Opinion
Transforming Nigeria’s Health Sector
Where does one start analysing the recent claim by the Coordinating Minister of Health and Social Welfare, Prof. Muhammad Ali Pate, that Nigeria is becoming a hub for quality health care and a destination choice for patients from the West African subregion and other parts of the world? Is it from the fact that as at the time he was making the statement on Tuesday, the number one citizen of the country, President Bola Tinubu was almost ready for a private visit, (believed by many to be health check related) to Paris, France the following day? Or, that the minister did not explain what he meant by “quality healthcare” nor did he tell the State House correspondents the number of patients that come to Nigeria from the USA and the UK for treatment and why.
Are they Nigerians in the diaspora visiting Nigeria and receiving treatment? Do the so-called people from all over the world come to Nigeria for medical treatment because Nigeria offers the best medical care better than anywhere in the world? No doubt, there may be some people who visit hospitals in Nigeria, maybe for fertility treatment due to certain restrictions in the countries they reside, who come to consult some particular health experts or those that find the treatment of certain ailments cheaper in Nigeria. There also exist some specialised hospitals in the country, particularly in Lagos and Abuja, who do attract patients from neighbouring West African countries for treatments in such areas as organ transplants, cardiology, fertility treatments, and advanced surgeries. But on a global scale, can Nigeria be regarded as a top destination for medical tourism? How did the minister arrive at that
And talking of quality healthcare, as earlier stated, it would have been nice if the Minister had given us the indices he used to arrive at his assertion and his own meaning of quality healthcare. Experts have defined quality healthcare as medical services that are effective, safe, timely, patient-centred, equitable, and efficient. It ensures that patients receive the right care at the right time, leading to better health outcomes. This means that, for healthcare to be considered quality, the treatments and interventions should be based on scientific evidence and best practices to improve patient health; it should minimise risks, errors, and harm to patients; patients should receive care without unnecessary delays; it should respect and respond to individual patient needs, values, and preferences; it should be accessible to all, regardless of socio-economic status, race, gender, or geographic location.
Above all, it should be efficient – resources should be used wisely to avoid waste and keep healthcare costs manageable. Are these the case in Nigeria? It is no hidden fact that many hospitals and clinics in the country, especially the public hospitals lack basic amenities like clean water, stable electricity, and modern medical equipment. Rural areas suffer from a lack of healthcare facilities, forcing patients to travel long distances for medical attention. Many doctors, nurses, and other medical workers migrate abroad (japa syndrome) due to low wages and poor working conditions. The doctor-to-patient ratio is far below the WHO recommendation. Not once have we seen a doctor dozing off while consulting patients due to fatigue and heavy workload. All the doctors’ strike actions for these reasons have not brought about a significant change.
How easily do patients receive medical attention in our hospitals and clinics? In most government hospitals, patients spend almost a full day or more to see a doctor. When the doctor is a consultant, the waiting period will definitely be longer. And how affordable are the treatments and the drugs? The National Health Insurance Scheme (NHIS) was established in 1999 in response to increased out-of-pocket payments and the call for a movement towards Universal Health Coverage (UHC). Since the scheme started its operations in 2005, how many people have enrolled in the programme? The current Minister for Education, Dr. Tunji Alausa, while serving as the Minister of State for Health in May 2024 said that the government had allocated dedicated funds and initiated collaborations to enhance primary healthcare services and expand health insurance coverage and that the president had mandated them to increase coverage from about seven million then to about 50 million people.
Today, records show that only a small percentage of the citizens are still covered by the scheme. According to a report by the Journal of Global Health Economic and Policy, less than 5 percent of Nigerians are enrolled in NHIS, while 70 percent still rely on out-of-pocket payments, making healthcare unaffordable for the poor The challenge of poor drug regulation, counterfeit medicine, inadequate funding, poor emergency response, inconsistent government policies and corruption, poor sanitation and hygiene are yet to be dealt with. How then do we have quality healthcare in Nigeria? What about the careless and nasty attitude of healthcare providers towards the patients. Many Nigerians are left with permanent scars and disabilities due to the negligence of so-called healthcare experts who treated them.
Sure, medical negligence is not peculiar to Nigeria but it has become a constant occurrence in our health facilities and must be looked into by the Medical and Dental Council of Nigeria, the Nigeria Medical Association and other relevant authorities. To take the nation’s healthcare system to the desired eldorado, a combination of policy reforms, increased funding, infrastructure development, workforce enhancement, attitudinal change among the healthcare providers and reduction of corruption in the health sector is necessary. Pate on Tuesday revealed that federal government has approved the sum of N12 billion for Magnetic Resonance Imaging, an advanced diagnostic equipment, across six tertiary health institutions in addition to Nigeria’s ratification of the African Medicines Agency (AMA) Treaty, which aims to harmonise medical regulatory standards across the continent.
That is a commendable step by the government if only the government will ensure that the money when released will be used for the stated aim and the right equipment purchased and regularly maintained. It is also important that the government allocates at least 15 percent of the national budget to health, as recommended by the Abuja Declaration. They should explore public-private partnerships (PPPs) to attract investments in healthcare infrastructure. There is also the need to upgrade and equip existing hospitals with modern medical technology, establish more primary healthcare centers (PHCs), especially in rural areas and invest in digital health solutions such as telemedicine to improve access. The issue of shortage of healthcare workers must be addressed through improved salaries, benefits, and working conditions.
Incentives (such as scholarships, housing, and career growth opportunities) should be regularly offered to retain healthcare professionals. Other important measures to be taken include expansion of the NHIS to cover more citizens, including the informal sector; introduce community-based health insurance programmes to increase access to affordable healthcare; the government, both federal and states, should subsidise low-income families to reduce out-of-pocket expenses.The authorities should strengthen immunisation programmes to prevent disease outbreaks and promote health education campaigns on sanitation, hygiene and healthy lifestyles. The National Agency for Food and Drug Administration and Control (NAFDAC) should be empowered to monitor and regulate pharmaceutical products more effectively, while the law enforcement agencies should do more in the area of enforcing stricter penalties for drug counterfeiters.
Implement technology-driven tracking systems to detect and remove fake drugs from circulation.The government should also increase funding for medical research and encourage local drug production. Partnership with universities and research institutions to develop innovative health solutions will certainly be productive. Government should also consider supporting the development of traditional medicine through scientific validation. As Africans, many Nigerians in the diaspora believe in the potency of herbs. A story was recently told of how some Nigerians make money by sending herbal medicine to Nigerians abroad. So, developing and properly regulating this sector might be the major attracter of patients. To have people come from all over the world to Nigeria, with the assurance that they will get the best of medical care here is the wish of many Nigerians.
Maybe that will reduce the president’s trip to France and save the nation some money. But achieving that goes beyond rhetorics or making political statements. Let there be more actions than words
Calista Ezeaku
Opinion
Imbibing Leadership Qualities Of Pope Francis

The world emptied at the Vatican City, Rome, Italy last week for the burial of late Pope Francis, the head of the Catholic Church worldwide who died on April 21. Foreign delegates from 164 countries attended the funeral. Among them were the President of the Nigeria’s Senate, Godswill Akpabio, the Minister of State for Foreign Affairs, Bianca Ojukwu, the Catholic Bishop of Sokoto Diocese, Hassan Kuka and other politicians, who were there on behalf of President Bola Tinubu and the entire nation.
Right from the day the Pontiff passed on, through the days preceding his burial, till the day his corpse was laid to rest and uptill now, a lot has been spoken about his great leadership qualities which stood him out among many other leaders in the world.
Some say that in a world increasingly defined by power struggles, materialism, and political division, Pope Francis stood as a rare symbol of humility and selflessness. Since his election in 2013, he redefined what it meant to lead not just a church, but a global moral community. More than just a spiritual figure, Pope Francis was a powerful voice for the voiceless, championing compassion, justice, and mercy.
Others say that from the very beginning of his papacy, Jorge Mario Bergoglio—Pope Francis—made clear that he intended to chart a different course. Choosing to live in the modest Vatican guesthouse rather than the opulent Apostolic Palace, he signaled that his papacy would not be about grandeur. He traded the red papal shoes for simple black ones, and when he was introduced to the world, he asked the crowd to pray for him before offering his own blessing. These symbolic acts spoke volumes about the kind of leader he aspired to be.
Perhaps, the most talked about quality of the cherished leader was his humility. In him, humility was not theoretical but practical. He repeatedly called for a “poor Church for the poor,” aligning the Catholic Church more closely with the needs of the marginalized. Whether washing the feet of prisoners on Holy Thursday or visiting refugee camps, Pope Francis embodied a theology that demands solidarity with the suffering.
Equally mentioned was his selflessness in the face of complex global challenges. He did not shy away from controversial topics—climate change, economic inequality, migration, and even internal Church reform. His encyclical Laudato Si’ challenged both political and economic leaders to treat the planet with reverence, not exploitation. He advocated for inclusive dialogue, calling on governments to welcome migrants as fellow human beings, not burdens.
The passing of Pope Francis indeed marked the end of an era defined by humility, moral clarity, and an unwavering commitment to justice.
nd the question for Nigerian leaders both those present at his funeral and those that couldn’t be there, both political, religious and traditional leaders and indeed all Nigerians is, what lessons can the country learn from the life of the Pontiff? How can we embrace his lifestyle to transform our national fabric?
Pope Francis showed the world that true leadership is rooted in service, not in pomp or power. He declined the luxuries of the papal palace and chose to live among the people. Our leaders, notorious for their obsession with opulence and entitlement, must learn that leadership is not about status symbols—convoys, sirens, and security details—but about responding to the needs of the people with empathy and action.
In a country where public officials often equate success with extravagance, the lifestyle of Pope Francis should teach us that simplicity does not diminish influence. He wore modest clothing, drove a humble car, and redirected attention away from himself and toward the marginalized. Even at death, his coffin was made of simple wood. If our leaders, contractors, heads of institutions and others can practice such simplicity, certainly more resources will be available for education, health, and infrastructure. Nigerians will stop dying of hunger because there will be enough money to invest in farming and other agricultural activities.
Pope Francis was a champion of the poor, migrants, and the forgotten. He spoke boldly against exclusion, even within the Church. As a matter of fact, many Catholics, particularly the divorced and the civilly remarried who could not receive communion, started receiving communion. A close childhood friend of mine belongs to this group. After her first marriage crashed, she remarried but could no longer receive communion until Pope Francis’s Amoris Laettia (The Joy of Love) document of April 8, 2016, began to reshape in our local parishes.
Ours is a deeply divided nation—ethnically, religiously, and politically. Our leaders must rise above sectional interests to promote inclusion, heal old wounds, and govern with the common good in mind. The practice of one law for one tribe or a particular section of the country and other for others should be jettisoned.
Expectedly, Pope Francis’s papacy was not without challenges. Scandals within the Church, resistance from conservative factions, and geopolitical tensions tested his resolve. Some critics even said that his positions were too progressive, even disruptive. Yet even in the face of criticism, he maintains a posture of listening, forgiveness, and dialogue. He did not back down from calling out injustice, environmental degradation, or corruption.
Nigerian leaders should stop prioritizing personal survival over national progress. Currently there is a defection wave going on in the country. Political leaders are dumping the political parties under which they were elected by the people to join other political parties. How do their actions benefit the people that elected them? Some Nigerians for tribal reasons and political profiteering will choose to keep mum in the face of injustice against their fellow citizens. Just as Pope Francis, speaking and acting against injustice—no matter the cost—should be the standard, not the exception if Nigeria must move forward as a united entity.
Another striking attribute of Pope Francis was his ability to listen, dialogue and foster peace. He was a bridge-builder. He engaged atheists, Muslims, and people of all cultures in meaningful dialogue all geared towards peace in the world. In a country as diverse as Nigeria, listening to opposing views and working toward peaceful coexistence should be second nature to our leaders, not an afterthought.
Nigeria will be a better, more progressive country if both the leaders and the led realize that everybody cannot be on the same side of a bargain. Dissenting voices must always be there. Diverse opinions must exist. The ability to tolerate these views and accommodate the opponents is one of the great qualities of a good leader. That, too, is a form of humility—not weakness, but the strength to lead with openness and grace.
Francis never forgot that he was accountable not just to the Church, but to God and humanity. Nigerian leaders, especially those who publicly profess faith, must internalize the idea that leadership is a sacred trust. Governance should reflect conscience and character, not just calculation and convenience.
Pope Francis’s message was simple yet radical: to be truly great, one must serve. In this, he channeled not only the spirit of St. Francis of Assisi, whose name he bore, but also the core teachings of the Gospel. He brought the Catholic Church closer to the people—not by changing doctrine, but by changing tone. His humility was not performative; it was deeply woven into his actions, his words, and his witness.
In honoring the legacy of Pope Francis, Nigerians—leaders and citizens alike—must embrace a new kind of leadership: one marked by humility, sacrifice, and service to others. His life reminds us that change doesn’t begin with policies alone; it begins with character.
Adieu Humble Holy Father
By; Calista Ezeaku
Opinion
Nigeria’s Insecurity And Co-Existence

On April 21, as the clock struck 9 p.m., terror descended upon Desa, a tranquil town known officially as Ilesha Baruba, nestled in Kwara State’s Baruten Local Government. It’s just a few minutes away from my hometown.
“Masked in military fatigues, armed bandits shot sporadically at the town’s night market that was bustling with young men of different ethnicities having a good time and cold-bloodedly murdered eight innocent souls.
The terrorists began their rampage by brutally executing a Fulani man who was a member of the local vigilante. Multiple gunshots splattered his brains across the ground in a shockingly repellent spectacle of blood and tissue.
Five other Fulani people were gunned down. Tragically caught in the crossfire were also a Fon man from southern Benin Republic and a Baatonu native of the town.
What deepens the anguish is the apparent senselessness and inscrutability of it all. Eyewitness accounts said the assailants themselves were Fulani (based on the language they spoke). And they neither kidnapped nor stole.
Why did they kill fellow Fulani men? The Fon man and the Baatonu man appeared to be unintended targets. Was this just bloodthirsty nihilism? Did the Fulani men, who were integrated into the local community, betray the terrorists? Everyone is mystified.
Before April 21, though, the whole of Borgu had been gripped by paralyzing fears of the new terrorist group called Mahmuda. They had operated in Kebbi and Niger states and recently began to be seen in my part of Kwara State. In other words, they are now in all of what used to be collectively Borgu.
Borgu is a historic, multi-ethnic space, which comprises Baruten and Kaiama local governments in Kwara State, Borgu and Agwara local governments in Niger State, Bagudo and Dandi local governments in Kebbi State, and Borgou and Alibori departments (i.e., states) in Benin Republic.
It existed as a loose but powerful, storied, invincible, confederation of disparate kingdoms from the 1300s until the 1890s when Britain and France conquered and dismembered it.
Terrorists had been camped in the Kainji Lake National Park and in the part of Beninese portion Borgou that shares a boundary with Burkina Faso for more than a year. This year, they moved to Kaiama and parts of Yasikiru in Baruten LGA.
Efforts by residents to alert authorities initially brought hope when security forces raided terrorist hideouts and confiscated some of their weapons and equipment.
But rather than bringing relief, these actions incited vicious reprisals and transformed our communities into targets for heartrending sanguinary retaliation that spares no children, women, or the elderly.
The last week’s visit by Kwara State’s governor to Kaiama, intended as an assurance of protection, tragically became a catalyst for further bloodshed. Mere hours after his departure, terrorists punished the community with intensified violence and mercilessly murdered more innocent and helpless people.
Two days before the horrific events in Desa, ominous messages from the terrorists had spread across Baruten and Kaiama, imposing a curfew slated to begin at 10 p.m.
Yet even before it could be enforced, the terrorists struck unannounced, extinguished precious lives and spread dread.
This escalation leaves the people of Borgu in a state of disabling siege and fear. They have been robbed of the peace they once cherished.
My heart is broken beyond description. Borgu’s famed, time-honored tranquility now trembles beneath the weight of terror and grief.
The urgency for decisive, meaningful action to restore safety and peace has never been more critical.
Kperogi, a public affairs analyst, wrote in from Lagos.
By: Farooq Kperogi
Opinion
Nigeria’s Poor Economy And High Unemployment Rates

Nigeria, often referred to as the “Giant of Africa”, is endowed with vast natural resources,
a large population and a youthful workforce.
Despite these advantages, the country faces persistent economic challenges, most notably high unemployment rates over the years. Successive governments remain a central issue contributing to poverty, social unrest, and underdevelopment. The economic wellbeing of a nation is significantly tied to her employment levels.
In Nigeria’s case, high unemployment has become a key driver of its poor economic performance affecting everything from productivity and income levels to crime and political instability.
Unemployment in Nigeria has assumed a multidimensional nature, characterised not just by joblessness but also underemployment, informal employment and precarious working conditions.
The Nigeria National Bureau of Statistic (NBS) said the youth with over 60 percent of Nigeria’s population under the age of 30 percent youth unemployment is a time bomb threatening the nation’s future.
Many graduates leave universities and polytechnics annually with little or no hope of securing decent jobs.
This structural unemployment is the result of a mismatch between skills and labour market needs, inadequate industrialisation, and a weak private sector.
Unemployment affects an economy in numerous direct and indirect ways.
In Nigeria, it leads to a reduced consumer base, when large sections of the population are not earning steady incomes, they have limited purchasing power which in turn affects the production and growth of businesses. Companies produce less, invest less and hire fewer people, leading to a vicious cycle of low economic growth.
Moreover, high unemployment translates to lower tax revenue for the government with fewer people paying taxes. The government has fewer resources to fund infrastructure, education, healthcare, and other public services that stimulate economic development.
This fiscal weakness forces Nigeria to rely heavily on foreign loans, which leads to rising debt levels and economic vulnerability.
Furthermore, infrastructure deficits including inadequate power supply, poor road networks and limited access to credit make it difficult for small and medium sized enterprises (SMEs) to thrive, yet SMEs are the bedrock of employment in many developed nations. Nigeria’s weak support for SMEs stifles innovation and job creation.
Another tragic consequence of high unemployment is the mass exodus of Nigerian talent to foreign countries in search of better opportunities. The brain drain weakens the country’s human capital base and deprives it of professionals who could contribute meaningfully to national development.
The “Japa” phenomenon-a slang used to describe young Nigerians fleeing the country reflects deep disillusionment with the system. Doctors, nurses, software engineers and other professionals are leaving in droves. The cost of training these individuals is absorbed by Nigeria, but their expertise benefits foreign economics. This dynamic further deepens the economic challenges as the country loses its best and brightest minds.
Addressing unemployment in Nigeria requires a multifaceted approach, first.
Secondly, industrialisation must be prioritised. The government should create an enabling environment for local manufacturing by improving infrastructure, reducing Bureaucratic bottlenecks and offering tax incentives reviving the agricultural sector with modern techniques and supply chains can also absorb a significant portion of the unemployed.
Thirdly, Governments at all levels must be held accountable for implementing job creation programmes transparently and effectively. Public-Private Partnerships (PPPs) should be encouraged to drive innovations and employment in ICT, renewable energy and logistics.
Finally, Nigeria must diversify its economy away from crude oil and invest in sectors that generate mass employment. Tourism, education, healthcare and creative industries such as film and music hold immense unlapped potential.
With genuine commitment from leaders, strong institutions and the active participation of the private sector and civil society, Nigeria can turn the tide on unemployment and chart a path toward sustainable economic prosperity.
Idorenyi, an intern with The Tide, is a student of Temple Gate Polytechnic
Abia State.
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