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Updated: Independence Anniversary: Tinubu promises stronger primary healthcare for poor Nigerians

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President Bola Tinubu has promised to strengthen primary healthcare services for poorer Nigerians as part of his administration’s efforts to reduce poverty and improve living conditions.

Mr Tinubu, in a televised address marking the country’s 66th Independence Anniversary, said his administration would work with state and local governments to strengthen primary healthcare, basic education, and other essential public services poorer Nigerians depend on.

“That is why, working with our states and local governments, we will continue to strengthen primary healthcare, basic education, and the essential public services poorer Nigerians depend on most,” he said.

The promise comes against the backdrop of persistent challenges in Nigeria’s primary healthcare system, with recent assessments and PREMIUM TIMES investigations documenting shortages of health workers, poor infrastructure, inadequate equipment and gaps in basic utilities at several facilities.

PHCs face staffing, infrastructure gaps

A recent assessment of 1,480 primary healthcare centres across 16 states found that 97 per cent of the facilities failed to meet the national minimum staffing requirement.

The assessment, conducted between October 2023 and June 2025 by Orodata Science and Civic Tech, covered 277 local government areas across Nigeria’s six geopolitical zones.

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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.

The assessment also found that 40 per cent of the facilities had broken ceilings or leaking roofs, while 38 per cent operated without electricity.

Another 39 per cent relied on unsafe water sources, while 75 per cent lacked essential neonatal resuscitation equipment.

About 75 per cent of the PHCs assessed were located in rural communities, where such facilities often serve as the first, and sometimes only, formal source of healthcare for residents, the report said.

PREMIUM TIMES’ recent investigation into rural PHCs in Osun State also found that challenges persisted at some facilities despite government spending and interventions aimed at revitalising primary healthcare.

The investigation across three PHCs found problems including deteriorating infrastructure, inadequate staffing, limited equipment and gaps in essential services.

Increase in PHC financing

The federal government has, however, reported increased funding for primary healthcare under the Basic Health Care Provision Fund (BHCPF).

In June, the Coordinating Minister of Health and Social Welfare, Muhammad Pate, said N339 billion had been disbursed to states through the BHCPF since its establishment in 2014, with N235 billion of the amount disbursed in the three years of the Tinubu administration.

Mr Pate said the increased funding reflected intensified investment in primary healthcare and had helped expand access to essential health services.

He said more than 8,000 PHCs across the 36 states were receiving funding through the BHCPF gateways, while assessments were underway to increase the number of supported facilities to 17,600 nationwide.

The government has also launched the Primary Healthcare Provision Strengthening Programme (HOPE-PHC), a $570 million programme designed to strengthen primary healthcare as part of a wider human capital development and poverty-reduction initiative.

The link between healthcare and poverty reduction

In his address, Mr Tinubu acknowledged that millions of Nigerians still struggle to meet basic needs, including healthcare costs.

“I am also conscious that millions of our fellow citizens cannot wait for tomorrow. Some Nigerian families still struggle today for the next meal, the next school fee, the next medical bill, or simply enough money to get to work,” he said.

ALSO READ: FG approves N32 billion for BHCPF to strengthen primary healthcare services 

He said the difficulties facing vulnerable Nigerians were not created by the economic reforms of the last three years but were the accumulated consequences of decades of low productivity, inadequate infrastructure, insufficient opportunities and institutions that had often failed those who needed them most.

Mr Tinubu said his administration could not erase in four years problems that had accumulated over generations but could change their course.

“We can build an economy that steadily lifts people out of poverty while ensuring that those who remain vulnerable are not abandoned along the way,” he said.

He said the government was strengthening direct support for poor households and improving the National Social Register so that assistance reaches those who genuinely need it.


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Health

Nigerian drugmaker Fidson selected to manufacture generic influenza antiviral under global licence

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A Nigerian pharmaceutical company, Fidson Healthcare Plc, has been selected to develop and manufacture a generic version of baloxavir marboxil, an antiviral medicine used to treat influenza.

The selection makes Fidson one of 11 manufacturers across nine countries chosen under a voluntary licensing agreement between the Medicines Patent Pool (MPP) and Swiss pharmaceutical company Roche.

The company disclosed this in a press release signed by its media contact, Tope Akindele. The MPP, a United Nations-backed public health organisation, also announced the sublicence agreements on 25 September.

The selected manufacturers are from Brazil, China, India, Indonesia, Malaysia, Nigeria, Uganda, Ukraine and Vietnam. The MPP said the arrangement is intended to “diversify supply pathways for influenza treatment, support regional production, and strengthen preparedness for future outbreaks and pandemics.”

What it means for Fidson, Nigeria

The selection makes Fidson one of the manufacturers that would develop, manufacture and supply generic versions of baloxavir in 129 countries covered by the licence, subject to regulatory authorisation.

The agreement also gives selected manufacturers access to technical data, reference products for bioequivalence studies and other support to facilitate product development and regulatory approval.

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The MPP said it selected the manufacturers following an open Expression of Interest process and an assessment of their technical and regulatory capacities and commitment to producing quality-assured baloxavir products.

The organisation said having manufacturers in different regions would help build production capacity closer to the populations the medicines are intended to serve and strengthen the resilience of global supply.

For Nigeria, the selection places a local pharmaceutical manufacturer in a global effort to expand production of an influenza antiviral while strengthening domestic and regional pharmaceutical manufacturing capacity.

Selection strengthens Africa’s role

Fidson’s Managing Director and Chief Executive Officer, Biola Adebayo, described the selection as a validation of the company’s commitment to quality-assured pharmaceutical manufacturing and innovation.

“Being selected by the Medicines Patent Pool as a sublicensee under the Roche-MPP voluntary licensing programme for baloxavir marboxil is both an honour and a validation of Fidson’s longstanding commitment to quality-assured pharmaceutical manufacturing, innovation, and improving healthcare outcomes,” Mr Adebayo said.

He said the partnership would allow the company to contribute to efforts to strengthen regional health security and preparedness for future health emergencies.

“As an African healthcare company, we are proud to contribute to global efforts aimed at strengthening regional health security, enhancing preparedness for future health emergencies, and ensuring that life-saving medicines reach the patients who need them most,” he said.

Mr Adebayo said the partnership also demonstrated the growing role of African manufacturers in the global health ecosystem.

He said Fidson would work with Roche, the MPP and other stakeholders to support broader access to baloxavir across eligible markets.

READ ALSO: Fidson, Nigeria’s largest pharmaceutical company, delivers N3.6 billion dividend to shareholders

Part of pandemic preparedness

The announcement came as global leaders gathered in New York for the United Nations General Assembly to discuss pandemic prevention, preparedness and response.

The MPP said the licensing arrangement is designed to build manufacturing capacity before, rather than during, a health emergency.

Charles Gore, Executive Director of the MPP, said the organisation would work with the selected manufacturers on product development and regulatory approval, aiming to make quality-assured generic baloxavir available as quickly as possible.

“By combining global manufacturing capacity with regionally focused production, we are helping build a more geographically diverse and resilient supply base for the future,” Mr Gore said.


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Health

Non-communicable diseases caused 74% of global deaths in 2023

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Non-communicable diseases (NCDs) such as heart disease, diabetes and dementia accounted for 74 per cent of global deaths in 2023, up from 58 per cent in 2000, according to the latest estimates released by the World Health Organisation (WHO).

The findings, contained in the WHO’s latest Global Health Estimates released on Friday, show that although global life expectancy has largely recovered from the disruption caused by the COVID-19 pandemic, the world’s disease burden is increasingly shifting towards chronic illnesses and mental health conditions.

According to the report, global life expectancy reached 73.3 years in 2023, almost returning to the 73.4 years recorded in 2019 before the pandemic. However, healthy life expectancy, which measures the number of years people live in good health, recovered more slowly, reaching 62.8 years in 2023, still 0.4 years below its pre-pandemic level.

The WHO noted that eight of the world’s 10 leading causes of death were NCDs in 2023, highlighting a long-term global shift away from communicable diseases.

Cardiovascular diseases remain leading killer

The report identified cardiovascular diseases as the leading cause of death and disease burden worldwide.

It said ischaemic heart disease alone caused approximately 9.5 million deaths and 210 million disability-adjusted life years (DALYs) in 2023. DALYs measure years of healthy life lost due to illness, disability or premature death.

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While many parts of the world have made significant progress in reducing the burden of ischaemic heart disease since 2000, the WHO reported rising individual-level risks in the Western Pacific and South-East Asia regions, highlighting persistent inequalities in cardiovascular health outcomes.

The organisation also reported substantial increases in the burden of other chronic diseases.

According to the report, the risk of dying from diabetes has risen considerably since 2000, particularly in South-East Asia.

Alzheimer’s disease and dementia have also become more prominent.

Dementia rose from the 19th leading cause of death globally in 2000 to the fifth in 2023, while deaths linked to the condition tripled during the period.

Mental health concerns

The WHO also highlighted the growing impact of mental health conditions on global health.

Between 2019 and 2023, the global age-standardised DALY rate increased by approximately 20 per cent for depressive disorders and nearly 45 per cent for anxiety disorders.

Together, depression and anxiety accounted for an estimated 110 million years of healthy life lost through premature death and disability in 2023.

The report further showed changing patterns in drug use disorders across regions.

Between 2000 and 2023, the WHO Region of the Americas recorded the largest increases in mortality risk and healthy life loss associated with drug use disorders, while the Western Pacific region experienced substantial declines.

READ ALSO: Drug-resistant bacterial infections kill one million people annually – WHO

Need for stronger health data systems

Speaking further on the findings, Alani Labrique, Director of WHO’s Department of Data, Digital Health, Analytics and AI, described rising life expectancy as one of public health’s greatest achievements.

However, Mr Labrique noted that the next challenge is ensuring that the additional years people live are spent in good health, while health systems adapt to the changing needs of ageing populations and the growing burden of chronic diseases.

He said the estimates provide countries with evidence on how patterns of death and disease burden are changing over time, helping governments shape health policies, strengthen digital and data infrastructure, and improve their ability to generate insights needed for targeted health interventions.


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