Nigeria's healthcare sector is at a critical juncture, and the year 2025 has left a bitter taste for medical professionals. With a lack of progress and a growing sense of disappointment, the Nigerian Medical Association (NMA) is calling for a radical transformation.
A Troubling Year for Healthcare
As the year drew to a close, the federal health sector in Nigeria found itself at a crossroads. Despite some improvements in infrastructure, the system was riddled with deep-rooted issues, leaving millions without access to quality healthcare. A comprehensive review of the government's health initiatives in 2025 revealed a disturbing lack of focus and priority, especially within the Federal Ministry of Health and Social Welfare.
The situation was exacerbated by the President's apparent neglect of healthcare delivery, leaving the sector adrift amidst increasing public health needs. Dr. Saheed Babajide, Chairman of the NMA, Lagos State, expressed his frustration, stating, "2025 was a year of stagnation and missed opportunities. The health sector struggled without a clear vision, and that's a huge setback for our nation's well-being."
Unaddressed Priorities and the Exodus of Talent
For healthcare workers, 2025 will be remembered as a year of unfulfilled promises. One of the most pressing issues was the government's failure to tackle the 'Japa syndrome' - the mass migration of healthcare professionals seeking better prospects abroad. Poor remuneration, inadequate welfare, and limited training opportunities were cited as major factors driving this exodus.
According to the NMA, the government's handling of industrial disputes only made matters worse. Prolonged strikes disrupted services, causing immense suffering for the public. "When health sector associations went on strike, the government's response lacked empathy and strategy. Ultimately, it was the citizens who bore the brunt, denied access to essential healthcare," Babajide noted.
Healthcare Out of Reach
Beyond labor issues, the NMA's review painted a bleak picture of healthcare access in 2025. Nigeria's health indices remained low, Universal Health Coverage (UHC) was weak, and health insurance coverage excluded a significant portion of the population. The cost of healthcare skyrocketed due to high drug prices, expensive consumables, and imported medical equipment subject to heavy tariffs.
Primary healthcare, the backbone of an effective system, received little attention. Poor and unstable power supply further crippled service delivery in many health institutions. The NMA criticized the Ministry of Health's "misplaced focus" on data collection, research, and international partnerships, while basic care remained out of reach for many Nigerians.
A Glimmer of Hope and a Call for Action
Amidst the challenges, the NMA acknowledged some improvements in infrastructure, particularly hospital buildings. However, they emphasized that buildings alone cannot address the systemic issues. "We need adequate staffing, modern equipment, and sufficient funding to save lives," Babajide stressed.
As Nigeria looks towards 2026, the NMA is demanding a decisive shift in policy and priorities. They call for improved welfare for healthcare workers, including better wages, competitive remuneration, and comprehensive welfare packages. To curb the Japa syndrome, the NMA proposes a range of measures, from affordable housing and car loans to structured training, career progression, and overseas training opportunities.
The association also advocates for an end to assaults on health workers and the implementation of non-taxable call duty allowances. "We must create an environment that values and retains our skilled professionals," Babajide emphasized.
On the service delivery front, the doctors want to see healthcare become more accessible, affordable, and of higher quality. This includes expanding UHC, reforming health insurance, reducing premiums and drug prices, and lowering tariffs on medical equipment.
Addressing Critical Concerns
The NMA further urges the immediate extension of the retirement age for healthcare workers and a renewed focus on strengthening primary healthcare nationwide. They believe collaboration between government and private hospitals can help reduce mortality rates and bridge access gaps. Reliable power supply is another critical issue, as health facilities struggle to provide even basic services without consistent electricity.
On funding, the doctors call for an increase in the budgetary allocation to the health sector, from the current 6% to 15%, in line with the Abuja Declaration. They emphasize the need for transparency and efficiency in fund utilization, stating, "It's not just about allocating more money; it's about ensuring it reaches where it's needed most and without corruption."
Leadership, Dialogue, and a Way Forward
Medical professionals insist that resolving strike actions requires a shift towards dialogue, respect, and dignity. "Health workers want their voices heard and their contributions valued. When associations like NARD go on strike, it's the everyday Nigerian who bears the brunt," Babajide said.
The NMA urges the Federal Government to establish specialist hospitals across all six geopolitical zones, including infectious disease centers, and to improve security and working conditions for healthcare workers. As Nigeria enters 2026, doctors warn that without urgent reforms, the nation risks losing more of its healthcare workforce and facing worsening health outcomes.
"Healthcare must be a national priority. Without a functional and accessible health system, sustainable development will remain an elusive dream."
What are your thoughts on the state of Nigeria's healthcare sector? Do you agree with the NMA's assessment and proposed solutions? Share your insights and let's spark a conversation on how we can improve access to quality healthcare for all Nigerians.
