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FG vaccine fund runs into crisis, AstraZeneca scarcity hits India

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·         Nigeria may go for Pfizer which costs $20 per dose; AstraZeneca, $4

·         WHO may review usage of expired COVID-19 vaccine for Nigeria, others

There are strong indications that a crisis has hit Nigeria’s moves to procure more COVID-19 vaccine doses as the  budget estimates  for the procurement are grossly inadequate.

It was gathered on Sunday  that the budget estimates the  Ministry of Health submitted to the Ministry of Finance, Budget and National Planning were based on AstraZeneca vaccine, which is $4 per dose.

Findings, however, indicated  that because of the scarcity of AstraZeneca vaccine, as a result of the COVID-19 crisis in India, Nigeria might opt for Pfizer vaccine, which is $20 per dose.

It was learnt that with the cash crunch facing the country, it might be difficult to get additional funds to purchase all the Pfizer vaccine doses needed.

The President, Major General  Muhammadu Buhari (retd.), had at a meeting  with the President of the Senate, Ahmad Lawan and the Speaker of the House of Representatives, Femi Gbajabiamila, in March said he would submit to the National Assembly, a supplementary budget for arms purchase and COVID-19 vaccines.

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But the National Assembly on Sunday told The PUNCH that it was still awaiting the supplementary budget.

Recall that the Federal Government on March 2  received 3.9 million doses of AstraZeneca vaccine through the COVAX, an initiative co-led by the Vaccine Alliance, GAVI, and the World Health Organisation.

The initiative seeks to ensure equitable access to a COVID-19 vaccine by dividing about two billion doses across 92 low-and middle-income countries.

As of May 1,  1,222, 109 Nigerians had been vaccinated against COVID-19, according to the National Primary Health Care Development Agency.

India, which manufactures  Oxford-AstraZeneca coronavirus vaccine, has halted  its export following the spread of a devastating strain of the virus in the country.

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According to a BBC report, 190 countries that are  under the Covax scheme are likely to be affected as India battles to meet its local vaccine needs.

On Sunday, India recorded 3,689 COVID-19 deaths, 24 hours after it recorded more than 400,000 COVID-19 cases in a single day for the first time.

According to the CNN, several Indian states were forced to postpone their vaccination plans on Saturday due to supply shortages.

On Sunday, it was learnt the Federal Ministry of Health’s budget proposal, which was based  on AstraZeneca vaccine,  might be increased so that the fund could be used to procure  Pfizer vaccine.

A top health official, who spoke to The PUNCH on the condition of anonymity because he was not authorised to speak with the press, said the proposal submitted to the Ministry of Finance, Budget and National Planning, were estimates of AstraZeneca which are now scarce.

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The official said with the scarcity of AstraZeneca, which cost about $4 per dose, Nigeria may opt for Pfizer, the only other vaccine which had been approved by the National Agency for Food Drug Administration and Control.

She said, “The estimates we submitted were for AstraZeneca which is the cheapest vaccine on the market. We estimated that each dose would cost $4.

“However, with the scarcity of AstraZeneca, we may have to opt for Pfizer. Unfortunately, Pfizer will cost us about $20 per dose and each person will need two doses. That is $40 per person. They are now talking about a booster jab which will cost an extra $20. In essence, it may cost $60 (N24,600) to vaccinate one Nigerian.

“This problem is not peculiar to Nigeria, but this is what we are facing now due to the scarcity of vaccines. Also, I am sure you are aware that Nigeria is facing a scarcity of funds. So, advocacy remains our best strategy. These are non-pharmaceutical interventions like wearing masks, social distancing and washing of hands.”

The Nigerian National Petroleum Corporation had in a memo last week stated that it would be making no contribution to the Federation Account because of its huge oil subsidy payments, a situation which has put the government in panic mode.

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In a related development, it was learnt that over a month after the Ministry of Health had submitted its COVID-19 budget estimates to the finance ministry, the proposal had not yet been submitted to the National Assembly.

The Finance Minister, Zainab Ahmed, had on March 31 told State House reporters that the health component of the supplementary budget – which included vaccine estimates – was being delayed by the failure of the Ministry of Defence to submit its own estimates for military hardware.

When asked the time the finance ministry would send the COVID-19 supplementary budget to the National Assembly, the media aide to the finance minister, Yunusa Abdullahi, told one of our correspondents that he would respond later.

He had yet to provide the response up till the time of filing this report  neither  had he  replied  to a text message sent to him on the matter.

Also, the Minister of Health, Dr Osagie Ehanire, did not take his calls when The PUNCH attempted to get his reaction  to the crisis over  the vaccine budget.

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He also did not respond to the text message sent to him on the matter.

In the text message, the minister was asked if it was true that the WHO  met with him and some others to review the usage of expiring COVID-19 vaccines for Nigeria and whether it was also true that the scarcity of AstraZeneca would increase the nation’s budget for vaccine as Nigeria might opt for a more expensive vaccine, Pfizer.

He has yet to either return the calls or respond to the text message as of the time of filing this report at 9.30pm.

WHO may review usage of expired COVID-19 vaccines for Nigeria, others

Meanwhile, the World Health Organisation will this week consult Indian health authorities to determine if expired AstraZeneca COVID-19 vaccine can be used for countries like Nigeria which benefit from its COVAX facility.

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The Director, WHO, Africa, Dr. Matshidiso Moeti, stated this during an interview with select journalists on Thursday.

The idea, it was learnt, had been discussed with all ministers of health in Africa including Nigeria’s Health Minister, Dr Osagie Ehanire.

The PUNCH was informed that the move had become necessary due to the scarcity of AstraZeneca vaccine caused by the recent surge in COVID-19 infections in India which is the manufacturer of the vaccine.

Moeti said, “On Tuesday I met with ministers in the African region to discuss key issues, particularly around expiring doses, supply shortages, vaccine safety and misinformation. The WHO is awaiting additional stability data from the Serum Institute of India to determine if the shelf life of AstraZeneca COVID-19 doses can be extended from six months to nine months.

“For doses that have already expired, the WHO is looking closely at the regulatory, scientific, logistical and problematic challenges and will issue a statement next week (this week).”

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The BBC had reported last week that many vaccines could be used up to 36 months after manufacture, but because COVID-19 jabs are relatively new, there is not enough data to prove their effectiveness over longer periods.

The British medium noted that the WHO had in April urged African countries not to destroy COVID-19 vaccines that might have passed their expiry date but keep hold of them and wait for further guidance.

The PUNCH reports that the WHO may this week determine if Nigeria can extend usage of its over 1.5 million doses which are expected to expire between June 28 and July 10, 2021.

The WHO regional director said, “We are encouraging countries to prioritise the first dose to reach more people rather than saving supplies for the second dose.

“It is imperative that the available doses are used as quickly as possible to protect people from severe disease and death due to COVID-19.”

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Govs  await FG, states running  out of vaccine stocks

The Lagos State Commissioner for Information and Strategy, Mr Gbenga Omotoso, in an interview with The PUNCH on Sunday, stated, “Most manufacturers of these vaccines do not want to deal with sub-national, they want to deal directly with the Federal Government. So, we have to wait, no matter the situation on what the Federal Government wants to do.”

“We are a sub-national, before we take any step we have to go through the Federal Government.  The FG has some policies about vaccination which we must follow. We are still waiting for the Federal Government before we make decision on vaccine importation.”

Bauchi State Government has declared that it has no plans to buy additional COVID-19 vaccine doses for the state.

The Executive Chairman, Bauchi State Primary Health Care Development Agency, Dr. Rilwan Mohammed, told one of our correspondents that  the state government had just received additional 24,000 doses of the vaccine from the Federal Government in addition to the earlier 80,570 doses it received.

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Mohammed, who is the Contact and Surveillance Sub-Committee Chairman, Bauchi State Task Force on COVID-19 said, “Bauchi State is not ready to import any COVID-19 vaccine because the Federal Government just yesterday (Saturday), released additional 24,000 doses to us. This is in addition to the 80,570 we had earlier received.”

On its part, the Sokoto State said this week it would exhaust the remaining doses of the vaccine it had.

The state Commissioner for Health, Dr Muhammad Ali Inname, told one of  our correspondents  that out of the 68,660 vaccines  the state received,  it  had exhausted 34,000, on 21,000 people.

Inname stated,  “Plans have been concluded to take the remaining vaccine doses to all the local government areas in the state. This will be done in the next ten days, to exhaust the remaining 34,000 doses.”

When contacted, the Special Adviser to the Osun State Governor on Public Health, Dr. ‘Siji Olamiju, stated, “Once we know Federal Government’s plan, I can assure you that the state government of Osun will be the first to kick start process of getting vaccine because Mr Governor places high premium on the healthy living of the residents.”

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Also, the Akwa Ibom State commissioner of Health, Prof. Augustine Umoh, said that vaccines were only available to countries, not states.

He said “Yes, plans are still in place to bring in vaccines by the country. Vaccines are available only to countries, not states.”

The Kano State Coordinator of the Task Force on COVID-19, Dr Tijjani Husain, said  that it was the sole responsibility of the Federal Government to provide  COVID-19 vaccine doses to the states.

He disclosed that the Federal Government recently provided 10,000 additional doses of the vaccine to Kano State after it exhausted the 209,520 doses of the Oxford Astrazenica vaccine it received  earlier.

We are still expecting COVID-19 vaccine budget from executive – Senate

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Meanwhile, the Senate on Sunday  it was still expecting the supplementary budget for the purpose of procuring additional COVID-19 vaccines from the executive.

The Chairman of the Senate Committee on Primary Healthcare and Communicable Diseases, Senator Chukwuka Utazi, stated this in an interview with one of  our correspondents.

Asked for the update on the plans by the Federal Government to procure additional vaccines, Utazi said, “We are still expecting the supplementary budget from the executive arm of government.” 

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Health

Peter Obi, Chinyeaka Ohaa Visit Parklane Hospital in Solidarity With Kidney Patients

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ENUGU — The Presidential Candidate of the National Democratic Congress (NDC), Mr Peter Obi, and the party’s Enugu State Governorship Candidate, Sir Chinyeaka Ohaa, on Thursday, August 13, 2026, visited Parklane Specialist Hospital, Enugu, to show solidarity with patients battling kidney disease and other related illnesses.

They arrived at about 5:00 p.m. in the company of other party leaders, including the NDC Senatorial Candidate for Enugu East, Ada Ogbu; Hon. Kentus Eze; Hon. Ike Ezugwu; Architect Everastus Odo; Comrade Obi Mamah, H(JP); Hon. Odo Joel; and other party faithful who turned out to receive Peter Obi.

The visit followed a humanitarian gathering convened by Okwuluora to draw attention to the plight of more than 500 kidney patients and their families struggling to afford treatment.

Over 500 Kidney Patients Cry for Help as Families Battle for Survival

It was an emotional scene as men, women and children living with kidney-related illnesses converged at Parklane, hoping to receive urgent assistance.

Many of the patients showed visible signs of prolonged illness and hardship. Some were due for dialysis but could not afford the treatment, leaving them and their families trapped in a painful struggle for survival.

The severity of their condition was evident, with some displaying swollen hands, arms and legs, while others had bloated abdomens and anxiety-filled faces as they awaited assistance.

Among those present was a 13-year-old boy from Akure, Ondo State. His mother said she had sold virtually everything she owned to sustain his dialysis treatment for the past five years. Despite the sacrifices, the boy was at Parklane hoping to benefit from the intervention.

The large turnout has renewed concerns over the growing burden of kidney disease and the rising cost of dialysis and transplant care in the South-East and other parts of the country.

Speaking at the event, Okwuluora commended the stakeholders who supported the initiative and called for sustained assistance for kidney patients and their families.

The national and state leadership of the NDC also commended Okwuluora for his consistent commitment to Nigerians in need, particularly those battling critical health challenges.

In his remarks, Peter Obi expressed concern after listening to the testimonies of the patients. He called on well-meaning Nigerians, corporate organisations and governments at all levels to support kidney patients in dire need of assistance.

The organisers and families of the patients expressed gratitude to Obi for honouring the invitation and using his platform to draw attention to the plight of sick and vulnerable Nigerians.

They also thanked Sir Chinyeaka Ohaa for standing with the people of Enugu during the difficult moment and for demonstrating what they described as leadership that places human lives first.

Appreciation was equally extended to NDC supporters who attended the gathering, with attendees saying their presence offered hope and reassurance to the patients and their families.

The NDC leadership reaffirmed its commitment to advocating for improved healthcare funding, greater access to dialysis and policies aimed at reducing the burden of catastrophic healthcare expenses on families in Enugu State and across Nigeria.

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Enugu pledges commitment to support NCDC to facilitate health security projects, initiatives

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Gov. Peter Mbah says Enugu State remains fully ready to support Nigeria Centre for Disease Control and Prevention (NCDC) on health security facilities and projects within the state.

Mbah said this on Wednesday in Enugu when the Director-General of Nigeria Centre for Disease Control and Prevention (NCDC), Dr Jide Idris, paid him a courtesy call during a working visit to the state.

Represented by the Deputy Governor, Chief Ifeanyi Ossai, the governor said that the government had prioritised all issues concerning security especially those dealing on health security and invested heavily on health and related concerns.

According to him, we are fully ready and committed to work with you by providing land, logistics and other necessary requirements to make all health security projects/initiatives a reality.

He said, “We are fully aware of the need to focus and give priority to health security projects and issues.

“As a state, the high volume of travellers coming in their thousands to the state each day have increased our socioeconomic activities, made more investment possible and increased all forms of tourism.

“However, we recognise that only two weeks of a confirmed outbreak of any dreaded disease will scare away these large inflow of people coming into the state.

“This alone will affect and wipe away the striving tourism industry, our people’s vibrant trade and commerce, striving transport ecosystem, investors influx and the huge investment we have put to make Enugu the most attractive city in Africa.”

Mbah said that every effort or investment in health security “is in the right direction to secure our selves, investments, hopes and future.”

The governor commended the NCDC on their recent fight against COVID-19 and all initiatives to ensure prevention of Ebola virus as well as containing other outbreaks in the country.

“I must commend NCDC team for inspecting the ongoing South-East High Definition Molecular Laboratory and other health projects meant to serve our people, South-East and every Nigerian,” he said.

He assured that the government would undertake any responsibility to ensure that NCDC facilities continue running as well as protecting such facilities notwithstanding the premises they are domiciled in within the state.

On the issue of Ebola Virus, the govenor said that the state was taking the designation of Enugu State as a state with high importation risk “very serious”.

“From assessment, the scare of the disease coming to Enugu is real through the Akanu Ibiam International Airport. We are tightening all preventative measures and protocols, while ensuring robust synergy with relevant stakeholders on it.

“The state ministry of health and its partners are on alert over the issue and we are providing necessary support and access to our office on it,” he said.

Mbah called on the NCDC to give the state needed support in terms capacity building and training, close coordination and guidance as well as awareness materials and support in its preventive efforts.

Earlier, Idris said that visit was meant to access uncompleted South-East High Definition Molecular Laboratory, the level of Ebola Prevention and Preparedness at the Akanu Ibiam International Airport and other related projects.

He commended the state government on huge investment in Primary Healthcare Centres, general hospitals, tertiary hospitals and recently the Enugu International Hospital meant to attract medical tourism.

The director-general said that the NCDC wanted the state government to get involved in protecting And maintaining the South-East High Definition Molecular Laboratory and other facilities of the agency coming up in Enugu.

“We are here to strengthen the existing cordial relationship with the state and see how both NCDC and Enugu State Government can collaborate to strengthen issues of health security,” he said.

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Enugu, health partners commit to sustain gains of 5-year IntegratE family planning project

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The Enugu State Government and key health sector partners have pledged a commitment to sustain the gains of the IntegratE Project.

The IntegratE Project is a five-year family planning initiative that expanded access to reproductive health services through Community Pharmacists (CPs) and Patent and Proprietary Medicine Vendors (PPMVs) within the state.

The Commissioner for Health, Prof. George Ugwu, gave the commitment on Wednesday during the dissemination of the Enugu State Private Sector Family Planning performance under the IntegratE Project, which ran from Oct. 2021 to July 2026.

Ugwu said that the project had significantly improved reproductive health services and positive outcomes for women in the state over the past five years.

He described family planning as a sensitive but essential service, assuring that the government would continue expanding access while ensuring responsible use.

Ugwu said that Gov. Peter Mbah’s administration remained committed to strengthening primary healthcare outcomes in all ramifications

He revealed that more than 100 new primary healthcare centres would become operational before the end of the year.

The commissioner said that the state government’s commitment to innovation would continue to position the state as a leader in modern healthcare delivery.

Speaking, the representative of the Pharmacy Council of Nigeria (PCN), Mrs Ifeyinwa Ohiaeri, described the project as a major intervention that strengthened family planning services through pharmacy practice.

Ohiaeri stressed that “family planning remains critical” to reproductive, maternal and adolescent health.

She said that the dissemination provided an opportunity to review achievements, challenges and strategies for sustaining the project’s impact, while reaffirming its commitment to professional ethics and quality service delivery.

The representative of the Enugu State Primary Health Care Development Agency, Mrs Maureen Nwankwo, said the agency would sustain the gains achieved.

Nwankwo noted that the programme had helped reduce unintended pregnancies, maternal and child deaths through improved access to family planning services.

Group Director of Donor-Funded Programmes at the Society for Family Health, Mr Emeka Okafor, said the national project tested the pharmacy-led delivery model for family planning in Enugu State.

Okafor noted that while about 70 per cent of residents patronise private health providers, much of the state’s routine health data comes only from the public sector, leaving a significant gap.

He said that according to the project’s implementation report, 29,262 women accessed family planning services through trained PPMVs in Enugu State, while 14,541 referrals were made to public health facilities.

He said that the project also exceeded training targets, introduced digital supportive supervision and contributed to the institutionalisation of the Tiered Accreditation System for PPMVs.

The Pharmaceutical Society of Nigeria (PSN) and the National Association of Patent and Proprietary Medicine Dealers (NAPPMED) also pledged continued support for the initiative/project at the grassroots.

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20,966 Nigerian Health Workers Migrated Abroad in One Year – Report

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No fewer than 20,966 Nigerian health workers relocated abroad within one year, according to official figures contained in the State of Health of the Nation Report 2025, obtained by Saturday PUNCH.

The mass exodus comprised 3,919 doctors, 7,487 nurses and midwives, 6,861 medical laboratory professionals, 702 pharmacists, 658 physiotherapists and hundreds of other healthcare specialists.

The growing migration came under the spotlight following the relocation of a Senior Consultant Neurosurgeon at the University of Ilorin Teaching Hospital, Dr Salamat Aliu-Ibrahim, to the United States.

Aliu-Ibrahim, a renowned neurosurgeon, now serves as Medical Director, Paediatrics, at Freeman Children’s Clinic, a facility under Freeman Health System in Joplin, Missouri.

Data obtained from the United Kingdom’s General Medical Council showed that 4,691 Nigerian-trained doctors joined the UK medical register between May 2023 and April 2026.

According to the GMC register, 15,896 Nigerian-trained doctors are currently licensed to practise in the UK, comprising 9,664 males and 6,232 females.

However, President Bola Tinubu, on Friday, appealed to Nigerian medical professionals in the diaspora to encourage more Nigerians abroad to return home and contribute to the country’s development, stressing that there is no place like home.

20,966 Nigerian Health Workers Migrated

An analysis of the State of Health of the Nation Report 2025 showed that only 60,551 of Nigeria’s 95,456 registered doctors currently hold active practising licences, representing 63 per cent. Only 51 per cent of licensed doctors are actively employed within Nigeria’s health system.

The nursing and midwifery workforce, Nigeria’s largest health profession, has also suffered substantial losses, recording the highest level of migration among health professionals.

Although Nigeria has 267,951 registered nurses and midwives, comprising 73,130 nurses, 21,031 midwives and 173,790 nurses with post-basic qualifications, only 113,123 currently hold active practising licences, representing an effective licensing ratio of 42 per cent.

Of those with active licences, 78 per cent remain employed in the country.

The report further showed that 658 physiotherapists have migrated, leaving only 852 of the country’s 8,642 registered physiotherapists with active practising licences.

Similarly, 21 occupational therapists have migrated, while only 11 of the 176 registered professionals currently hold active licences.

There are 257 registered occupational therapist assistants, but only 51 currently possess practising licences.

The report also showed that 431 optometrists have migrated abroad. Of the 6,975 registered optometrists, only 2,156 hold active practising licences, while 66 per cent remain employed locally.

Among opticians, only 307 of the 2,976 registered professionals currently hold practising licences, while 18 have migrated abroad.

UK, US, Canada, Saudi Arabia Top Destinations

The United Kingdom remains a leading destination for Nigerian health workers, particularly doctors and nurses, due to easier professional registration, better remuneration, structured specialist training and persistent workforce shortages within the National Health Service.

Although international recruitment has slowed since 2025, Nigeria remains one of the major source countries for overseas-trained nurses practising in the UK.

A breakdown of data obtained from the UK GMC register showed that 7,875 Nigerian-trained doctors were licensed to practise in the UK in 2020, rising to 9,976 in 2022.

In 2023, the number rose further to 12,198, making Nigeria the third-largest source of foreign-trained doctors in the UK, behind India, with 38,228 doctors, and Pakistan, with 27,739.

Figures from the UK Nursing and Midwifery Council also showed a sharp rise in the number of internationally educated nurses and midwives on its register, driven largely by recruitment from countries including Nigeria, India, Ghana and the Philippines.

According to the council, the number of Nigerian nurses and midwives in the UK has risen above 16,000.

Beyond the UK, the United States and Canada have also become increasingly attractive destinations for Nigerian healthcare professionals.

As of 2020, a total of 3,895 Nigerian-trained doctors were licensed to practise medicine in the US.

Australia has also intensified recruitment of overseas-trained doctors and nurses to address shortages in regional and rural health services, while Saudi Arabia and the United Arab Emirates continue to attract Nigerian healthcare professionals with tax-free salaries, subsidised accommodation and other employment benefits.

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Four Unlicensed Private Hospitals Sealed by Govt in Enugu 

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The Enugu State Government, through the Ministry of Health, has sealed four private health facilities in Enugu North Local Government Area for operating without valid licences and failing to meet regulatory requirements.
The ministry’s Public Relations Officer, Mrs. Chidiogo Ugodu, disclosed this in a statement issued on Thursday in Enugu, noting that the enforcement action was carried out on July 8.
According to the statement, the ministry has intensified the monitoring and supervision of private health facilities across the state to ensure quality healthcare delivery and strict compliance with regulatory standards.
The renewed enforcement exercise was initiated by the Commissioner for Health, Prof. George Ugwu.
As part of the exercise, the Director of Medical Services, Dr. Chinyere Ezeudu, led a team of senior ministry officials on an unscheduled inspection of private health facilities in Enugu North LGA.
The ministry explained that the exercise was aimed at ensuring that all private hospitals and healthcare providers operating in the state comply with statutory requirements, including the renewal of operating licences and the registration of facilities yet to be captured by regulatory authorities.
During the inspection, the team visited seven private health facilities, assessing their operational status, licensing documentation, and compliance with established healthcare standards. Four of the facilities were subsequently sealed for regulatory violations.
Speaking on the exercise, Commissioner for Health, Prof. George Ugwu, reaffirmed the commitment of the state government, under the leadership of Governor Peter Mbah, to protecting residents by ensuring the delivery of safe, effective, and quality healthcare services.
He stressed that the monitoring and enforcement exercise would continue across the state to ensure that only duly registered and licensed healthcare facilities operate.
Ugwu also urged operators of private health facilities to regularise their operations by renewing expired licences and registering facilities that are yet to be approved.
“The ongoing monitoring exercise is not only a regulatory measure but also a critical step towards strengthening the health system and safeguarding the lives of citizens,” he said.
The latest enforcement follows a similar operation carried out a few weeks ago, during which the Ministry of Health sealed three illegal health facilities in Enugu South Local Government Area for operating without valid licences.

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