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Nigerians entitled to compulsory health insurance — Falana

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Human rights lawyer, Femi Falana (SAN), has said that every Nigerian is now legally entitled to compulsory health insurance under the National Health Insurance Authority (NHIA) Act of 2022.

In a statement made available to The PUNCH on Friday, Falana explained that the NHIA Act repealed and replaced the National Health Insurance Scheme Act of 2004, which he said had failed to achieve “significant population coverage or integration” of Nigeria’s fragmented health insurance system.

According to him, the 2022 law “represents a major policy and legal shift toward making universal health coverage a legal and operational reality for all Nigerians.”

He noted that the Act mandates the enforcement of a Basic Minimum Package of Care for all citizens, while also establishing the Vulnerable Group Fund to subsidise care for the poor, elderly, children under five, and persons living with physical or mental disabilities.

Falana added that state governments are required to operate their own health insurance schemes or engage third-party administrators until such schemes are established.

“In accordance with the NHIA, on September 3, 2025, President Bola Tinubu directed all Ministries, Departments, and Agencies (MDAs) to enrol their employees in the National Health Insurance Authority scheme,” he said.

“To ensure compliance across all MDAs, the directive mandates all entities participating in public procurement to present a valid NHIA-issued Health Insurance Certificate,” Falana added.

He explained that the directive also empowers the Secretary to the Government of the Federation to enforce enrolment and monitor compliance, potentially expanding health coverage significantly across public institutions.

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Falana further said the NHIA Act mandates the governments of the 36 states and the Federal Capital Territory to provide a basic minimum package of care to all residents of Nigeria, in line with the Basic Health Care Provision Fund under the National Health Act 2014.

He noted that “state health schemes will manage the fund and monitor its implementation,” while states without established schemes may use third-party administrators pending the creation of their own.

“The primary aim of the NHIA Act is to ensure that every Nigerian and legal resident has access to affordable, quality, and comprehensive health care services through mandatory health insurance,” he said.

Falana pointed out that the NHIA had now set up “a regulatory and institutional framework for the promotion, administration, supervision, and regulation of all health insurance schemes in Nigeria — whether public or private.”

Citing the Health Care Providers Association of Nigeria, Falana lamented that “over 90 per cent of Nigerians are still not covered by any form of health insurance,” warning that the country remains far from achieving universal health coverage.

He attributed the situation largely to poverty, noting that “millions of citizens have become dimensionally poor.”

Quoting Section 25 of the NHIA Act, Falana said health insurance for vulnerable people “shall be fully funded by the government,” while Section 31 requires employees to contribute on a contributory basis.

He explained that the law defines the “vulnerable group” to include “children under five, pregnant women, the aged, the physically and mentally challenged, and the indigent as may be defined from time to time.”

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“Since the majority of citizens have become indigent and vulnerable, the federal, state, and local governments should provide adequate funding for the health insurance of all citizens,” Falana stated.

He said this demand aligns with Section 17(3)(d) of the Nigerian Constitution, which imposes a duty on the government to ensure “adequate medical and health facilities for all persons,” as well as Article 16 of the African Charter on Human and Peoples’ Rights, which guarantees every individual “the highest attainable standard of physical and mental health.”

PUNCH Online on September 25, 2025, reports that President Bola Tinubu’s directive to enforce the National Health Insurance Authority Act (2022) across all ministries, departments, and agencies has been hailed as a significant step forward for Nigeria’s health system.

The order mandates MDAs to enrol their employees in the NHIA scheme and makes possession of a valid Health Insurance Certificate a prerequisite for public procurement, licensing, and other official approvals. It also provides for the creation of a digital verification platform to enhance transparency and prevent forgery.

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Sand depletion threatens construction, food security — LASG

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The Lagos State Government has raised alarm over the growing sand depletion deposits across the state, warning that unchecked dredging activities could worsen construction costs, damage aquatic ecosystems and threaten food security.

“We need proper data. We need to know how many people are dredging, how much sand is being dredged daily, and what is left within those areas,” the Commissioner for Waterfront Infrastructure Development, Dayo Bush Alebiosu, said during the ministry’s two-year scorecard presentation at the annual ministerial press briefing held at the Bagauda Kaltho Press Centre.

Alebiosu said increasing demand for sand used in reclamation and infrastructure projects, particularly within the Lekki-Ajah corridor, had intensified pressure on available deposits across Lagos.

According to him, developers handling reclamation projects in Lekki and Ajah now source sand from communities as far as Ikorodu, pumping materials across distances of between 10km and 12km because deposits in closer locations are becoming exhausted.

He said the development confirmed fears that sand resources around Ajah were gradually running out, stressing that the state government has become more cautious in issuing dredging licences and permits.

The commissioner warned that the continued depletion of sand reserves could significantly increase the cost of construction and infrastructure delivery in Lagos, thereby placing additional pressure on housing and urban development.

He also linked indiscriminate dredging to threats to food security, especially in fishing communities that depend on healthy aquatic ecosystems for their livelihoods.

“It is putting food security at risk. We are encouraging people to consume more protein, such as fish, but whenever dredging disturbs aquatic life, fishermen are forced to work harder, and naturally, the cost of fish goes up,” he said.

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According to Alebiosu, aggressive dredging disrupts aquatic microorganisms and marine habitats, forcing fishermen to travel farther and spend more resources before making catches.

The commissioner further disclosed that host communities are increasingly facing infrastructural damage caused by heavy-duty dredging equipment and commercial activities associated with sand excavation.

He cited Ibese as one of the affected communities where roads and public infrastructure have reportedly deteriorated due to dredging operations.

Alebiosu said the Ministry of Waterfront Infrastructure Development remains the agency legally empowered to regulate dredging and sand dealing activities in Lagos State.

He added that the ministry collaborates with relevant agencies, including the Ministry of Environment and Physical Planning, as well as host communities, to tackle illegal dredging through monitoring, enforcement and whistleblowing mechanisms.

The commissioner also urged residents to support enforcement efforts by reporting illegal dredging activities, noting that some operators deliberately conceal their activities to evade detection.

“We cannot continue blaming foreigners alone. We must ask ourselves how they got there in the first place. They definitely have the connivance of some locals,” he said.

The Lagos State Government reaffirmed its commitment to stricter regulation of dredging activities to curb environmental degradation, protect waterfront communities and ensure the sustainable use of natural resources across the state.

A statement released later on Thursday by the Director, Public Affairs of the Ministry of Waterfront Infrastructure Development, Morenikeji Akodu, noted that commissioner warned that the increasing desperation for sand across Lagos was already exposing the dangers of over-exploitation of waterways and coastal resources.

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He also warned that the development pointed to mounting pressure on available sand deposits across the state and underscored the need for stricter regulation and proper monitoring of dredging activities.

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Flood alert: Kaduna steps up awareness as rains loom

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The Kaduna State Government has intensified public awareness and emergency preparedness efforts following forecasts by the Nigerian Meteorological Agency that the state may experience flooding during the 2026 rainy season.

The government said the move followed the release of the 2026 Seasonal Climate Prediction report by NiMet, which identified Kaduna among states likely to witness above-normal rainfall this year.

In a statement issued on Thursday, the Commissioner for Information and Culture, Ahmed Maiyaki, said the government had commenced coordinated sensitisation and disaster response initiatives to minimise the impact of flooding and protect lives and property.

According to the statement, rainfall in Kaduna State is expected to commence between May 19 and June 10, 2026, while cessation is projected between October 5 and October 21, 2026.

The statement further noted that the forecast indicated the possibility of a severe 21-day dry spell between June and August, a development that could worsen flooding and other environmental challenges.

“The Kaduna State Government is taking this forecast seriously. Early preparedness and public cooperation remain critical to reducing the impact of flooding on our communities,” Maiyaki stated.

He disclosed that the Ministry of Information and Culture, in collaboration with the Kaduna State Emergency Management Agency, had launched a statewide sensitisation campaign aimed at educating residents on flood prevention, mitigation and safety measures.

Maiyaki urged residents to clear drainage around their homes and business premises and desist from indiscriminate dumping of refuse into waterways.

He also advised residents in flood-prone communities to adopt preventive measures, including the use of sandbags and other local flood control measures.

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The commissioner appealed to traditional rulers, religious leaders, media organisations and civil society groups to support government efforts by promoting environmental sanitation and disseminating verified information to the public.

“The safety of citizens remains a top priority for the Kaduna State Government. We will continue to work with all relevant agencies and communities to ensure timely information dissemination and effective disaster risk reduction measures throughout the rainy season,” he added.

The statement further disclosed that KADSEMA had commenced vulnerability assessments in flood-prone communities, strengthened emergency response coordination and begun pre-positioning rescue materials and personnel in high-risk areas.

Flooding has remained a recurring challenge in several parts of Kaduna State and across the country during the rainy season.

In recent years, heavy rainfall has led to the destruction of houses, farmlands and public infrastructure in several communities, while hundreds of residents were displaced.

In 2024 and 2025, parts of Kaduna metropolis, Kafanchan, Zaria and some riverine communities witnessed severe flooding following torrential rains and poor drainage systems, prompting repeated warnings from emergency management agencies.

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Akwa Ibom doctors threaten N1bn lawsuit against EFCC over hospital raid

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The Nigerian Medical Association, Akwa Ibom State chapter, has said it will institute a N1bn legal action against the Economic and Financial Crimes Commission over alleged assault on one of its members, Professor Eyo Ekpe, during a raid at the University of Uyo Teaching Hospital, Akwa Ibom State.

The association on Wednesday said the planned suit followed what it described as physical, emotional, professional and institutional damages suffered during the EFCC operation at the hospital on Tuesday.

It was gathered that EFCC operatives had stormed the UUTH while investigating a fraud case involving a suspect, a move the commission said was to verify a medical report submitted by the suspect.

The EFCC, in its explanation, said its operatives later visited the Chief Medical Director of the hospital “as a last resort to make further enquiries,” but claimed they were met with resistance, adding that the team eventually withdrew without disrupting hospital activities.

However, the NMA said the operation led to the alleged assault of Professor Ekpe, a cardiothoracic surgeon at the hospital.

Addressing a press conference in Uyo, the state NMA Chairman, Professor Aniekan Peter, said the decision to approach the court was part of resolutions reached at an emergency meeting of the association.

He said, “We observed that Prof Eyo Ekpe was apprehended within the premises of UUTH by masked EFCC operatives who physically assaulted him, beat him to the point of bleeding, handcuffed him alongside other doctors and hospital staff who attempted to intervene.

He also alleged that the NMA chairman was affected during the incident, saying, “Professor Peter, Akwa Ibom NMA chairman, was shoved and exposed to teargas when he approached the scene seeking clarification from the operatives.”

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The association described the hospital environment as “sacred” and said it should not be subjected to violent operations by security agencies.

It added, “We shall institute a legal action against the EFCC with a demand for damages in the sum of N1bn for the physical, emotional, professional and institutional damages caused.”

The communique, read by Assistant Secretary of the association, Dr Unyime Ndoh, and endorsed by Professor Peter and Secretary Dr Ighorodje Edesiri, said the association would not return to work unless its demands were met.

The demands include an apology to the affected doctors and identification and prosecution of those involved in the operation.

The NMA also said there was no prior formal invitation to Professor Ekpe or its leadership before the incident, describing the raid as “barbaric, degrading, inhuman and a gross violation of the sanctity of the hospital environment.”

The association further said it would not provide medical services to EFCC officials or their relatives until its demands are addressed.

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