The Lancet Nigeria Commission Calls for a New Social Contract on Health

The official launch of The Lancet Nigeria Health Commission Report titled: “Investing in health and the future of the nation. Photo credit: Nigeria Health Watch.
His Excellency Professor Yemi Osibanjo delivering his keynote address at the launch of the Lancet Nigeria Health Commission report in Abuja. Photo credit: Nigeria Health Watch
Image credit: Nigeria Health Watch
A Cross-section of the delegates at the launch of the Lancet Nigeria Health Commission report in Abuja. Photo credit: Nigeria Health Watch
Professor Ibrahim Abubakar presenting the Commission report at the launch. Photo credit: Nigeria Health Watch
Image credit: Nigeria Health Watch
Image credit: Nigeria Health Watch
  1. A new social contract centered on health must be developed to address Nigeria’s need to define the relationship between the citizen and the state.
  2. Given Nigeria’s young population, prevention should be at the heart of health policy, and this requires a whole-of-government approach and community engagement.
  3. The government should create a healthcare reform programme to deliver a centrally determined, locally delivered health system, including providing health insurance coverage for 83 million poor Nigerians who cannot afford to pay premiums.
  4. Build a health system that encourages innovation and engages communities, to ensure that existing nationally driven schemes have local buy-in and are sustainable; and reforming the policy and regulatory landscape to unleash the market potential of the private sector.
  5. Improve health financing and ensure better accountability and distribution of resources by increasing the proportion of spending and improving the efficient use of existing resources devoted to health to help defragment and decolonise the Nigerian health landscape.
  6. Do a whole system assessment of the investment needs in Nigeria’s health security. This is especially imperative as the COVID-19 pandemic exposed weaknesses in the nation’s health security.
  7. Federal and state governments should fund and lead the development of standards for the digitisation of health records and better data collection, registration and quality assurance systems.
The Secretary to the Government of the Federation, Boss Mustapha and the Assistant Director General, Health Emergency Intelligence, World Health Organization, Dr. Chikwe Ihekweazu at the launch of the Lancet Nigeria Health Commission report in Abuja. Photo credit: Nigeria Health Watch

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Nigeria Health Watch

Nigeria Health Watch

We use informed advocacy and communication to influence health policy and seek better health and access to healthcare in Nigeria. nigeriahealthwatch.com