Pate Media Center

Pate Media Center This platform is dedicated to providing updates on the activities and engagements of the Nigeria's Honourable Minister of Health and Social Welfare.

(Professor Muhammad Ali Pate)

The Coordinating Minister of Health and Social Welfare, Prof. Muhammad Ali Pate, officially inaugurated the 22nd Governi...
18/06/2026

The Coordinating Minister of Health and Social Welfare, Prof. Muhammad Ali Pate, officially inaugurated the 22nd Governing Board of the Nursing and Midwifery Council of Nigeria on 18 June 2026.

The inauguration marks the beginning of a renewed phase of leadership and strengthened governance within the Council.

The newly constituted Board is expected to provide strategic direction for the regulation of nursing and midwifery practice across Nigeria, ensuring compliance with professional standards and best practices.

It will also play a vital role in advancing nursing and midwifery education, while promoting excellence and continuous improvement in professional competence.

Overall, the event reflects the Federal Government’s ongoing commitment to strengthening the healthcare system through robust and effective professional regulation.

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18/06/2026

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"Mu haɗa kai mu magance matsalolin mu ta hanyar zaɓar APC sak! ' - Inji Farfesa PateMinistan lafiya da walwalar al'umma,...
17/06/2026

"Mu haɗa kai mu magance matsalolin mu ta hanyar zaɓar APC sak! ' - Inji Farfesa Pate

Ministan lafiya da walwalar al'umma, Farfesa Muhammad Ali Pate, ya yi kira ga ya'yan ƙaramar hukumar Damban, Bauchi ta tsakiya, jihar Bauchi da ma Arewacin Najeriya da su fito kwan su da kwarkwata don marawa shugaban ƙasa Bola Ahmed Tinubu da ɗaukacin 'yan takara a inuwar jam'iyyar APC baya a zaɓukan shekarar baɗi.

A cewar ministan, cin zaɓe a dunƙule na da alfanu musamman wajen tunkarar dukkanin matsalolin da s**a haɗa da taɓarɓarewar tsaro, yaƙi da talauci da tsadar rayuwa ba tare da cin dunduniyar wani ɓangare ba.

Farfesa Pate ya yi kiran ne ta bakin wakilinsa tsohon ɗan majalisar dokoki ta tarayya kuma fitaccen ɗan jarida Malam Ahmed Yarima (Sarkin Malaman Misau) ya yin wata ganawa da masu ruwa da tsaki, membobin jam'iyyar APC da kuma ɗumbin magoya baya a ƙaramar hukumar Dambam a yau Talata.

Sarkin Malaman na Misau ya ce, tunkarar dukkanin matsalolin da s**a addabi Arewacin Najeriya da ma ƙasar baki ɗaya zai fi tasiri idan aka dunƙule ƙarƙashin inuwa guda ba tare da yi wa juna zagon ƙasa ba, kuma ta haka ne a cewar sa za'a samar da romon dimokuraɗiyya ga 'yan ƙasa gwargwadon hali sannan a bada kowa filin taka rawar da ta dace da shi wajen gina Najeriyar da masu tasowa za su yi tutiya da ita.

Da yake yabawa shugaba Tinubu kan zaƙulo jajirtacce kuma masani ne idanu a ƙasashen duniya, Malam Yarima ya ce, ba shakka jihar Bauchi za ta cigaba da alfahari da sauye-sauyen da ɗan ta Farfesa Pate yake samar wa sannan kuma sunan sa ya shiga tarihin waɗanda s**a yi shura ba a Najeriya kaɗai ba har a duniya a fannin lafiya da za'a rubuta gudummawar da ya bayar da alƙalamin zinare.

Tsohon ɗan majalisar dokokin sai ya yi amfani da damar wajen wajen tunatar da zauren illolin rashin fita zaɓe ko kuma noƙewa a lokacin neman 'yanci ko sauyi ta hanyar kaɗa ƙuri'a, kana yace ɗaya daga cikin ayyukan gwamnatin jam'iyyar APC da shugaba Tinubu a yankin shine ɗaga darajar asibitin Misau tare da ɗaukar 'ya'yan yankin aiki don dogaro da kai da kuma inganta kiwon lafiya.

Sai ya tunatar da al'ummar jihar Bauchi alfanun fita zaɓe inda yace rashin fita kaɗa ƙuri'a tamkar mayar da hannun agogo baya ne ga cigaban dimokuraɗiyya. Ya kuma gode wa Farfesa Pate kan kasancewar sa mutumin mutane kuma wanda ya rungumi kowa da kowa ba tare da bambanci ba.

Yayin taron, masu ruwa da tsaki sun jaddada mubaya'ar su ga shugaban ƙasa Bola Ahmed Tinubu da kuma minista Pate da jam'iyyar APC, kana s**a yi tsokaci kan romon dimokuraɗiyya da Sarkin Malaman Misau ɗin ya samar lokacin da yake wakiltar Misau/Dambam a zauren majalisar dokoki ta tarayya.

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"Shugaba Tinubu yayi mana halasci, za mu saka masa" - Farfesa Pate ga al'ummar MisauMinistan lafiya da kyautata walwalar...
16/06/2026

"Shugaba Tinubu yayi mana halasci, za mu saka masa" - Farfesa Pate ga al'ummar Misau

Ministan lafiya da kyautata walwalar al'umma, Farfesa Muhammad Ali Pate ya ce, shugaba Bola Ahmed Tinubu ya yi halasci wa al'ummar ƙaramar hukumar Misau da ya zaƙulo shi tare da ba shi muƙamin minista me girma wanda a dalilin haka ɗaruruwan 'ya'yan ƙaramar hukumar s**a ci gajiya ta hanyoyi da yawan gaske.

Farfesa Pate ya bayyana hakan ne ta bakin wakilinsa tsohon ɗan majalisar dokoki ta tarayya kuma fitaccen ɗan jarida, Malam Ahmed Yarima, ya yin wani taron tattaunawa da masu ruwa da tsaki na jam'iyyar APC reshen ƙaramar hukumar Misau.

A cewar Farfesa Muhammad Ali Pate ta bakin malam Ahmed Yarima, lokacin ya yi da ya kamata shugabanin jam'iyyar APC a karamar hukumar Misau tare da sauran masu ruwa da tsaki su fara shirye-shiryen tukarar zaben 2027.

Sarkin Malaman Misau Malaman Misau ya kara da cewar, Shugaba Tinubu ya aminta da kwarewar Farfesa Pate da kuma gogewarsa a fannin inganta kiwon lafiya da kuma gudummawar da yake bada Najeriya da ma duniya baki ɗaya. A saboda haka ya ce akwai bukatar al'umma su fito kwana su da kwarkwata don mara wa jam'iyyar APC a dukkanin matakai don cigaba da samar da romon dimokuraɗiyya ga yankin.

Daga nan sai yayi kira da a haɗa kai tare da watsi da bambance-bambance musamman a wannan gaɓa da ake tunkarar zaɓe, hakan a cewarsa shi zai bada damar tabbatar da kowa ya ci moriyar muƙamai idan aka kai nasara.

Ahmed Yarima sai yayi amfani da damar wajen godewa al'ummar ƙaramar hukumar Misau, Bauchi ta tsakiya da ma ɗaukacin jihar Bauchi kan goyon baya da gudummawar su ga ministan, inda ya ƙara da cewa hakan shi ne silar nasarar da Farfesa Pate ke samar wa.

Daga nan sai yaba wa ministan kan gudunmawarsa ga jam'iyyar APC da ciyar da yankinsa gaba, tare da ba shi tabbacin al'umma na marawa shugaban ƙasa baya da kuma jam'iyyar sa ta APC a dukkanin matakai.

Cikin jawaban su daban-daban, mahalarta taron sun ɗauki tsawon lokaci suna zayyana yadda tallafi da ayyukan Farfesa Pate Ke gina al'ummar yankin musamman mata, matasa da kuma marasa lafiya. Sun kuma kudiri aniyar cigaba da mara masa baya cikin biyayya, addu'a da rungumar duk wani shirin sa na inganta rayuwa a yankin.

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Ahmed Yarima Canvasses Support for Tinubu During RetreatFormer lawmaker and veteran international journalist, Honourable...
15/06/2026

Ahmed Yarima Canvasses Support for Tinubu During Retreat

Former lawmaker and veteran international journalist, Honourable Mallam Ahmed Yarima, has urged Bauchi State citizens and Nigerians as whole to support and vote for President Bola Ahmed Tinubu citing what he described as the administration’s efforts in addressing the nation’s challenges and driving development across the country.

Mallam Yarima made this call during a retreat he organised for bloggers and social media influencers from the Bauchi Central Senatorial District at Yimir Hotels, Bauchi.

Addressing participants, the former legislator said President Tinubu had demonstrated commitment to national development despite inheriting economic and security challenges.

According to him, Bauchi State had continued to benefit from Tinubu’s Renewed Hope agenda through various interventions and key political appointments given to indigenes of the state.

Yarima lauded the Minister of Health and Social Welfare, Professor Muhammad Ali Pate, for what he described as inclusive leadership and dedication to youth empowerment.

According to him, the Minister has played a significant role in creating opportunities for young people in Bauchi State, with hundreds benefiting from employment opportunities facilitated through his office.

Also speaking at the retreat, Chairman of the Pate Media Center, Shehu Hassan Makwalla, commended Mallam Ahmed Yarima for bringing together social media stakeholders to discuss issues affecting the state and the nation.

Makwalla pledged to mobilise support for the movement and expressed confidence that the initiative would help strengthen public engagement and awareness on government programmes.

The retreat attracted prominent bloggers, social media influencers and digital communicators from across Bauchi Central, who discussed the role of new media in promoting good governance, responsible communication and citizen participation.

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Politics of acrimony and the futility of smear campaigns, By ‘Lade BandeleThe strange thing about smear campaigns is tha...
15/06/2026

Politics of acrimony and the futility of smear campaigns,

By ‘Lade Bandele

The strange thing about smear campaigns is that they often reveal the weakness of the argument they seek to advance.
byPremium Times June 15, 2026 Reading Time: 7 mins read

The Coordinating Minister of Health and Social Welfare, Muhammad Pate. [PHOTO CREDIT: Official X handle of Mr Pate | via https://x.com/muhammadpate/status/1812790729107816486/photo/1]

The hospital does not care about rumour. The child receiving an immunisation is untouched by speculation. The mother arriving at a clinic in labour has no interest in intrigue. Public life eventually returns to realities that exist independently of the narratives constructed around them… In the end, societies live not with the consequences of what was whispered, suspected or imagined, but with the consequences of whether institutions were built, strengthened or neglected.

There are seasons in politics when criticism performs its proper democratic function, and there are seasons when it becomes merely an instrument of anxiety. The difference is not always obvious at first. Both may co-exist clothed in the language of scrutiny. Both may claim to ask questions. Both may present themselves as public service. Yet one is interested in evidence, while the other is interested in reducing a person, a record or an institution to the size of a convenient narrative.

Every political culture develops habits of judgment. Some encourage inquiry. Others encourage suspicion. Over time, those habits become so deeply embedded that they begin to shape how societies interpret success itself. Achievement ceases to be understood as achievement. It becomes positioning. Service becomes strategy. Professional accomplishment becomes political preparation. The result is a subtle but consequential distortion of public life. A society that becomes incapable of distinguishing achievement from ambition eventually loses the ability to recognise institution-builders, while they are still engaged in the work of building institutions.


Bauchi politics has never lacked intensity. Like most political communities with a rich history of contestation, it has its own instincts, rivalries, memories and suspicions. It also has a recurring habit of reading visibility as ambition. A public figure need not declare interest in any office before a political theatre begins to form around him. Supporters may imagine possibilities, opponents may anticipate threats, and commentators may supply certainty where evidence remains thin. Before long, the person at the centre of the conversation is no longer being assessed by what he is doing, but by what others have decided he must be planning.

Periods of political transition often intensify this tendency. When established assumptions begin to weaken and future alignments remain uncertain, political imagination becomes unusually active. Public attention drifts from realities towards possibilities. Individuals who acquire visibility outside conventional political structures attract a degree of scrutiny that exceeds their actual conduct. They become symbols upon which hopes, anxieties and rival calculations are projected. In such circumstances, the conversation is rarely about the individual alone. It becomes a reflection of the political environment observing him.

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That is how political projection works. Some people become candidates because they declare. Others become candidates because others need them to be candidates. The first is ambition. The second is anxiety dressed up as analysis. In such circumstances, public discourse tells us less about the individual being discussed than about the fears, expectations and calculations of the political environment doing the discussing.

Political communities frequently manufacture symbolic candidates long before actual candidates emerge. The symbolic candidate performs a useful function. Supporters rally around him. Rivals organise against him. Commentators construct narratives around him. His intentions become secondary to the role he performs within the wider political imagination. The individual gradually ceases to be discussed as a person and becomes discussed as a possibility. This is why certain names acquire a significance that far exceeds any formal political activity associated with them. The narrative survives not because it is especially persuasive, but because it satisfies needs that have very little to do with the individual at its centre.

A Career and the Narratives Around It

This is the deeper context within which recent attempts to reduce Muhammad Ali Pate to a convenient political caricature should be understood. The point is not that he is beyond criticism. No public official is. The point is that criticism worthy of the name must engage the record before interpreting the motive. Chinua Achebe understood this weakness in post-colonial public life with unusual clarity. His enduring concern was not only leadership itself, but the quality of public judgment surrounding leadership. Again and again, he returned to the danger of societies becoming consumed by personalities, while neglecting institutions. In such societies, intrigue attracts more attention than performance, and speculation travels faster than administration.

Yet citizens ultimately live with institutions rather than personalities. The hospital matters after the politician has departed. The school matters after the campaign has ended. The healthcare system matters long after the speech has been forgotten. When commentary appears more interested in constructing suspicion than examining evidence, it ceases to be scrutiny and becomes part of the familiar politics of diminishment.

A career that has moved through medicine, public administration, development finance, global health and national reform does not fit easily into the narrow vocabulary of local succession politics. This does not mean politics is irrelevant. In Bauchi, politics is never far from public interpretation. It does mean, however, that not every accomplished son of the state must be understood first as a future candidate and not every act of service must be forced into an electoral script.

The strange thing about smear campaigns is that they often reveal the weakness of the argument they seek to advance. If a public figure has no record, then insinuation may succeed because there is little else for the public to examine. But where there is a long, visible and verifiable record, the smear must work much harder. It must persuade citizens to ignore what can be seen in favour of what they are asked to suspect. That is a difficult undertaking, especially when the record in question stretches across local service, national reform and international leadership.

Pate’s career is not best understood through any single appointment, including the much-discussed Gavi episode. That was a significant marker of global recognition, but it was not the beginning of the story and it is not the centre of it. The more important point is continuity. Across the National Primary Health Care Development Agency, the Primary Health Care Under One Roof reform, the Midwives Service Scheme, Nigeria’s long struggle towards polio eradication, his tenure as Minister of State for Health, his work at the World Bank, the Global Financing Facility, academia, and his return to Nigeria’s health sector renewal efforts, the recurring themes are remarkably consistent: primary healthcare, health financing, institutional reform, service delivery, workforce development and systems strengthening.

The continuity is perhaps most visible in the present phase of his career. The Nigeria Health Sector Renewal Investment Initiative and the Sector-Wide Approach represent one of the most ambitious efforts since the return to democratic rule to align federal, state and partner investments around a common framework for governance, financing, workforce development, primary healthcare, service delivery and accountability. In many respects, they bring together themes that have appeared throughout his professional journey. At the very moment when a reform agenda of national scale is being pursued across the federation, a considerable amount of political commentary remains preoccupied with speculative futures. The contrast is revealing. It suggests that, for some observers, the more compelling story is not the difficult work of building institutions, but the easier drama of assigning motives to those engaged in building them.

Beyond the Vocabulary of Succession Politics

Seen this way, the narrative of sudden political calculation begins to look inadequate. What is striking is not that the narrative exists, but that it has attached itself to a career whose defining characteristic has been continuity, rather than political oscillation. The institutions changed. The responsibilities expanded. The geography shifted. Yet the underlying concerns remained strikingly consistent: systems, governance, financing, service delivery and institutional performance. Whatever conclusions one chooses to draw from that record, it is difficult to reconcile it with the simplistic logic upon which many speculative narratives depend.

A career that has moved through medicine, public administration, development finance, global health and national reform does not fit easily into the narrow vocabulary of local succession politics. This does not mean politics is irrelevant. In Bauchi, politics is never far from public interpretation. It does mean, however, that not every accomplished son of the state must be understood first as a future candidate and not every act of service must be forced into an electoral script.

The Returnee’s Dilemma

There is a broader irony here. Nigeria laments brain drain. It celebrates citizens who distinguish themselves abroad. It calls for expertise to return home and contribute to national development. Yet when someone with global standing does return, suspicion often follows closely behind. If he remains abroad, he has abandoned home. If he returns, he must be plotting. If he succeeds internationally, he is celebrated from a distance. If he serves locally, his motives become suspect. The allegation changes, but the habit of suspicion remains.

The contradiction is worth examining. A society cannot simultaneously lament the departure of talent, celebrate international accomplishment, encourage return and then greet return with automatic distrust. At some point the contradiction becomes self-defeating. The message inadvertently communicated is that excellence is admirable from a distance but unsettling up close. Yet nations do not build capacity merely by applauding achievement abroad. They build it when experience, expertise and leadership are allowed to contribute meaningfully at home.

This habit is not harmless. It narrows public conversation and distracts citizens from the critical questions. The relevant question is not whether political actors can invent motives for a public servant. Motives are easy to invent and difficult to disprove. The relevant question is whether institutions are being strengthened, whether systems are improving, whether public resources are producing public value, and whether citizens are better served by the work being done.

…the politics of acrimony ultimately defeats itself. It assumes that reputation is built mainly by narrative and can therefore be destroyed by counter-narrative. But durable reputations are built differently. They are built through work repeated over time, through institutions touched, through reforms attempted, through responsibilities carried, and through records that remain available for examination. Such reputations are not immune to criticism, but they are not easily erased by political mischief.

Bauchi and the Burden of Projection

That is why the Bauchi angle matters. The state’s politics, like the politics of many places, sometimes becomes too absorbed in imagined contests and insufficiently attentive to institutional consequence. Yet public life is not sustained by speculation. It is sustained by schools that work, hospitals that function, roads that connect, courts that command trust, and public institutions that outlast the personalities temporarily associated with them. The village woman seeking care for her child is not helped by rumours. The patient in need of treatment is not served by insinuation. The citizen encounters governance not as gossip, but as service delivered or denied.

This is where the politics of acrimony ultimately defeats itself. It assumes that reputation is built mainly by narrative and can therefore be destroyed by counter-narrative. But durable reputations are built differently. They are built through work repeated over time, through institutions touched, through reforms attempted, through responsibilities carried, and through records that remain available for examination. Such reputations are not immune to criticism, but they are not easily erased by political mischief.

The Difference Between Politics and History

History has always possessed a longer attention span than politics. Political gossip may dominate a season, but institutions endure in a different register. Few Nigerians now remember Obafemi Awolowo principally through the rumours, suspicions and tactical calculations that animated his contemporaries. What endured were the institutions, ideas and social investments associated with his public life. The same is true of Ahmadu Bello. The political arguments of their own day have largely receded into history; the administrative and institutional consequences of their work have not. Their contemporaries debated ambitions. History evaluated consequences. It proved less interested in intrigue than in what remained after intrigue had passed.

Every generation produces its intrigues, certainties and calculations. Entire political classes become consumed by stories that appear indispensable to understanding the present moment. For a season they dominate public debate. Then circumstances change, new controversies emerge and public attention moves on. Institutions travel differently through time. They remain after rivalries have faded, after calculations have been forgotten and after the urgency of contemporary disputes has passed.

History asks different questions from politics. Politics asks who is rising, who is falling and who may seek office next. History asks what was built, what endured, what improved and what remained after the noise subsided.

That is the measure to which serious societies eventually return. Not what was alleged, insinuated or conveniently circulated by rival factions, but what was built. The same standard applies to every public figure, including Pate. If institutions weaken under his watch, let the record say so. If reforms fail, let the evidence show it. But public judgment is impoverished when assessment gives way to insinuation and record yields to speculation.

The hospital does not care about rumour. The child receiving an immunisation is untouched by speculation. The mother arriving at a clinic in labour has no interest in intrigue. Public life eventually returns to realities that exist independently of the narratives constructed around them.

In the end, societies live not with the consequences of what was whispered, suspected or imagined, but with the consequences of whether institutions were built, strengthened or neglected.

That is where societies live.

And that is where history waits.

‘Lade Bandele is a public affairs analyst based in Lagos.

27 Years of Democracy and Nigeria’s Health Renewal (I): Rebuilding the FoundationsMedicsBy‘Lade BandeleSun, 14 Jun 2026 ...
15/06/2026

27 Years of Democracy and Nigeria’s Health Renewal (I): Rebuilding the Foundations

Medics
By
‘Lade Bandele

Sun, 14 Jun 2026 13:33:15 WAT

Twenty-seven years after the return to democratic governance, Nigeria’s health sector remains one of the clearest measures of the country’s broader development journey. It is where public policy meets everyday life: in the primary healthcare centre that opens on time, the maternity ward that has skilled personnel, the pharmacy shelf that has medicines, the cold chain that keeps vaccines safe, the ambulance that arrives when called, and the family that can seek treatment without being driven into financial hardship.

The sector’s challenges are neither new nor insignificant. Population growth has increased demand for services. Maternal mortality remains unacceptably high. Out-of-pocket spending still weighs heavily on households. Workforce shortages persist across many parts of the country. Specialist services remain unevenly distributed, particularly outside major urban centres. Medicines and medical consumables are still not consistently available where they are most needed.

A fair assessment of the sector, however, requires attention to both the problems that remain and the changes that are beginning to take root.

The Case for Renewal

Many of the developments recorded in recent years have been pursued under the Nigeria Health Sector Renewal Investment Initiative, introduced by the administration of President Bola Ahmed Tinubu in 2023 and coordinated through the Federal Ministry of Health and Social Welfare under the leadership of the Coordinating Minister of Health and Social Welfare, Professor Muhammad Ali Pate. The framework was designed to improve coordination across financing, service delivery, workforce development, health security, and the healthcare value chain. Its organising principle is simple: one conversation, one plan, one budget, and one report.

The initiative emerged against the backdrop of a system in which programmes, funding streams, reporting requirements and implementation arrangements often operated in parallel. Federal agencies, state governments, development partners and implementing organisations frequently pursued similar objectives through separate structures, producing varying levels of duplication, fragmentation and inefficiency. The reform framework sought to align priorities, strengthen government stewardship, improve accountability and create a common basis for measuring performance across the sector.

The conditions confronting the sector at the outset were significant. Health insurance coverage remained below nine per cent in most states. Health expenditure stood at about three per cent of GDP, below the World Health Organization’s five per cent benchmark. Only about 21 per cent of BHCPF-supported primary healthcare centres met Level-2 service readiness standards. Approximately 16,000 health workers had emigrated within five years. Family planning commodities recorded stock-out rates of about 41 per cent. Maternal mortality was estimated at 512 deaths per 100,000 live births.

These indicators pointed to problems that extended beyond funding alone. Financing gaps mattered, but so did fragmentation, weak coordination, uneven service readiness, workforce losses, commodity stock-outs, and the absence of a common framework for measuring performance across the system. The challenge was not simply how much money was available, but whether institutions were working together effectively enough to translate resources into results.

Primary Healthcare and the Frontline of Care

Primary healthcare is the appropriate place to begin any assessment of the sector because it is where most Nigerians first encounter the health system. It is where children are immunised, pregnant women receive antenatal care, common illnesses are treated, and referrals into higher levels of care begin.

Recent data suggest a substantial increase in activity at that level. Health sector performance reports recorded about 45 million health visits and treatments in the third quarter of 2025 alone. Across the country, 2,382 primary healthcare centres have been upgraded, while another 1,607 are undergoing improvement. These upgrades include provisions for skilled birth attendants, reliable power supply, staff accommodation, extended service hours, and the capacity to provide antenatal, immunisation and delivery services.

The financing of primary healthcare has also become more direct. More than ₦65.9 billion has been disbursed to facilities through the Basic Health Care Provision Fund, while Direct Facility Financing allocations increased from about ₦300,000 to between ₦600,000 and ₦800,000 per facility.

Alongside increased financing has come greater emphasis on accountability. Digital management systems, facility dashboards, and strengthened financial oversight are intended to ensure that resources reach facilities and can be linked to actual service delivery. In a sector where funding has often been discussed separately from performance, that distinction is increasingly important.

The significance of these developments lies not only in the volume of resources deployed but in what they seek to achieve. For many years, debates about health financing focused primarily on allocations. Increasingly, attention is also being directed toward whether resources reach facilities, whether they are properly managed, and whether investments translate into improvements that citizens can actually experience.

Maternal Health and the Burden of Mortality

Maternal and newborn health offers another important test.

Nigeria’s maternal mortality burden remains one of the gravest public health challenges in the world. No serious assessment should minimise that reality. Equally important, however, is whether interventions are addressing the factors most closely associated with preventable maternal and newborn deaths.

Under the Maternal and Neonatal Mortality Reduction Innovation Initiative (MAMII), 172 priority local government areas across 33 states were identified as accounting for approximately 55 per cent of the country’s maternal mortality burden. The programme focuses on identifying pregnant women early, linking them to care, supporting referrals, reducing transportation barriers, improving emergency obstetric services, and strengthening follow-up and mortality review systems.

The scale of implementation has been substantial. More than 5.26 million antenatal care visits were recorded between 2023 and December 2025, alongside approximately 1.96 million skilled deliveries. Across NHSRII-supported interventions, 236 Comprehensive Emergency Obstetric and Newborn Care facilities have been established, while hundreds of primary healthcare centres in priority areas have been upgraded to provide improved maternal and newborn services.

The programme has also sought to address barriers that frequently separate women from care. About 438,000 pregnant women have been identified and registered across priority local government areas. More than 4,000 free Caesarean sections have been performed in approved facilities, approximately 15,000 women and newborns have been transported through emergency referral systems, and more than 110,000 delivery support kits have been distributed.

These figures do not suggest that Nigeria has resolved its maternal mortality challenge. They do indicate that interventions are increasingly being directed at the specific points where preventable deaths often occur: delayed identification, inadequate referral systems, transportation barriers, weak emergency obstetric care, financial constraints, and limited follow-up.

There are also indications of improved service uptake. Available data showed an average of 92.6 per cent of facility deliveries attended by skilled personnel. DHIS2 reporting for 2025 indicated reductions in both newborn and maternal deaths during the period under review.

Whether these gains can be sustained in the long term remains to be seen. What is clear is that the effort is increasingly concentrated on the places where the burden has been intractable and the consequences of failure most severe: the primary healthcare centre, the maternity ward, and the journey between them. That is where the success or failure of any health reform is ultimately decided.

To be concluded.

Part II examines workforce development, immunisation, nutrition, financial protection, tertiary-care expansion, the Presidential Initiative for Unlocking the Healthcare Value Chain, public health preparedness, and the broader effort to build a more resilient health system.

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