recognising healthcare as a fundamental right is essential for Nigeria’s development and social well-being. The current challenges facing the healthcare system must be addressed urgently to ensure that every citizen has access to the medical care they deserve. By committing to comprehensive healthcare reforms that include increased funding, the establishment of universal health insurance, the integration of technology, and the enhancement of mental health services, Nigeria can foster a healthier, more equitable society.
Moreover, targeted initiatives to assist the underprivileged, such as community education programmes and mobile health clinics, can significantly improve access for those with poor orientation regarding healthcare. This commitment will not only improve individual lives but also contribute to the nation’s overall progress and stability. Ultimately, prioritising healthcare as a fundamental right will pave the way for a more prosperous and resilient Nigeria, where every citizen has the opportunity to live a healthy and fulfilling life. As the government stands on the brink of another election, now is the moment to turn promises into actions and deliver the healthcare that the people deserve. The time for change is now, and the government must act swiftly to implement specific reforms that will transform the healthcare landscape for all Nigerians.
Copyright © 2025 Fẹ́mi Akínṣọlá. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.







