Health System in Nigeria: Investors’ Dream or Nightmare?

Olusoji Adeyi

Chapter 7 in Global Health in Practice:Investing Amidst Pandemics, Denial of Evidence, and Neo-dependency, 2022, pp 177-219 from World Scientific Publishing Co. Pte. Ltd.

Abstract: This chapter examines the Nigerian health system through the lenses of political history, contemporary policy goals, financing, health status, domestic political economy, and the engagement between Nigeria-based experts and their external counterparts. Fundamental to this chapter is that wallowing in the past is not the solution to current challenges. Doing so would absolve recent and current policy makers of responsibility, and it would infantilize and deny the agency of the population. However, understanding the past helps to explain much of the present and provides a basis to enable a better future.Four interlinked issues are of interest: the realities of Nigeria’s quest for Universal Health Coverage (UHC) via a viable health system; financing of the health system and the dynamics at play during legislation, budgeting, and implementation; the realities of Development Assistance for Health (DAH); and opportunities for better performance. The chapter combines data with attention to the functions of institutions and the compact — or lack of same — between the government and the governed in matters of health.

Keywords: Africa; AIDS; Apartheid; Bangladesh; Belgium; Biden; CDC; Colonialism; Congo; Corruption; COVID; Development; Development Assistance; Diagnostics; Disease; Ebola; Economics; Efficiency; Epidemiology; Equity; Financing; Foreign Aid; Gavi; Ghana; Global Health; Health; Health Care; Health Economics; Health Financing; Health Services; Health System; HIV; Imperialism; Incentives; Infrastructure; Innovation; Investing; Liverpool; Loan; London; Malaria; Market Failure; Medicine; Mining; Neo-dependency; Nepal; Netherlands; Nigeria; Pandemic; Pharmaceuticals; Industry; NGO; Obama; Oxfam; Policy; Political Economy; Private Sector; Public Health; Public Policy; Public Sector; Public-Private Partnership; Putin; Racism; Russia; Service Delivery; Slavery; Social Engineering; Soviet; Subsidy; SWAp; Technical Assistance; TRIPS; Trump; Tuberculosis; Universal Health Coverage; USAID; USSR; Vaccine; WHO; World Bank; WTO; Zambia (search for similar items in EconPapers)
JEL-codes: H51 I15 I18 (search for similar items in EconPapers)
Date: 2022
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