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NHIA Surpasses Target, Covers 18.7m Nigerians in Q2 2024 – DG

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The Nigerian Health Insurance Authority (NHIA) says it has made significant strides in expanding health insurance coverage across the country.

Dr Kelechi Ohiri, the Director-General of NHIA, disclosed this on Monday in Abuja during the inaugural Quarterly Performance Dialogue between the Federal Government, 36 State Governments, and key health sector stakeholders.

According to Ohiri, as of the second quarter of 2024, nearly 18.

7 million Nigerians were covered by health insurance, surpassing the target set for the period by an impressive 11 per cent.

He said that this achievement highlighted the NHIA’s dedication to achieving universal health coverage (UHC).

“The authority’s vision is centered on bridging the gap in healthcare access for millions of Nigerians and enhancing the overall quality of care.

“Despite this progress, several challenges persist,” he said.

He said that one of the significant challenges identified was the uneven distribution of coverage, particularly the disparity between the formal and informal sectors.

To tackle these challenges, Ohiri said that the NHIA had outlined a strategic plan for the future.

He mentioned that the authority aimed to leverage data and technology to enhance service delivery and patient outcomes.

He said that the NHIA was optimising operations and fostering citizen engagements in its commitment to improving healthcare access.

“The Authority has set an ambitious target to cover 20 million Nigerians by 2027, a goal that underscores its comprehensive vision for universal health coverage in the country,” he disclosed.

According to him, the positive trend in health insurance coverage is a crucial step towards ensuring more Nigerians can access quality healthcare.

“The authority’s focused approach and commitment to addressing current challenges positions it as a vital player in the journey towards universal health coverage in Nigeria,” he  added.

Report says that at the inaugural Quarterly Performance Dialogue, the first quarter, maternal and child health indicators across Nigeria were discussed.

The latest health scorecard findings reveal a complex picture of progress and challenges.

While there have been improvements in some areas, significant issues persist, particularly in antenatal care attendance and data quality.

The report indicates a positive trend in skilled birth attendance (SBA) coverage, with improvements seen in the first quarter of 2024 compared to the third quarter of 2023.

This suggests that more women are receiving professional care during childbirth, which is crucial for reducing maternal and infant mortality rates.

However, the coverage rates for the first antenatal care visit (ANC-1) have fallen below 80 per cent in most states. The drop-off in SBA coverage compared to ANC-1 is particularly concerning.

The highest coverage rates for ANC-1 are observed in the Northeast, while the North-Central region lags behind.

The decline in ANC-1 visit coverage in all states from the third quarter of 2023 to the first quarter of 2024 raises alarms.

Some states reported coverage rates exceeding 100 per cent in the third quarter of 2023, suggesting issues with data accuracy.

Moreover, coverage for the fourth antenatal visits has generally been higher according to the 2021 Multiple Indicator Cluster Survey/National Immunisation Coverage Survey (MICS/NICS) compared to reports from the District Health Information System (DHIS-2).

A reduction in ANC-4 coverage compared to ANC-1 highlights significant challenges in ensuring continuity of care for pregnant women.

Most states reported lower ANC-4 coverage in the first  quarter of 2024 than in the third quarter of 2023, indicating that many women are not receiving the recommended number of antenatal visits.

The scorecard also points to inconsistencies in vaccination coverage.

The Penta-3 vaccine coverage, critical for protecting children against diphtheria, pertussis, and tetanus, was lower in the 2021 MICS/NICS survey compared to DHIS-2 reports.

Additionally, some states reported Penta-3 coverage rates above 100 percent in Q1 2024, again highlighting potential data quality issues.

On a positive note, all states reported that more than 70 per cent of malaria cases were treated with Artemisinin-based Combination Therapy (ACT).

However, some states recorded ACT treatment rates above 100 per cent, suggesting discrepancies in the reported data. (NAN)

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Adebayo Raises Alarm Over ‘Stifling’ of Opposition Under Tinubu, Warns of Shrinking Democratic Space

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By Mike Odiakose, Abuja

The 2023 presidential candidate of the Social Democratic Party (SDP), Prince Adewole Adebayo, has raised concerns over what he described as a growing perception that opposition parties are being stifled under the administration of Bola Ahmed Tinubu, warning that Nigeria’s democratic space may be narrowing ahead of the 2027 elections.

Speaking in an interview, Adebayo pointed to a combination of voter apathy, internal crises within opposition parties, and what many observers see as a political environment increasingly tilted in favour of the ruling government.

According to him, the weakness and fragmentation currently plaguing opposition parties cannot be separated from a broader system that appears to discourage credible alternatives and limit effective political competition.

“Strategic partners in an election are not necessarily politicians,” he said, stressing that millions of Nigerians have become disillusioned with the political process.

“If you want to have a coalition, you must find where the 80 percent who didn’t show up are and address why they stayed away.”

His remarks come amid rising concerns in political circles that the opposition’s inability to organise effectively is being compounded by a climate that critics say indirectly benefits the ruling party by weakening rival platforms.

Adebayo expressed skepticism about ongoing coalition talks among opposition figures, warning that alliances lacking discipline, credibility, and shared values could further erode public trust and reinforce the dominance of the incumbent administration.

“You cannot be talking about corruption and accountability and then align with people whose actions contradict those values,” he stated.

He also revealed that attempts by the SDP to engage with other parties have often been frustrated by internal disputes, with multiple factions from the same platforms approaching coalition discussions without resolving their differences—an issue he said reflects deeper structural problems within the opposition.

“We told them, don’t bring your internal problems into coalition discussions. Go back and organise your party first,” Adebayo said.

Despite these challenges, the SDP leader insisted that the real threat to Nigeria’s democracy lies in the growing disengagement of citizens, many of whom no longer see the political system as responsive or inclusive.

Analysts say this disengagement, coupled with persistent crises within opposition parties, reinforces perceptions that the political environment under Tinubu is becoming increasingly difficult for alternative voices to thrive.
Adebayo maintained that beyond electoral contests, the focus should be on rebuilding a system that guarantees accountability and genuine political participation.

“Some people are satisfied once the president is removed. For us, that is only the beginning,” he said.

“The real task is to replace the system with one that reflects good governance and accountability.”

His comments highlight mounting concerns within the opposition that unless the current trajectory is reversed, Nigeria risks entering the next election cycle with weakened political competition and diminished public confidence in democratic institutions.

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FG Reaffirms Commitment to ACReSAL Project at Mid-Term Review in Kaduna

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By David Torough, Abuja

The Federal Ministry of Water Resources and Sanitation has reaffirmed its commitment to the successful implementation of the Agro-Climate Resilience in Semi-Arid Landscapes (ACReSAL) project, as stakeholders convened for a mid-term review meeting in Kaduna.

Speaking at the meeting on Thursday, the Minister of Water Resources and Sanitation, Joseph Terlumun Utsev, emphasized the ministry’s continued dedication to advancing the project’s objectives.

Utsev, who also serves as Co-Chairman of the ACReSAL Steering Committee, highlighted the ministry’s role in watershed management, flood forecasting, and the development of sustainable water infrastructure.

He noted that agencies under the ministry, including River Basin Development Authorities and Hydrological Services, would remain central to strengthening early warning systems and ensuring water resource sustainability for both present and future generations.

The minister described the mid-term review as a critical milestone, providing stakeholders with an opportunity to evaluate progress, assess the effectiveness of interventions, and identify operational challenges that may be limiting the project’s impact.

He added that the meeting would also help deepen collaboration across sectors and institutions, a key factor in achieving the project’s long-term goals.

Utsev outlined priority areas for the project moving forward, including integrated water and landscape management, improved access to reliable hydrological and climate data, and the sustainability and scalability of ongoing interventions.

Also speaking at the event, the Minister of Environment, Balarabe Abbas Lawal, acknowledged the positive impact of ACReSAL on communities nationwide.

He urged state governments to enact supportive legislation to sustain the project’s gains beyond its lifecycle.

The meeting featured presentations from representatives of the Kaduna State Government, including those representing Uba Sani, as well as the Minister of State for Agriculture and Food Security, Aliyu Sabi Abdullahi, and the World Bank’s ACReSAL Technical Team Leader, Joy Agene.

The ACReSAL project is a multi-sectoral initiative aimed at building climate resilience in Nigeria’s semi-arid regions through sustainable land and water management practices.

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Otu, Retired Naval Chief Bag UNICAL Honorary Degrees

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From Ene Asuquo, Calabar

The Governor of Cross River State, Prince Bassey Otu, has been conferred with an honorary doctorate degree (Honoris Causa) in Political Science by the University of Calabar (Unical).

In the same vein, Rear Admiral Garba Sadeeq Abubakar (Rtd) was also conferred with an honorary doctorate degree in Peace and Conflict Resolution.

They received the awards at the Godswill Akpabio International Conference Centre, UNICAL, during the 38th Convocation Ceremony for the award of Postgraduate and Honorary Degrees.

The Chancellor of Unical, His Highness, Sarkin Kano, Alhaji Ado Bayero, described the award as deserving, citing the invaluable contributions of the duo to national development.

He eulogized Governor Otu for his transformative leadership in Cross River State and Rear Admiral Abubakar for his distinguished service in the Nigerian Navy, emphasizing their commitment to public service and nation-building.

The Chancellor noted that the honorary degrees recognize not just their achievements, but their dedication to uplifting communities and promoting peace, making them exemplary role models for the graduating class.

He stated that UNICAL is proud to confer these awards on such outstanding individuals.

Speaking shortly after being robbed in an academic regalia, Otu said he feels honoured to receive the award, describing it as a testament to the character, discipline, and excellence Unical instilled in him as a student.

He pledged to continue partnering with tertiary institutions, especially Unical, to drive development and foster academic excellence.

Governor Otu charged graduands to dream big, stay focused, and get prepared to lead, urging them to make meaningful contributions to the society.

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