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Thursday, March 5, 2026

Why should Nigeria prioritise Fiscal Reforms and Treasury Single Account?

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Recently, the House of Representatives claimed that the federal government may have lost as much as $30 billion dollars in annual federation tax revenue between 2015 and 2019.

A year earlier, the Revenue Mobilisation, Allocation and Fiscal Commission (RMAFC) disclosed that over N1.3 trillion naira was being lost annually to a lack of effective monitoring of the solid minerals sector.

The above losses could have been identified via calculated cash management practices as the importance of cash management (a practice flowing from the use of a Treasury Single Account (TSA) in terms of broader savings and blocking of leakages are well documented.

The latter highlights the management function having the potential to unlock the benefits of using a TSA and underscores the importance of leadership or political will); a key node within the function of management.

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Let’s take a more in-depth look at PFM Paradigms at the State Level; A case study of Kaduna, Kano and Niger States. Click here to read our latest article.

On Primary Healthcare Service in Nigeria, there are currently over 30,000 Primary Healthcare Centres across the 774 Local Government Areas in Nigeria, but just a few of these facilities can boast of functioning at an optimal capacity for citizens to access healthcare whenever they need it.

Over the years, both the national and subnational governments have made concerted efforts to ensure quality healthcare at this level. These efforts include the implementation of the National Health Act which began in 2014.

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The National Primary Health Care Development Agency (NPHCDA) has also set standards that cut across health, infrastructure, human resources and service delivery to improve the quality and access to Primary Healthcare services in Nigeria.

Meanwhile, despite these efforts, healthcare at this level continues to quiver due to inadequate funding, lack of personnel, and poor governance, among others.

This is also evident in our recent assessment of 24 PHCs in 3 Nigerian states where at least 15 facilities do not have access to electricity and a few others battle deplorable situations like lack of beds, medical personnel, infrastructure, and others.

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Our latest documentary captures some of these horrible situations across the PHCs, and what the government, citizens and stakeholders must do to ensure that the government begins to pay attention to healthcare at the Primary Level.

The documentary was supported by Bill and Melinda Gates Foundation.

Watch video “Primary Healthcare System in Nigeria: How bad can it get?”

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