Nigeria: From Autonomy to Accountability – Can Local Governments Deliver Better Primary Health Care in Nigeria?

About 70%of Nigerians depend on primary health care (PHC) centres for healthcare. For most people, this centre is the most frequent point of contact with any government service. The local government chairman is supposed to run it, fund it, and is responsible when it fails.

The Supreme Court’s July 2024 ruling confirmed that state governments had been unconstitutionally withholding council allocations for decades. Health financing data shows those allocations are the primary lever councils have for…