A newly released 2025 State Performance Index by Statisense has revealed significant changes in Nigeria’s healthcare performance rankings, with several Northern states emerging ahead of major economic and urban centers in public hospital satisfaction.
According to the report, Gombe State ranked highest nationwide for public satisfaction with government-owned hospitals, while Jigawa and Adamawa secured second and third positions respectively. The rankings were determined using residents’ feedback on the quality of care and services provided in public healthcare facilities across the country.
Other Northern states including Niger, Yobe, Kebbi, and Bauchi also featured prominently among the top-performing states, reflecting growing public confidence in healthcare delivery within the region.
Top 12 States for Public Hospital Satisfaction in Nigeria (2025)
- Gombe
- Jigawa
- Adamawa
- Niger
- Osun
- Yobe
- Benue
- Akwa Ibom
- Kebbi
- Bauchi
- Oyo
- Plateau
The findings have generated discussions over healthcare standards in Southern Nigeria, particularly in Lagos and several South-East states that were absent from the top rankings despite their economic strength and urban development.
Lagos, Nigeria’s commercial hub and one of the country’s most populated states, did not make the list. Analysts attribute this to increasing pressure on public hospitals caused by rapid population growth, overcrowding, infrastructure challenges, and rising healthcare demands.
Similarly, the absence of many South-East states from the rankings has raised concerns about public perception of government healthcare services in the region.
Healthcare experts say the report challenges the assumption that economic advancement automatically results in better public healthcare systems.
According to analysts, some Northern states appear to be making notable progress in areas such as healthcare accessibility, affordability, and patient experience, while heavily urbanized states continue to struggle with expanding medical infrastructure to meet growing demand.
The report also points to increased investment in primary healthcare and state-owned medical facilities across parts of Northern Nigeria in recent years.
Observers believe the rankings could prompt underperforming states to review their healthcare systems, particularly as complaints about overcrowded hospitals, shortages of medical personnel, and declining service quality continue to rise in several parts of the country.
The State Performance Index by Statisense tracks public perception across multiple sectors in Nigeria, providing insight into how residents assess government services beyond traditional economic indicators.
