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“Healing Nigeria”: A chronicle of health reforms, By Egiganya Jo-Madugu

It offers an accessible, panoramic overview of where Nigeria has been, where it stands, and where it must go.

byPremium Times
September 18, 2025
Reading Time: 4 mins read
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In my estimation, “Healing Nigeria” is more than a book; it is a blueprint. It succeeds in pulling together diverse strands of health reforms — spanning policy, advocacy, and lived experience — into a single coherent narrative. For practitioners, policymakers, and administrators, it provides a reference point for Nigeria’s reform journey. For students of public health, it demonstrates the value of communication in policy advocacy. For civil society, it offers a rallying point for accountability. And for ordinary Nigerians, it provides both context and hope.

Healing Nigeria: A Chronicle of Health Reforms is a remarkable collection of 32 essays chronicling Nigeria’s attempt to reform its health sector from the colonial era to the present. Authored by Lawal Dahiru Mamman and Maimuna Katuka Aliyu, the book is at once a chronicle, a policy analysis, and a moral appeal. It tells stories of both successes and frustrations: from disease outbreaks and institutional failures to advances in cancer care, mental health, digital health, biotechnology innovations, and universal health reforms.

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What distinguishes this book is its creative balance. The authors neither shy away from exposing systemic failures nor neglect to highlighting successes. Instead, they blend the two, allowing readers to see both sides of reform efforts. This balanced approach is grounded in Africa-based case studies that move the discussion beyond abstract policy language into tangible realities. By weaving stories of patients, health workers, and reformers into their essays, the authors elevate health equity not just as a bureaucratic goal but as a moral imperative –  one with urgency and human stakes.

The essays cover a strikingly wide scope. They address infectious disease outbreaks, neglected tropical diseases, mental health, financing models, universal health insurance, emerging technologies, regional inequalities, primary healthcare, and the National Health Insurance Scheme (NHIS). Through these interlocking topics, the book highlights the complexities of the Nigerian health system, while also evaluating the key reforms that have shaped it. The sheer breadth underscores the fact that health reform cannot be approached piecemeal; it requires a system-wide perspective.

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Beyond chronicling reforms, the book calls for accountability and sustained implementation. This is particularly important given Nigeria’s history of grand policy announcements followed by weak execution. The timeliness of this message cannot be overstated. In an era in which Nigeria is renewing commitments to health sector reforms, the authors emphasise that reforms must move beyond paper into real, measurable progress.

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One of the book’s most appealing features is its structure and readability. The typography, layout, and clear prose make the essays digestible, even for readers who are not experts in health policy. Each essay is concise and self-contained, yet tied together by overarching themes. For readers like me, who appreciate works that are neither overly prolonged nor tedious, this structure offers clarity and engagement. A reader can move seamlessly from a chapter on digital health records to another on maternal mortality without losing coherence.

Still, no book is without its shortcomings. While Mamman and Aliyu identify key barriers such as institutional bottlenecks, political inertia, and inadequate incentives, these issues are not always explored to the depth they deserve. More robust engagement with these obstacles — and how to overcome them — would have strengthened the book’s critical edge. Similarly, while many essays highlight reforms, some would have benefitted from stronger data, independent evaluations, or comparative outcomes to help readers judge the true effectiveness of these reforms.

I was glad to witness the public presentation of this important work. For me, the greatest strength of Healing Nigeria lies in its moral clarity. It reminds us that healthcare is not merely a policy arena but a battlefield of dignity, equity, and human survival. And in calling us to action, it insists that Nigeria’s path to healing remains open — if only we have the will to walk it.

Another limitation lies in prioritisation. With such a wide range of issues presented, non-expert readers may struggle to discern which reforms are most urgent and which are more aspirational. The calls for action, though well-intentioned, lack a clear framework for sequencing reforms in a context of limited resources. For a country like Nigeria, where trade-offs are inevitable, such prioritisation is vital.

Yet, despite these critiques, the book’s contributions are outstanding. By refusing to dwell solely on failures, Healing Nigeria reminds readers that progress has indeed been made and must not be discounted. The authors are candid about the dangers that remain, but they also instill hope by demonstrating that reforms, however halting, are possible. This is a significant shift from the often cynical narratives that dominate discourse on Nigeria’s health system.

Another strength lies in how the essays humanise policies. Rather than treating reforms as distant government programmes, the book shows how delays in disbursement, infrastructure deficits, or half-implemented initiatives directly affect real people. This human-centred approach transforms technical policies into compelling moral questions, pressing both political leaders and citizens to demand more.

In my estimation, Healing Nigeria is more than a book; it is a blueprint. It succeeds in pulling together diverse strands of health reforms — spanning policy, advocacy, and lived experience — into a single coherent narrative. For practitioners, policymakers, and administrators, it provides a reference point for Nigeria’s reform journey. For students of public health, it demonstrates the value of communication in policy advocacy. For civil society, it offers a rallying point for accountability. And for ordinary Nigerians, it provides both context and hope.

Published by Image Merchants Promotion Limited (IMPR), publishers of PRNigeria and Economic Confidential, the book is a strong, timely contribution to literature on African health reforms. It may not satisfy readers seeking highly technical econometric evaluations, but that is not its purpose. Rather, it offers an accessible, panoramic overview of where Nigeria has been, where it stands, and where it must go.

I was glad to witness the public presentation of this important work. For me, the greatest strength of Healing Nigeria lies in its moral clarity. It reminds us that healthcare is not merely a policy arena but a battlefield of dignity, equity, and human survival. And in calling us to action, it insists that Nigeria’s path to healing remains open — if only we have the will to walk it.

Egiganya Jo-Madugu is a Mass Communication student at Nile University. She could be reached at [email protected]

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