The Joint Annual Health sector wide Review
#JAR2025 @SWApGov offers us opportunity to reflect on progress, identify gaps, learn from experience, and enhance our collective accountability for results.
The evidence presented gave an encouraging picture. 84% of national health performance indicators under the Presidential Bond have been achieved as of Q3 2025, representing 37 of 41 key targets. 35 states and the FCT have completed their State JARs with citizen participation, all aligned with the
#NHSRII Blueprint. All 774 LGAs
@AlgonNationalHQ now have National Health Fellows and Public Financial Management Officers in place. Ministerial oversight meetings have been held as scheduled, and 60% of National Council on Health resolutions have been implemented, showing that commitments are being translated into results.
Service utilisation and outcomes continue to improve. Visits to facilities supported through the
#BHCPF rose from 10 million in Q1 2024 to 37 million in Q1 2025 and 45 million in Q2 2025, reflecting renewed confidence in primary care
@NphcdaNG. Maternal deaths have declined by 17% and newborn deaths by 12% across 172 high-burden LGAs targeted through data-driven interventions. Skilled birth attendance now exceeds 90%, antenatal care coverage (
#ANC4) remains above 50%, and new family planning acceptors have grown by 10% between Q1 and Q2 2025. Immunisation coverage has also strengthened, with national targets for measles, rubella, and
#HPV vaccination achieved.
The foundations of the health system are being reinforced. 52% of targeted LGAs now have at least two level-two PHC facilities, and 435 have been revitalised. Over 15,000 community health workers have been recruited, nearly 70,000 frontline workers retrained toward the goal of 120,000 by 2027, and over 20,000 new staff deployed to federal tertiary hospitals. Health insurance coverage
@nhia_nigeria has grown from 6–7% two years ago to 12% today, supported by the Mandatory Health Insurance Circular and the Vulnerable Groups Fund.
Public confidence in the health system is rising. Surveys from 2023–2025 show nearly half of Nigerians believe government considers their views in decision-making. 55% express confidence in the system’s direction, 67% in emergency response, and 74% report satisfaction with services. Two-thirds still emphasise affordability, a concern being addressed through the Medical Relief Programme and expanded social protection.
These gains are being consolidated through the Compact addendum, which reinforces collaboration across federal, state, local, private, and community levels. The localisation agenda continues to advance through domestic resource mobilisation, local manufacturing of medicines, vaccines, and health technologies, and stronger supply chains. Financing is diversifying through fiscal measures, public–private partnerships, and digital transparency tools, while the ward-based approach drives visible improvements at community level. With continued support from
@nassnigeria and
@NGRSenate, appropriations and releases are translating into measurable progress across the sector.
We acknowledge with deep appreciation the sustained collaboration of the economic management and fiscal policy leadership of
@NigeriaGov, particularly the
@FinMinNigeria,
@PlanningNG, colleagues
@Fmohnigeria, and the broad coalition of state and local authorities, traditional and religious institutions, development partners, and civil-society actors whose collective efforts continue to strengthen delivery across Nigeria’s health system.
Years from now, when the story of this period is written, the leadership of President Bola Ahmed Tinubu at this defining moment in our national history will stand as one of its most consequential chapters.
All Hands, One Mission. Bringing Nigeria’s Health Sector to Light.