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DATE: JUNE 26, 2023


BudgIT, with support from the Skoll Foundation, commenced its Southwest #SaveOneSaveAll campaign to further set the agenda for the healthcare sector in Nigeria to initiate better healthcare accessibility, accountability, and service delivery. With its expansive population and diverse healthcare challenges, the future of Nigeria’s health sector hangs on a delicate balance.

While applaudable improvement has been made, many significant gaps remain to be filled. As we navigate the ever-shifting healthcare landscape, stakeholders, visionaries, and advocates must chart a path toward a healthier and more equitable future for all Nigerians.

With this in mind, the final stride of the two-day event in Osogbo was a high-level roundtable agenda-setting meeting with Executive Secretaries, CMDs, Permanent Secretaries, and Directors for Public Health Services in the Southwest region’s healthcare sector.

In the meeting, which was held on Monday, June 26, 2023, the attending stakeholders agreed that the following are the outlines of the critical needs of the healthcare sector in the Southwest states.

After the conclusion of the session the stakeholders comes up with the following recommendations:

Human Resource Management:

1. Adequately recruit skilled health personnel, invest in training and supporting recruited medical staff across the board for an increase in efficiency and professional practice

2. Improve the welfare packages and incentives for health workers, such as sponsorship for trainings and workshops, mortgages on new houses and cars preparedness for an Epidemic Outbreak:

1. Engage in regular (quarterly or biannually) audits of facilities for epidemic preparedness (infrastructure, trained personnel, equipment, and disease surveillance)

Proper Governance Structure in the Health System:

1. Develop and implement a policy document on the minimum staff required to work at each level of the health sector institutions and design a holistic framework for healthcare assessment, implementing a strict accreditation system for health institutions

2. The Ministry of Health should formulate policies for departments and agencies. However, operational autonomy should be given to departments and agencies without prejudice to the regulatory role of the ministry of health

Non State actor inclusion

Coordinate the activities of international donor partners to meet the state objectives and encourage international organizations to serve as watchdogs

Improvement and Access to HealthCare Facilities:

1. Ensure that at each political ward, there should be at least a functional Level 3 Centre to respond to any health challenge of the citizens and establishment of an accountability frum that is community-led

2. Provide a conducive work environment, adequate security to discourage healthcare workers from migrating to other countries, and insurance systems to drive service delivery to reduce out-of-pocket Health expenditure

3. Establish SERVICOM for feedback on client satisfaction and use the opportunity of BHCPF, state equity funds, to upgrade the PHC in the area of personnel, infrastructure, equipment, and supply

Government Accountability:

1. Ensure adequate budgetary provision and release by tracking funds released to facilities and operating transparent budget processes that follow due process


The overall goal of the Covid-19 Transparency and Accountability Project is to promote transparency and accountability by tracking COVID-19 intervention funds across nine African countries—Cameroon, Ghana, Kenya, Liberia, Malawi, Nigeria, Zimbabwe, Senegal, and Sierra Leone.

While our effort to uncover the underlying issues in the health sector across Africa, these recommendations must guide the priority of healthcare access in Southwest Nigeria. A prompt response strategy needs to be enforced, while chief executive officers of these states need to focus on reforming the health sector for the life the citizens deserve. In the end, we hope to see a more vibrant health sector that gives more access and cost-effective service to those they aerve. BudgIT and CODE are committed to constantly advocating on these issues and hope to see changes at the subnational levels.

This statement was signed by the following stakeholders in the aspect of heat sector in south west

BudgIT Foundation

Dr. Festus Olukayode Soyinka

Dr. Olubunmi Fatungase

Dr. M. Adeoye

Olawumi Adewumi

Dr. Adesoji Richard

Olabode Kehinde

Dr. Babalola Oluwatobi

Dr. Adeniyi Oginni

Dr. Bamisolu Oluyomi

Dr. Adesina Akintan

Dr. Mrs. Alice Ogundele

Dr. Opadeji Adeniyi

Dr. Francis Adegoke Akanbiemu

Israel Olakanmi Solomon

Dr. Olugbemide Abimbola Sadiat

Dr. Oluwole Fabiyi


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