LunagisthubNigeria’s Health Sector Struggles Despite Billions in World Bank Loans
The Nigerian healthcare system continues to face significant challenges despite receiving $3.53 billion in health-related loans from the World Bank over the past nine years. The loans, aimed at improving healthcare infrastructure, boosting immunization, and enhancing maternal and child health, have not yielded the desired results, according to medical professionals and health officials.
The country’s health infrastructure remains underdeveloped, with frequent power outages, inadequate medical supplies, and poor remuneration for healthcare workers. Dr. Tope Osundara, President of the Nigerian Association of Resident Doctors, cited the example of University College Hospital in Ibadan, where power supply is a major problem, and noted that the medical support for healthcare workers is inadequate .
Medical professionals and health officials have raised concerns about the utilization of the World Bank loans, suggesting that the funds may be diverted from their intended purpose. They argue that if the loans were used effectively, there would be noticeable improvements in the healthcare system.
Government expenditure on healthcare remains low, at 0.62% of GDP and 4.1% of general government spending.
Nigeria has one of the worst health outcomes globally, with a life expectancy of 54 years, maternal mortality exceeding 1,000 per 100,000 live births, and under-five mortality at 114 per 1,000.
Many primary health centers remain under-equipped and under-staffed. Health experts are calling for reforms in transparency, project execution, and policy alignment to ensure that the loans are used effectively. They also emphasize the need for .
In fund disbursement and utilization.
In needs assessment and project planning.
For healthcare staff.
To prevent corruption and ensure effective use of funds.
To promote service uptake and improve health outcomes.
The Nigerian government needs to prioritize effective utilization of the World Bank loans and address the systemic challenges facing the healthcare system. By doing so, the country can improve its health outcomes, reduce mortality rates, and provide better healthcare services to its citizens.
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