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97% of PHCs in 16 states fail national staffing standards – Report

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A new assessment of 1,480 Primary Healthcare Centres (PHCs) across 16 Nigerian states has found that 97 per cent failed to meet the national minimum staffing requirement, raising fresh concerns about the capacity of the country’s frontline health facilities to provide essential services.

The PHC Operational Capability Report, produced by Orodata Science and Civic Tech, assessed facilities across 277 local government areas in Nigeria’s six geopolitical zones.

The assessment, conducted between October 2023 and June 2025, examined staffing, infrastructure, equipment, electricity, water supply and accessibility using the CheckMyPHC Digital Scorecard.

According to the report, only three per cent of the facilities assessed met the national minimum staffing requirement, while 11 of the 16 states had no assessed PHC that met the standard.

What the staffing standard requires

The national PHC framework recognises adequate staffing as essential to the delivery of quality primary healthcare.

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The National Primary Health Care Development Agency’s (NPHCDA) Ward Minimum Health Care Package, developed with the World Health Organisation (WHO), outlines minimum manpower requirements for ward-level PHCs.

For a PHC, the proposed workforce includes a community health officer, public health nurse, three community health extension workers, six junior community health extension workers and four nurse/midwives, with a medical assistant listed as optional.

The same framework recommends that basic essential obstetric care centres be adequately staffed with four midwives or nurse/midwives to provide 24-hour coverage for maternal and newborn care.

Against this staffing framework, the Orodata assessment found that only three per cent of the facilities surveyed met the national minimum requirement.

The report said the shortage was particularly concerning because about 75 per cent of the assessed PHCs were located in rural communities, where such facilities often serve as the first and sometimes only formal source of healthcare for residents.

Staffing gaps, other deficiencies

The staffing problem was not isolated.

The assessment found that many of the facilities struggling to meet staffing requirements were also dealing with inadequate infrastructure and unreliable basic utilities.

According to the report, 40 per cent of the PHCs had broken ceilings or leaking roofs, while 38 per cent operated without electricity.

Water supply was another major concern, with 39 per cent of the facilities relying on unsafe water sources.

Orodata said the deficiencies were interconnected, with poor infrastructure, inadequate staffing, unreliable electricity and water supplies, limited equipment and accessibility barriers often occurring within the same facilities.

The report said the combination could increase risks for patients while placing additional pressure on the health workers available at the facilities.

Newborn care faces major equipment gaps

The assessment also exposed gaps in the capacity of PHCs to respond to complications during childbirth.

It found that 75 per cent of the facilities lacked essential neonatal resuscitation equipment.

Such equipment is required to support emergency interventions for newborns experiencing complications during or immediately after delivery.

The report said the absence of essential newborn-care equipment, alongside staffing shortages and other infrastructure deficiencies, could limit the ability of facilities to provide safe maternal and newborn services.

Accessibility was also a major concern.

According to the assessment, 66 per cent of the PHCs lacked provisions for persons with disabilities and people with mobility challenges.

State-level differences emerge

While the overall findings showed widespread deficiencies, the severity varied across the states assessed.

The report identified Kano and Sokoto as having particularly serious gaps in safe water, reliable electricity and essential newborn-care equipment.

In Gombe, 80 per cent of the assessed PHCs lacked accessibility provisions for persons with disabilities and people with mobility challenges.

The assessment also sought to establish how residents viewed the services provided by their local facilities.

It found that 51 per cent of surveyed community members rated services at their local PHCs as poor.

PHC challenges

The findings are consistent with concerns documented by PREMIUM TIMES in a recent investigation into rural PHCs in Osun State.

The investigation found that despite government investments in the health sector and efforts to revitalise primary healthcare facilities, challenges including inadequate staffing, deteriorating infrastructure, limited equipment and gaps in essential services persisted at some rural facilities.

At one of the facilities visited by PREMIUM TIMES, a single health worker was responsible for attending to pregnant women, children and other patients, while also responding to emergencies outside normal working hours. The facility also lacked a functional laboratory and had inadequate delivery equipment.

The investigation further found that some patients had to travel outside their communities for basic services because the facilities could not provide them.

READ ALSO: Over 30% of solar systems in PHCs fail within three years — Health Minister

Coordinated interventions

Orodata said improving PHCs would require coordinated interventions beyond isolated renovations.

It urged state governments to develop facility-specific plans with clear targets, responsibilities, resources and timelines, alongside regular monitoring.

The organisation also recommended repairs to damaged infrastructure, provision of safe water and reliable electricity, solar or hybrid power systems, recruitment and retention of health workers, and essential neonatal resuscitation equipment for PHCs offering delivery services.

The assessment involved facility visits, direct observation, interviews with health workers and community members, photographs, GPS coordinates and facility records.

Orodata said its CheckMyPHC Digital Scorecard was based on NPHCDA minimum standards and inclusion requirements, and urged authorities to use verified facility-level evidence to guide resource allocation and interventions.


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Health

British national tests positive for Ebola in DRC

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A British national has tested positive for Ebola in the Democratic Republic of the Congo (DRC), the UK government has confirmed.

According to the BBC, the British man tested positive for the virus while in the DRC. Reuters subsequently reported that he would be medically evacuated to the UK for specialist treatment. However, the exact time of the evacuation was not immediately known.

This marks the first confirmed case of a British national contracting the virus during the ongoing outbreak in the DRC, which has claimed more than 5,000 lives.

Ebola is a viral disease that can cause severe illness and spreads mainly through direct contact with the blood or other bodily fluids of an infected person.

Symptoms include fever, headache, vomiting, muscle pain, weakness, and diarrhoea.

“The UK has well-established procedures for dealing with cases like this, and those processes have been activated,” a UK government spokesperson was quoted as saying.

“Further information will be shared in due course as appropriate. The risk to the UK public from Ebola remains low.”

Ebola outbreak

The current outbreak is caused by the Bundibugyo virus, a species of Ebola virus, and was first declared in DRC in May 2026.

According to the latest figures from the United States Centres for Disease Control and Prevention (CDC), the outbreak had recorded 10,563 confirmed cases and 5,130 deaths across five countries as of 1 November 2026.

The DRC accounts for the majority of the cases, with 10,532 confirmed cases and 5,126 deaths. The outbreak has affected eight provinces in the country.

Kenya has recorded nine confirmed cases and two deaths, while Uganda has recorded 20 confirmed cases and two deaths, alongside one probable case and one probable death.

Nigeria confirmed its first case on 20 October after a traveller with a history of travel to Uganda tested positive for the virus. The patient was subsequently medically evacuated to Switzerland for treatment.

According to the European Centre for Disease Prevention and Control (ECDC), 62 contacts linked to the Nigerian case had been identified and were under follow-up as of 29 October.

Symptoms and transmission

The World Health Organisation (WHO) has explained that Ebola survivors may transmit the virus through sexual intercourse if it persists in their semen after recovery.

However, survivors who have met the criteria for discharge from treatment are not expected to transmit the virus through sweat or saliva, as the virus is cleared from their blood.

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Health

Six climate measures could save 1.6 million lives yearly – WHO

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Six proven climate and health interventions could prevent 1.6 million deaths annually and generate trillions of dollars in economic benefits if implemented globally, the World Health Organisation (WHO) has revealed.

The measures, which include heat-health warning systems, access to safe water and sanitation, cleaner household energy and more efficient fossil fuel pricing policies, could generate $3.9 trillion in annual economic welfare benefits and a further $5.4 trillion in fiscal gains.

The WHO disclosed this in a new report titled ‘Global benefits and costs of prioritised actions on climate change and health’, released ahead of the 31st United Nations Climate Change Conference (COP31), where countries are expected to present their climate commitments.

According to the report, the six interventions could prevent one in every 40 deaths globally, based on modelled projections, while avoiding 16.7 billion tonnes of carbon dioxide emissions annually.

The estimated emissions reduction is equivalent to 31 per cent of global annual greenhouse gas emissions, excluding emissions from land use, land-use change and forestry.

The report, which the WHO described as its first comprehensive assessment of the economic and fiscal returns from scaling up the six recommended interventions, highlights the potential health and financial gains of integrating public health considerations into climate policies.

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It argues that many health consequences of climate change are preventable through existing solutions, but governments must implement them across health and other sectors that determine people’s health.

Six interventions

The report identifies six interventions: heat-health warning systems, climate-resilient drinking-water services, basic sanitation services, hygiene and handwashing facilities, cleaner household fuels and technologies for cooking and heating, and efficient fossil fuel pricing policies.

The WHO estimates that five of the interventions could generate $24 in benefits for every $1 invested, with returns expected to be greater in low- and middle-income countries.

Heat-health warning systems are projected to deliver particularly high returns, generating an estimated $835 in benefits for every $1 invested.

The report attributes the high returns to the relatively low cost of expanding existing warning systems and their potential to prevent heat-related illnesses.

Efficient fossil fuel pricing policies, however, are projected to deliver the largest overall gains.

Such policies, including removing inefficient fossil fuel subsidies and appropriately taxing fossil fuels, could prevent 1.2 million deaths annually while generating $3 trillion in economic welfare benefits and $5.4 trillion in fiscal gains.

Health at the centre of climate action

Commenting on the findings, WHO Director-General Tedros Ghebreyesus said the climate crisis was also a health crisis, but many of its consequences could be prevented using existing interventions.

READ ALSO: WHO raises alarm as 75% of diabetes cases in Africa remain undiagnosed

He said expanding proven and affordable interventions could save millions of lives, particularly in countries with the greatest need.

“The climate crisis is a health crisis, but much of the harm it causes can be prevented with tools we already have,” he said.

Mr Ghebreyesus urged governments to place health considerations at the centre of climate action as they prepare for the next round of international climate negotiations.

The WHO said countries were already experiencing record-breaking climate shocks in 2026, investing in measures that protect human health and the environment increasingly urgent.

The health body called on governments, development partners and financing institutions to use the economic evidence to scale up the interventions, noting that they could deliver simultaneous benefits for public health, climate mitigation and national economies.


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