out of 191 countries.
Reform Actions:
- National Strategic Health Development Plan
- Legal reforms including National Health Bill of 2012, Anti-Tobacco Bill of 2011 and NAFDAC Act Amendment Bill of 2013
- Save One Million Lives Initiative
- SURE-P Maternal and Child Health Programme
- Midwives Service Scheme
- Community Based Social Health Insurance Scheme
- Establishment of the Centre for Disease Control
- Introduction of new vaccines
- Modernisation of Federal Teaching Hospitals
Main Achievements: The quality and quantity of health care delivery has improved as demonstrated by: (a) increase in polio immunity coverage from 46% in 2010 to over 80% in 2013 and near eradication of polio in 2014;
(b) total eradication of Guinea Worm and sleeping sickness;
(c) consistent decline in the maternal mortality rate from 545/100,000 in 2008 to 350/100,000 in 2002;
(d) consistent decline in the under-5 mortality rate from 157/1000 births to 94/1000 births in the same period;
(e) Nigeria is on course to ‘Save One Million Lives by 2015’ with 434, 650 lives saved as at 2012;
(f) growing capacity for highly specialised tertiary care, such as kidney transplants, open heart surgery and stem cell transplants; and
(g) the successful containment of the Ebola virus in 2014. These achievements have cumulated in the increase in the life expectancy of Nigerians from 47 years in 2009 to 52 years in 2014.
Key Challenges:
(a) incessant strikes by health workers;
(b) lack of compulsory professional negligence indemnity for health workers;
(c) weak regulation and inspection of private health care providers; and
(d) very high cost of tertiary health care services as costs of treatments for serious ailments are prohibitive. The reforms have marginally reduced bureaucracy and red tape in health care service delivery where the NHIS is accessible.
Reference: Public Service Reforms in Nigeria (1999-2014) - A Comprehensive Review
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