HomeBusinessHealth Insurance in Nigeria: Progress, Gaps and the Path to Universal Coverage

Health Insurance in Nigeria: Progress, Gaps and the Path to Universal Coverage

Health insurance is one of the most powerful tools available to any government seeking to protect its citizens from the financial ruin of illness. The principle is simple: pool the risks of a large number of people, distribute the financial burden through prepayment, and ensure that people can access care without catastrophic costs at the point of need. For Nigeria, a country of over 220 million people, achieving universal health insurance coverage is not merely a policy aspiration. It is a survival imperative.

Yet decades after the first attempts to build a national health insurance framework, Nigeria remains one of the most underinsured nations in the world. Out-of-pocket payments account for over 70% of total health expenditure, the highest proportion in Africa.

The Insurance Journey in Nigeria

Nigeria’s health insurance story began in 1962, when the first attempt to establish a formal health insurance system was made, but the Nigerian

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