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1 COI QUERY Country of Origin Question(s) Nigeria List of relevant sources providing general information on the healthcare system in Nigeria Date of completion 2 May 2018 Query Code Q73 Contributing EU+ COI units (if applicable) Disclaimer This response to a COI query has been elaborated according to the Common EU Guidelines for Processing COI and EASO COI Report Methodology. The information provided in this response has been researched, evaluated and processed with utmost care within a limited time frame. All sources used are referenced. A quality review has been performed in line with the abovementioned methodology. This document does not claim to be exhaustive neither conclusive as to the merit of any particular claim to international protection. If a certain event, person or organisation is not mentioned in the report, this does not mean that the event has not taken place or that the person or organisation does not exist. Terminology used should not be regarded as indicative of a particular legal position. The information in the response does not necessarily reflect the opinion of EASO and makes no political statement whatsoever. The target audience is caseworkers, COI researchers, policy makers, and decision making authorities. The answer was finalised on the 2 May Any event taking place after this date is not included in this answer. 1

2 COI QUERY RESPONSE Below is a list of sources (by topics and alphabetical order) providing general information on the health care system in Nigeria. General information AHO (African Health Observatory) and WHO (World Health Organization), Comprehensive Analytical Profile: Nigeria, n.d., ( BTI (Bertelsmann Stiftung s Transformation Index), 2018 Country Report Nigeria, 2018, ( accessed 24 April Nigeria Country Report, 2016, ( accessed 24 April Christian Aid, Assessment of Primary Health Centres in selected States of Nigeria, July 2015, ( accessed 27 April DFAT (Australian Government - Department of Foreign Affairs and Trade), DFAT Country Information Report Nigeria, 9 March 2018, ( accessed on 2 May 2018 ECHO (European Civil Protection and Humanitarian Aid Operations), Nigeria, ( accessed 2 May Federal Republic of Nigeria, National Health Act, 2014, article 11, 3, ( National%20Health%20Act.pdf), IOM (International Organization for Migration), Promoting Better Management of Migration in Nigeria, Needs assessment of the Nigerian Health Sector, May 2014, ( of%20the%20nigeria%20health%20sector.pdf), MSF (Médecins Sans Frontières), Nigeria, 2016 Key figures, ( accessed 2 May Nigeria Health Watch, The State Of The Nigerian Health Sector In 2017, 30 December 2017, ( accessed 2 May

3 OCHA (United Nations Office for the Coordination of Humanitarian Affairs), Nigeria, ( accessed 2 May PharmAccess Foundation, A closer look at the healthcare system in Nigeria, October 2016, ( Nigeria.pdf), accessed 24 April Nigerian Health Sector, Market Study Report, March 2015, ( accessed 27 April Reliefweb, Nigeria, ( accessed 2 May Save the Children, Nigeria, FG to fully implement the National Health Act in 2017 Minister of Health, 5 August 2016, ( %E2%80%93-minister-health), Social Security Administration (SSA/USA), Social Security Programs Throughout the World: Africa, 2017, September 2017, ( accessed 24 April (Nigeria is covered on pp and can be accessed separately at: accessed 30 April 2018). U.S. Department of Commerce, International Trade Administration, 2016 Top Markets Report Medical Devices, Country Case Study, Nigeria, 2016, ( WHO (World Health Organization), Health Topics (Nigeria), n.d., ( Specific information Adebayo, P.I. et al., A Distributed Information System for Health Care Facilities in Nigeria: A Web-based Spatial Approach, in: International Journal of Applied Information Systems, Vol. 5, N. 10, August 2013, ( accessed 25 April Health workforce and governance: The crisis in Nigeria, Human Resources and Health 15(32), posted 13 May 2017, ( workforce_and_governance_the_crisis_in_nigeria), accessed 25 April

4 Asogwa, M.N.O. and Odoziobodo, S.I., Public Private Partnership in the Provision of Health Services for the Millennium Development Goals: The Imperative Need for Optimizing the Public-Private Mix, in: European Scientific Journal, vol.12, No.29, October 2016 ( Awosusi, A., t al., Nigeria's new government and public financing for universal health coverage, in: The Lancet, Vol. 3, September 2015, ( Cable (The), Change in Nigeria s healthcare system, 1 January 2016, ( Daily Trust, Nigeria: National Health Act to Make Services Available to All, 30 June 2015, available at: ( accessed 30 April Eme Okechukwu, I., et al., Building a Solid Health Care System in Nigeria: Challenges and Prospects, in: Academic Journal of Interdisciplinary Studies, Vol. 3, No. 6, November 2014, ( Nigeria_Challenges_and_Prospects ), accessed 30 April Guardian (The), NHIS targets enrolment of 45m Nigerians next year, 8 December 2015 ( accessed 27 April Stakeholders clarify positions on NHIS, 17 March 2015 ( accessed 27 April Healthcare Federation of Nigeria, FMOH begins plan to implement National Health Act, 20 September 2015, ( Health Policy Research Group, Implementing the Basic Health Care Provision Fund in Nigeria, Resilient and Responsive Health Systems (RESYST), March 2015 ( accessed 27 April Joint Learning Network, Nigeria: Approaches to covering poor, vulnerable, and informal populations to achieve universal health coverage, n.d. ( VsZF9uYW1lOnJlc291cmNlX2ZpbGV8dHlwZTpmaWxl), ICRC (International Committee of the Red Cross), Working towards safer access to health care in Rivers state, 24 November 2016, ( accessed 2 May

5 Mora AT, Abdulmumini I, Abubakar IJ, Role of selected healthcare regulatory agencies in Nigeria, West African Journal of Pharmacy (2018) 29 (1), pp , posted 4 April 2018, ( gencies_in_nigeria), accessed 25 April MSF (Médecins Sans Frontières), Nigeria: Providing Much-Needed Care in Isolated Enclaves, 17 January 2018, ( accessed 2 May Nigeria: Borno state crisis update November 2017, 30 November 2017, ( accessed 2 May NHIS (National Health Insurance Scheme / Nigeria), Active primary HCP as at July 19 th 2017, 19 July 2017, ( repository/accredited_primary_provider.pdf), accessed 26 April Active secondary HCP as at July 19 th 2017, 19 July 2017, ( repository/accredited_secondary_provider.pdf), accessed 26 April NBS (National Bureau of Statistics / Nigeria) and UNICEF (United Nations Children s Fund), Multiple Indicator Cluster Survey , Survey Findings Report, August 2017, ( accessed 25 April News Express, Reflection on healthcare services and challenges of medical tourism, By Chike Okafor, 20 April 2017, ( accessed 26 April NHIS (National Health Insurance Scheme), NHIS Operational Guidelines, n.d., p. 31 ( accessed 27 April NHIS Services Charges, 2nd edition, 2013, ( Vulnerable Group Social Health Insurance Programmes, n.d. ( Nigeria Health Watch (Abuja), Nigeria: Will the 2016 Health Budget Fund the 2014 National Health Act?, 2 February 2016, available at: All Africa, 5

6 Obuaku, C., Essential Medicines in Nigeria: Foregrounding Access to Affordable Essential Medicines, in: African Sociological Review, Vol. 18, N. 2, 2014, p. 51 ( Ogbona, B.O., National drug distribution in Nigeria: Implementations for the Goals of National Drug Policy, in: European Journal of Pharmaceutical and medical research, 2016, p. 1 ( Onah, M.N., Govender, V., Out-of-Pocket Payments, Health Care Access and Utilisation in South- Eastern Nigeria: A Gender in: Plos One, Vol. 9, Issue 4, p. e ( Oyibocha, E.O., et al., Sustainable Healthcare System in Nigeria: Vision, Strategies and Challenges, in: IOSR Journal of Economics and Finance, Vol. 2, Issue 2, Sept-Oct. 2014, ( PharmAccess Foundation, Using diaries to improve a health insurance program to better meet health needs in rural Nigeria, April 2017, ( accessed 24 April Premium Times, Nigeria flags off scheme to revive 10,000 primary health care centres, 10 January 2017, ( Cancer: Nigeria has only 7 radiotherapy machines, 5 are faulty, 22 November 2016 ( radiotherapy-machines-5-are-faulty.html), PHCPI (Primary Health Care Performance Initiative), Primary Health Care: The Opportunity in Nigeria, September 2015, ( %20Nigeria.pdf), WHO (World Health Organization), Primary Health Care Revitalization- Nigeria s Solution to Achieving Universal Health Coverage, 4 August 2017, ( Yanfang, S., An Inverted Pyramid Pyramid: Three-tier Public Financing for Health in Nigeria, in: Howard College global health review, n.d., ( 6