Report: 34 States fail to meet the 15% adequate health funding benchmark between 2020 and 2022

• Nigeria’s health budget as a percentage of the total budget is declining

• Public health allocations by state governments per person have fallen from $10.8 per person in 2020 to $8.5 per person in 2022

By Daniel Adaji

Federal and several state governments in Nigeria continue to fall short of the 15 percent continental health funding benchmark for African countries, despite the threats of the COVID pandemic, healthcare challenges, and poor health outcomes in the country. A new health report released today by The ONE Campaign revealed this.

Nigeria continue to fall short of the 15 percent continental health funding benchmark for African countries

The report, titled “Post-Pandemic Health Financing by State Governments in Nigeria 2020 to 2022,” provides an in-depth analysis of sub-national and federal government health expenditure trends, revealing that while the combined budgetary allocations of all 36 states increased by 12.8 percent between 2020 and 2022, in real terms, the health sector received less funding in 2022 than in 2020 when adjusted for inflation.

The report also reveals that the proportion of total budgets allocated to health by most state governments is on a downward trend, reflecting the quality of healthcare delivery in the country.

Source: ONE.org

In 2001, the heads of state of African Union countries met in Abuja and pledged to devote at least 15% of their annual budgets to improving the health sector. But two decades after the Abuja Declaration, Nigeria still struggles to meet this goal.

The COVID-19 pandemic also revealed the challenges in Nigeria’s healthcare system, with stakeholders and many Nigerians hoping it would be the game-changer that finally motivates governments at all levels to prioritize healthcare, commit more funds to revitalize the sector, drive improved health outcomes and protect the masses from future health emergencies.

Decades after the Abuja Declaration, Nigeria still struggles to meet this goal.

The report’s findings, however, show a deviation from this expectation, with more than ten state governments in Nigeria reducing their fiscal allocations to healthcare since the pandemic hit in 2020, putting a strain on an already-stressed sector.

The report indicates that:

• Despite the realities of the COVID-19 pandemic, Nigeria’s health budget as a percentage of the total budget is declining

• 13 States have reduced their fiscal allocations to the health sector

• Only two states (Kaduna and Sokoto) consistently met the 15% health allocation target between 2020 and 2022.

• Public health allocations per person have fallen from $10.8 per person in 2020 to $8.5 per person in 2022

Stanley Achonu, Nigeria Country Director at The ONE Campaign, said: “Nigeria’s health indicators are reportedly some of the worst in Africa. COVID-19 has exposed additional gaps in the country’s healthcare system and has shown why the sector requires ambitious strategies and adequate funding in order to serve the masses, particularly the poor and most vulnerable in the society.

It is, therefore, extremely worrisome that some state governments are slashing their annual allocations to health when they should be striving to meet the Abuja Declaration’s 15 percent funding benchmark. As the 2023 budget season approaches, governments at all levels must prioritize health care and allocate a significant portion of their budget to improving healthcare delivery. Adequate disbursements should follow these allocations to finance health infrastructure and programs.”

It is, therefore, extremely worrisome that some state governments are slashing their annual allocations to health

The report urges governments to demonstrate strong political will and commitment to the Abuja Declaration by allocating at least 15% of their total budget to health. In addition, governments must commit to evidence-based programming, ensure effective stakeholder participation in budgeting processes, invest in primary health care centers, and complement adequate funding with sufficient health workers and effective health system governance.

Source:ONE.org

This report is a follow-up on the “State of Primary Healthcare Service Delivery in Nigeria” report released in July to track state governments’ performance in implementing the Basic Health Care Provision Fund (BHCPF). Follow this link to download the report.

Read more at www.one.org.