News
Gates Foundation Promises Continued Committed to Revitalization of Public Healthcare In Nigeria
Gates Foundation Promises Continued Committed to Revitalization of Public Healthcare In Nigeria
By: Michael Mike
The Gates Foundation has expressed its full commitment to the development of Primary Healthcare Centres (PHC) in the country.
The commitment was expressed by The Deputy Director, Health Systems Strengthening at Gates Foundation Nigeria,
Dr. Nkata Chuku, during the PHC Leadership Challenge in Abuja, put together by the Nigeria Governors Forum (NGF), Gates Foundation and other development partners.
Chuku said the Foundation remains fully aligned with the government of Nigeria’s determination to revitalize primary health care.

The National Primary Health Care Development Agency (NPHCDA) and development partners, including UNICEF and the World Health Organisation (WHO) supported the event.
He also noted that the 2025 performance landscape emerging from national surveys, high-frequency monitoring, and administrative data shows both progress and gaps in the country’s health systems.
According to him, routine immunization continues its upward trajectory, with national percentage coverage now in the high-60s, and several states crossing 75%, compared to the low-60s in 2022.

He said between July 2024 and October 2025, more than 500,000 previously zero-dose children were reached with vaccines through house-to-house outreach and targeted immunization activities.
Chuku said this represents about 24% of the estimated 2.1 million zero-dose children nationwide, reflecting significant progress through integrated campaigns including the October 2025 polio–routine immunization drive.
According to him, there is a notable decline in cVPV2 cases, dropping from triple-digit cases in 2022–2023 to fewer than 50 confirmed cases in the last 12 months and a significant closure of immunity gaps in historically weak LGAs.
About the PHC Challenge, Chuku said: “The PHC Challenge Fund is designed to accelerate precisely this type of progress. The Gates Foundation has invested $27 million, with 70% dedicated to performance awards over the past four years to fund this initiative as proof of concept.
“The current award structure of one national winner and additional awards for the best and second runners up states across all six geopolitical zones is intentional. It reflects your stated preference for peer accountability and healthy competition, recognizing that states within the same zone often face similar health-system realities.
“Over the past three years: UNICEF, NPHCDA, and the NGF Secretariat have worked closely with Commissioners, SPHCDA Executive Secretaries, and Governors to continuously refine and track a lean but powerful set of indicators to measure the health of the PHC system across the 36+1 states.

He said: “These indicators focus on areas where state leadership is decisive: political leadership, community empowerment, financial resource allocation, quality of care, monitoring and evaluation, sustainable PHC financing. These system inputs are critical for driving impact across routine immunization, MNCH, malaria, and nutrition.”
He also said the ongoing PHC revitalization agenda has renewed political commitment at state level, adding that more states now have dedicated PHC budget lines and are expanding health insurance enrolment while the integrated polio–RI campaign offers a unified delivery platform to rapidly close immunity gaps.
According to him, development partners have signalled interest in expanding the pool of incentives for high-performing states.
The minister of health, Muhammad Ali Pate, during the occasion lauded Gates Foundation for their investment in PHC revitalisation in the country.
He said government have been intervening to lower the cost of drugs, cost of medical treatment, child health insurance and would still increase the budget for health.
Pate said: “ If we are going to see good health, it is an investment. We cannot expect good health at a very low price. Someone has invested, and here, who is going to be in charge is going to have to invest in health. And investing in health has several multilayers. First, it is a good investment not only for the present and also for the future of the country.
“So, we need to not only invest in health but also see the health system and the environment as a whole. So, government has been intervening to lower the cost of drugs, cost of medical treatment, child health insurance, but it is not going to be able to succeed just like that already.”
During the award ceremony, Yobe State emerged the overall winner of the PHC Leadership Challenge, outperforming other states in an independently verified assessment and wining the total sum of $1.2m.
The assessment measures governance, financing, service delivery and accountability within PHC systems.
The annual challenge, which rewards measurable improvements in state-level PHC performance, aims to strengthen accountability, peer learning and sustained political commitment to PHC reforms across Nigeria
Gates Foundation Promises Continued Committed to Revitalization of Public Healthcare In Nigeria
News
KACRAN Urges INEC to Extend PVC Collection Deadline by One Week
KACRAN Urges INEC to Extend PVC Collection Deadline by One Week
By: Michael Mike
The Kulen Allah Cattle Rearers Association of Nigeria (KACRAN) has urged the Independent National Electoral Commission (INEC) to extend the ongoing display of the preliminary voters’ register and distribution of Permanent Voter Cards (PVCs) by one week to prevent the disenfranchisement of millions of eligible voters ahead of the 2027 general elections.
The association proposed that the exercise, scheduled to end on October 15, should be extended to October 22, 2026, citing inadequate public awareness, particularly among rural dwellers, pastoral communities and internally displaced persons (IDPs) in Northern Nigeria.
In a statement signed by its National President, Hon. Khalil Mohd Bello, KACRAN said many Nigerians who registered online or physically between August 18 and December 10, 2025, remained unaware of the ongoing collection exercise and the approaching deadline.
The association expressed concern that while residents of major cities and towns had better access to information through newspapers, electronic media and social media, many people in remote rural communities and pastoral settlements were yet to receive adequate sensitisation.
KACRAN said it had spent months mobilising its members without PVCs to participate in the registration exercise but feared that many of those who registered might lose the opportunity to collect their cards before the deadline.
It also highlighted the plight of thousands of internally displaced persons across Northern Nigeria, noting that many had registered as voters after fleeing their communities but might struggle to collect their PVCs because of inadequate information about collection centres and their designated ward headquarters.
According to the association, a one-week extension would provide additional time to reach affected communities and enable registered voters to collect their cards ahead of the 2027 elections.
KACRAN stressed that PVC collection was critical to effective participation in the electoral process, arguing that every eligible vote mattered in determining the outcome of elections.
The association further criticised politicians for concentrating on campaigns and the selection of preferred candidates while paying insufficient attention to mobilising eligible voters who were yet to collect their PVCs.
It urged INEC to treat the request as urgent, warning that failure to extend the deadline could leave many registered Nigerians unable to participate fully in the forthcoming elections.
Beyond its appeal to the electoral commission, KACRAN called on the 19 Northern governors to declare Monday, October 19, and Tuesday, October 20, 2026, work-free days if INEC approved the extension.
The proposed days, it said, should be devoted to intensive public enlightenment and mobilisation across the region to ensure that all eligible voters whose cards were ready collected them at their designated ward headquarters.
The association also called on print and electronic media organisations, as well as social media platforms, to intensify public awareness campaigns and provide timely information on PVC collection.
It urged Nigerians who had registered and whose cards were available to collect them before the deadline, warning that failure to do so could lead to avoidable disappointment during the 2027 general elections.
KACRAN said it was prepared to participate actively in the electoral process and support the emergence of leaders committed to justice and fairness for all Nigerians.
KACRAN Urges INEC to Extend PVC Collection Deadline by One Week
News
Centre Urges Presidential Candidates to Commit to Fiscal Reforms
Centre Urges Presidential Candidates to Commit to Fiscal Reforms
By: Michael Mike
The Centre for Social Justice has called on political parties and presidential candidates to make strict budget discipline, transparent public borrowing and enforcement of statutory debt limits central to their manifestoes ahead of Nigeria’s next political transition.
The centre warned that rising public debt, mounting debt-servicing obligations and persistent breaches of public financial management rules were undermining fiscal stability, calling for structural reforms to strengthen accountability in the management of public funds.
In a policy commentary, Paul Dasimeokuma of the Centre for Social Justice said Nigeria needed to move away from discretionary fiscal practices towards strict compliance with existing laws governing budget preparation, public borrowing and debt management.
He cited public debt exceeding ₦159 trillion and debt-servicing costs consuming more than half of federal revenues as indicators of the pressure on the nation’s finances.
Dasimeokuma identified delays in the passage of annual budgets as a major weakness in the country’s fiscal management system, arguing that disruptions to the statutory budget calendar undermine planning, spending predictability and the credibility of public accounts.
He cited the 2026 Federal Budget, which received presidential assent on April 17, 2026, as an example of the delays that have characterised the budgeting process.
According to him, Section 14(1) of the Fiscal Responsibility Act (FRA) 2007 provides a framework for the timely preparation and approval of the Medium-Term Expenditure Framework (MTEF), which underpins the annual budget.
He argued that adherence to the statutory timetable would help ensure that annual budgets receive presidential assent before the commencement of the financial year on January 1.
The centre also raised concerns over the practice of extending capital budget implementation beyond the relevant financial year, sometimes resulting in multiple capital budgets being implemented concurrently.
Dasimeokuma said such practices created uncertainty in public expenditure management, distorted accounting and weakened the link between approved budgets and actual government spending.
He further questioned the management of public borrowing, arguing that loans should be subjected to rigorous scrutiny to establish their economic and social benefits before approval.
He referenced Section 41 of the Fiscal Responsibility Act, which sets out restrictions on government borrowing, and Section 44, which provides for cost-benefit analysis of proposed loans.
According to him, legislative approval of major borrowing proposals should be supported by transparent documentation showing the purpose, costs and expected returns of the loans.
He alleged that some borrowing approvals had been granted without sufficient public scrutiny and warned against the use of loans to finance recurrent expenditure and debt-service obligations.
Dasimeokuma also called attention to Section 42 of the Act, which provides for the establishment of an overall debt limit for the federation by the President in agreement with the National Assembly.
He argued that the absence of an established, legally binding debt ceiling had weakened the framework for controlling the growth of public debt.
To address the concerns, the centre urged political parties and presidential candidates to commit to four key reforms: establishing and enforcing a predictable budget calendar, implementing statutory debt limits, requiring the publication of cost-benefit analyses for external loans and ensuring transparency in public debt records.
It said the reforms should be incorporated into party manifestoes and translated into enforceable policies to improve fiscal discipline and strengthen public confidence in government financial management.
Dasimeokuma maintained that Nigeria’s economic stability would depend partly on whether political leaders could move beyond policy promises to enforce existing financial laws and ensure that public borrowing and expenditure were subject to effective oversight.
Centre Urges Presidential Candidates to Commit to Fiscal Reforms
News
Nigeria’s Nutrition Accountability Gap Persists as Child Stunting Hits 40%
Nigeria’s Nutrition Accountability Gap Persists as Child Stunting Hits 40%
By: Michael Mike
Nigeria’s failure to translate nutrition policies and funding commitments into measurable results has come under scrutiny, with the Athena Centre for Policy and Leadership calling for performance-based financing, stronger legislative oversight and tougher accountability measures to address child malnutrition.
The centre said on Wednesday that under-five stunting in Nigeria stood at 40 per cent, against a national target of 18 per cent that has expired, highlighting the gap between policy commitments and implementation.
Speaking at a policy webinar in Abuja, the Director of the Olikoye Ransome-Kuti Institute for Health and Social Equity, Dr Danjuma Iyaji, said Nigeria had developed systems for measuring nutrition outcomes without establishing adequate mechanisms to hold public officials accountable for poor performance.
“Nigeria has built the measurement architecture of nutrition accountability without building its consequence architecture,” Iyaji said.
The webinar, organised by the Athena Centre through its institute, was titled From Measurement to Consequence: Fixing Nigeria’s Nutrition Accountability Gap. It examined findings from the centre’s policy paper, Political Incentives and Nutrition Neglect: Why State Governments Fail to Improve Child Nutrition.
The discussion brought together officials from the Office of the Vice President, the National Primary Health Care Development Agency (NPHCDA) and the House of Representatives Committee on Nutrition and Food Security to examine why government commitments were not consistently translating into improved nutrition outcomes.
According to the centre, only nine of Nigeria’s 36 states had formally established State Councils on Nutrition as of April 2026, while the existence of such councils did not necessarily demonstrate that they were functioning effectively.
To address the gaps, the centre proposed linking supplementary funding tranches to independently verified readiness, conducting annual state performance assessments, establishing an escalation framework for persistent non-performance and holding annual legislative hearings at the state level.
However, participants stressed that accountability measures must not deprive vulnerable children of essential nutrition services because their state governments failed to meet administrative or performance requirements.
The Senior Special Assistant to the President on Nutrition and Public Health, Uju Rochas-Anwukah, endorsed the diagnosis, identifying three major breaks in the accountability chain: commitments not translating into fund releases, releases failing to translate into service delivery, and inadequate understanding of nutrition priorities among subnational leaders.
“A stunted child is a lost asset that no bridge can build,” she said.
Rochas-Anwukah cautioned that readiness-based financing must not disadvantage states with the greatest nutrition needs but weaker implementation capacity. She also clarified that the terms governing the Child Nutrition Fund rested with UNICEF and its partners, rather than her office.
She called for a pathway through which less-prepared states could strengthen their capacity to qualify for support without leaving children in those states behind.
The presidential aide also urged the passage of the proposed National Food and Nutrition Bill, arguing that a stronger legal framework would help sustain accountability beyond individual administrations.
The Director of Nutrition at NPHCDA, Dr Adebiyi Olatunde, said accountability must extend beyond state-level indicators to primary healthcare facilities, where the availability of therapeutic foods and micronutrients directly affects children’s access to treatment and preventive services.
She warned that state-level figures could conceal serious deficiencies in individual communities and health facilities.
“At times we have data for a state, and the issue may be in only two particular wards,” Olatunde said.
She advocated collecting and analysing data down to ward and facility levels to identify localised failures. She also called for a root-cause assessment before sanctions or other escalation measures were imposed, to establish whether poor performance resulted from funding shortages, supply-chain problems or weaknesses in implementation.
The Research Lead for the House of Representatives Committee on Nutrition and Food Security, Abel Okechukwu, described conditional financing as “workable and urgently needed”, but argued that the approach should combine protected funding for essential services with incentives for improved performance.
He proposed allocating 70 per cent of funding as a protected lifeline for interventions such as micronutrient provision and school feeding, while reserving 30 per cent as a performance incentive linked to functional nutrition councils, approved costed plans and published expenditure records.
“Conditional financing should not punish the child,” Okechukwu said.
He also called for stronger legislative scrutiny, arguing that oversight hearings must be supported by reliable data and adequate preparation rather than conducted as ceremonial exercises.
According to him, effective hearings require standardised reporting templates and the submission of reports at least 21 days before proceedings.
Okechukwu said the committee intended to intensify joint oversight in 2026 and 2027. He also proposed inserting a provision in the Appropriation Act to link federal grants to evidence that state governments had exercised appropriate oversight of nutrition programmes.
The discussions refined several of the centre’s recommendations, particularly the need to protect essential nutrition funding, provide weaker states with a route to meeting readiness requirements, assess performance below the state level and make root-cause reviews the starting point for addressing persistent failures.
However, whether the existing Child Nutrition Fund arrangements permit the proposed financing conditions remains unresolved, according to the centre’s policy paper.
As follow-up measures, the Athena Centre said it would engage partners in the Child Nutrition Fund on financing conditions, present the proposed escalation framework to the Nigeria Governors’ Forum and take its legislative recommendations to State Houses of Assembly.
It also plans to circulate a policy note incorporating the panellists’ recommendations before publication and reassess the four proposed reforms in July 2027.
In her closing remarks, the webinar moderator and researcher at the institute, Ijeoma Achebe, said the discussion had strengthened the paper’s diagnosis of the challenges undermining nutrition outcomes.
“The gap is not simply about a lack of policies,” she said. “It is the distance between commitments and delivery.”
Nigeria’s Nutrition Accountability Gap Persists as Child Stunting Hits 40%
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