Access to Health in Nigeria: Indicators, Investments and Insights Across 5 States

Access to Health in Nigeria: Indicators, Investments and Insights Across 5 States examines the state of healthcare access and delivery in Nigeria, with a focus on primary healthcare, public investment, service delivery, and the institutional challenges affecting health outcomes. Drawing on health, economic, budgetary, and service-delivery data, the publication highlights persistent gaps in healthcare access and the consequences of inadequate investment, weak implementation, and institutional shortcomings.

The report explores key health indicators, including maternal and child mortality, immunisation, antenatal care, skilled birth attendance, life expectancy, and the burden of preventable diseases. It also examines public health financing, budget implementation, out-of-pocket expenditure, healthcare infrastructure, availability of essential medicines and equipment, and other factors that shape the quality and accessibility of healthcare services.

Through analysis across five states, the publication provides subnational insights into how health investments translate into service delivery and outcomes. It identifies gaps in planning, spending, accountability, and institutional capacity, particularly in primary healthcare and underserved communities. The report concludes with recommendations aimed at improving health financing, strengthening accountability, addressing service-delivery gaps, and ensuring that public investments in healthcare produce measurable improvements in access and health outcomes.