Nigeria’s health sector continues to face significant challenges despite the World Bank approving $3.53 billion (approximately N5.4 trillion) in health-related loans over the past nine years.
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According to The PUNCH report, multiple loans and grants totaling around $3.64 billion have been disbursed between 2016 and 2025 through at least 11 major projects aimed at improving healthcare infrastructure, immunisation, maternal and child health, pandemic preparedness, and primary healthcare services across Nigeria. An additional $250 million loan is expected in September 2025, which would bring total funding close to $3.89 billion.
These funds were mainly channelled through federal agencies such as the Federal Ministry of Health, Nigeria Centre for Disease Control (NCDC), and the National Primary Health Care Development Agency.
However, health sector operators and officials have voiced concerns over the poor state of infrastructure and healthcare delivery that do not reflect the huge financial investments.
The President of the Nigerian Association of Resident Doctors (NARD), Dr. Tope Osundara, stated, “You go to the hospital sometimes, there is no drug, and no light. Despite the huge amount of money from the World Bank, there is little to show except more health facilities. But power supply and remuneration for healthcare workers remain poor.”
He further warned against possible diversion of funds, urging the government and Ministry of Health to closely monitor how these loans are used to prevent corruption and ensure the money is spent on strengthening the health system.
Dr. Osundara stressed the urgent need to improve healthcare infrastructure, worker support, and emergency preparedness, calling for collaboration with relevant stakeholders to enhance Nigeria’s healthcare delivery.
The World Bank’s support was meant to boost Nigeria’s healthcare capacity, especially in rural and underserved areas, but many Nigerians still experience inadequate services, highlighting the gap between funding and outcomes.
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