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BudgIT Report Tool for Responsibility, Accountability in Nigeria’s Public Finance – Shettima

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Vice President Kashim Shettima says the report by BudgIT Foundation Nigeria, renowned for its expertise in budget tracking and transparency advocacy, will set a new standard in responsibility and accountability for the country’s public finance.

Shettima, who was represented by his Special Adviser on Economic Affairs, Dr Tope Fasua made this known at the BudgIT 2023 State of States report launch with the theme” Subnational Healthcare Delivery for Improved Economic Development”.

Reports says that the state of states is an annual comparative assessment of the fiscal performance and position of the 36 states of the federation.

The first edition of the State of States research was conducted in 2017, and there have been four other editions after that.

Shettima highlighted the importance of gradual societal change and acknowledged the BudgIT Foundation as a catalytic institution in driving development.

“The focus of the 2023 event is on healthcare, with the understanding that good health is essential for economic growth.

He emphasised that without a healthy society, the Gross Domestic Product(GDP), cannot thrive.

While applauding the Budget Foundation’s efforts in drilling down to the state level, he also expressed the need to pay attention to local governments, particularly in rural areas.

“Many of these areas have been neglected, and the potential for economic growth lies within them,” he said.

He suggested that future initiatives should focus on these local areas and assess their progress alongside their states.

He raised concerns over the efficiency of healthcare spending.

While the African Union may have recommended a certain percentage of the budget to be allocated to healthcare, the vice president , said the importance of ensuring that the funds were used effectively.

“Abandoned primary healthcare centres were cited as an example of inefficiency in spending, particularly in rural areas where there is a lack of healthcare providers,” he said.

He assured that the data and decisions presented in the BudgIT Foundation report, State of State 2023, would be taken into account and incorporated into the government’s plans.

Giving the State of States Report presentation, the BudgIT head of Research and Policy Advisory, Mr Iniobong Usen, said that states’ reliance on transfers from the Federal Government increased from 58.4 per cent in 2021 to 61.45 per cent in 2022.

Usen said that at least 70 per cent of the total revenue of 16 states comprised federal transfers, while 32 states depended on transfers from the federal government for at least 50 per cent of their revenue.

He said that the cumulative revenue of the 36 states grew by 28.95 per cent from N5.12tn in 2021 to N6.6tn in 2022.

“The IGR of the 36 states appreciated by 12.98 per cent from N1.61tn in 2021 to N1.82tn in 2022, denoting a strengthened domestic revenue mobilization capability.

“The IGR to GDP ratio remained very low at 1.01 per cent. The increase in IGR did not reflect across the board as 17 states experienced a decline in their IGR from the previous year while 19 states recorded positive growth,” he explained.

Speaking on the under-five mortality rate, he said that the southwest of the country recorded the lowest figures at 48 deaths per 1,000 live births while the northwest has the worst regional record with 158 deaths per 1,000 live births.

According to him, Across the country, Lagos has the lowest numbers while Sokoto had the worst.

“One in every 10 children in Nigeria does not make it to their 5th birthday, while one in every seven children born in the Northwest does not make it to their 5th birthday,”.

The Country Director, Mr Gabriel Okeowo, said that the 2023 State of States edition spotlights how subnationals prioritise investments in human capital development and the sustainability of the borrowings of the States.

Okeowo said that the state states report was a comparative assessment of the fiscal performance and position of the 36 states of the federation.

He said that the report looked at how States can finance their budgets with revenues generated internally, viz-a-vis their dependence on the Federal Allocation. (NAN)

Health

Agency Seals 12 Islamic Medicine Stores, One Clinic in Niger Crackdown

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The Niger State Private Health Facilities Agency (NiSPHFA) has sealed 12 unregistered Islamic medicine stores in Minna and a health facility in Katcha Local Government Area (LGA).

The Executive Chairman of NiSPHFA, Dr.

Abdullahi Suleiman, disclosed this while receiving members of the Islamic and Prophetic Medicine Practitioners’ Association of Nigeria (IPMPAN) in Minna.

The enforcement is part of the agency’s renewed efforts to protect residents from unsafe healthcare practices and ensure compliance with minimum standards.

Suleiman said the facilities were sealed over alleged non-compliance with regulatory standards.

According to him, the enforcement is not aimed at persecuting healthcare providers but at ensuring residents have access to safe, quality, and standard-compliant healthcare services.

“Our responsibility is to protect the people by ensuring that anyone providing healthcare services operates within the required standards,” he said.

He urged genuine alternative medicine practitioners to register with NiSPHFA, saying registration would enable the agency to identify operators, monitor their activities, and protect residents from unsafe products and practices.

Suleiman also announced plans to organise a trade fair for verified alternative medicine practitioners to promote legitimate practices and improve public confidence in alternative healthcare.

He emphasised the need for practitioners to maintain minimum standards of hygiene, sanitation, safe preparation and storage of medicines, proper packaging, and infection prevention.

“Practitioners should refer patients whose conditions are beyond their capacity to appropriate health facilities. Such referrals will help reduce avoidable health risks,” he said.

The chairman said sustained enforcement, stakeholder collaboration, and improved compliance would enable NiSPHFA to safeguard residents and promote a safer, more accountable, and quality-driven healthcare system across the state.

He said the NiSPHFA enforcement team inspected 10 health facilities in Katcha local government and identified various irregularities requiring improvement.

Suleiman said the affected facilities were issued 21-day notices to correct the identified deficiencies.

“One of the facilities inspected was sealed for non-compliance with established standards,” he said.

He added that the agency also secured the support of the local government area in identifying and addressing facilities operating with irregularities.

IPMPAN Chairman, Abdullahi Haske, commended the state government for establishing NiSPHFA.

He pledged the association’s cooperation in ensuring that its members complied with regulatory requirements.

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Stakeholders Seek Improved Health Budget Implementation, Accountability in Kaduna

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Stakeholders have called for improved implementation, tracking and accountability of health sector budgets to strengthen healthcare delivery and advance Universal Health Coverage (UHC) in Kaduna State.

They made the call during an engagement on strengthening participatory budget processes, health budget tracking and advocacy on Saturday in Kaduna, with emphasis on the 2027 budget process and implementation of the Annual Operational Plan (AOP) for the health sector.

Seth Luke, a Civil Society Coach on strengthening participatory budget processes under the Open Government Partnership (OGP) Kaduna, said the engagement was aimed at strengthening the capacity of OGP Technical Working Groups and state and local government accountability mechanisms to effectively participate in budget processes and advocacy.

Seth said the engagement was particularly focused on the health sector, including tracking the implementation of the Annual Operational Plan as the state commenced preparations for the 2027 budget.

 “We want to see how we can track the implementation of the Annual Operational Plan for the health sector and, from our findings, bring out recommendations around improving funding and other areas that require attention,” he said.

He said the government needed to prioritise health financing beyond budgetary allocation by ensuring effective implementation of approved programmes and projects.

According to him, budget allocation represents government plans based on expected revenue, but available resources should be prioritised toward activities capable of improving healthcare and service delivery at the grassroots.

Seth urged participants to use the knowledge and findings from the engagement to engage relevant government stakeholders on improving health financing and budget implementation.

He also encouraged them to extend the knowledge gained to other sectors and continuously engage government on budgeting, accountability and service delivery.

Similarly, Garba Mohammed, Co-Chair of the Kaduna Maternal Accountability Mechanism (KADMAM), said the engagement was aimed at reviewing health budget performance against key indicators linked to maternal mortality reduction and child survival.

Mohammed said participants examined first and second quarter performance, particularly in areas such as family planning, Maternal, Newborn and Child Health (MNCAH), nutrition, malaria, immunisation and essential medicines.

He said family planning interventions largely involved commodities at the primary healthcare level, while MNCAH activities remained largely donor-dependent.

Mohammed commended the Kaduna State Government for meeting the Abuja Declaration benchmark of allocating at least 15 per cent of its annual budget to health.

He, however, expressed concern over gaps in the implementation of some critical health budget lines, stressing that allocation alone was not enough to improve health outcomes.

 “We have looked at the budget allocation, and Kaduna State has met the 15 per cent Abuja Declaration benchmark. We commend the state for that. However, there are still issues around budget performance in critical health indicators,” he said.

He said the findings would be used to identify advocacy priorities and engage key government decision-makers, including the Ministry of Health, Planning and Budget Commission, Ministry of Finance and other relevant authorities.

Mohammed said participants were expected to understand the relevant health budget lines and their implementation status and use the knowledge to undertake evidence-based advocacy in their respective organisations.

Meanwhile, Yusuf Guje, Executive Director, Civic Impact for Sustainable Development Foundation (CISDF), and a participant at the programme, told the News Agency of Nigeria (NAN) that the engagement was timely in strengthening the capacity of civil society and accountability mechanisms.

Guje said the programme would deepen participants’ capacity in budget tracking, project monitoring and social auditing, particularly within the health sector.

He described the health sector as a critical pillar of development, saying civil society organisations had an important role to play in complementing government efforts through effective monitoring and accountability.

He said CSOs needed to strengthen their ability to analyse budgets, track expenditure and visit healthcare facilities to determine whether appropriated and released funds were being properly utilised.

“Civil society needs to really improve on how effectively we analyse the budget, how we track the spending, and go down to the various facilities to see how well the money appropriated and released is being utilised,” Guje said.

He said effective monitoring would help determine the extent to which communities benefited from government investments in healthcare.

According to him, Kaduna State’s commitment to Universal Health Coverage could only be strengthened through sustainable health financing and effective accountability mechanisms.

Guje described CSOs as representatives of communities that often lacked the knowledge, skills and platforms required to engage government on public policies and resource allocation.

He therefore urged civil society actors to continuously strengthen their capacity to represent citizens effectively, particularly in health financing advocacy and accountability.

 “As civil society, we need to remain committed to holding the government accountable where necessary and tracking the entire health financing process,” he said.

Guje said the ultimate objective of budget tracking and social accountability was to ensure value for money in public expenditure on health.

He added that effective monitoring of public finances would contribute to improved healthcare delivery and better health outcomes at the grassroots. (NAN)

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C’River Makes Health Insurance Compulsory for Civil Servants

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Cross River Government has made enrolment in the state Health Insurance Scheme compulsory for all civil and public servants in the state.

The Head of Service, Bassey Okon, announced this in a circular dated Sept.

3, following the official relaunch of the Formal Sector Enrolment Programme of the Cross River State Health Insurance Agency.

According to the circular in Calabar, at the weekend, the directive takes immediate effect.

Okon stated that the policy was meant to ensure that all the civil and public servants had access to affordable, quality, and timely healthcare services, while strengthening the welfare and productivity of the state workforce.

He directed all the civil and public servants to enroll in the scheme and comply with the registration and documentation requirements of the agency.

The circular also introduced a mandatory requirement for officers to attach valid health insurance enrolment cards to official correspondences relating to personnel matters.

“Correspondences concerning promotion, confirmation of appointment, loan applications, study leave, training or sponsorship, transfer or secondment, as well as other personnel-related requests or benefits, would not be processed without the attachment of a valid health insurance enrolment card,” it stated.

To facilitate the enrolment process, the government established enrolment points at the Office of the Head of Service, New Secretariat, Calabar, and the Ministry of Health, Old Secretariat, Calabar.

Okon directed all Heads of Ministries, Departments, and Agencies (MDAs) to ensure that officers under their supervision were duly informed about the circular and made to comply with the enrolment requirement without delay.

He also urged concerned officers to take advantage of the designated enrolment points for guidance and assistance and to complete their enrolment as required.

He further directed all the heads of the MDAs to bring the contents of the circular to the attention of all civil and public servants under their supervision. (NAN)

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