Performance of the health system – outputs – Nigeria Health Systems and Services Profile

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Chapter 9 of AHOP's Nigeria Health Systems and Services Profile.

Nigeria’s health system still faces challenges in delivering optimal outputs and attaining universal health coverage.
Performance in the dimensions of access, quality and demand for health services is still suboptimal, at 41%, 40% and 42%, respectively. Moreover, Nigeria’s health system performance overall, at 45%, is below the World Health Organization African Region average of 52.9%.
Performance in terms of sociocultural access has improved, with more women in education and employment than before, which could in turn improve access to health services if financial risk protection and functional health facilities are put in place.
The quality of services is suboptimal, resulting in low demand for services, especially in the public sector.
For health system resilience, Nigeria scores 56%, higher than the regional average of 51.9%. Two recent external shocks have tested Nigeria’s health system – the Ebola epidemic in 2014 and the COVID-19 pandemic in 2020 – and it scores well for detection (58%). However, performance in other aspects of health system resilience, including preparedness and response, remains suboptimal and needs to be strengthened.
Both allocative and technical efficiencies are poor due to suboptimal budgetary allocations and use. Identified drivers of technical inefficiency, such as weak governance and leadership, weak public finance management, corruption and poor accountability, need to be addressed urgently.