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Healthcare Concerns: Kaduna Government to spend N354 a Month Per Citizen in 2022

By Uangbaoje Alex, Kaduna

Kaduna state government will in 2022 spend eleven naira (N11), per person to address healthcare concerns of her citizens according to her health sector budget presented to the State Assembly on 12th of October 2021.

Alhaji Mustapha Jumare, Co-chair Kaduna State Maternal Newborn Accountability Mechanism (KADMAM), disclosed this during a presentation on Tuesday, titled: “An Assessment of Kaduna State’s 2022 Proposed Health Budget” at the ongoing two-day reflection meeting holding in Zaria.

According to Jumare, “with the estimated population of 8 million in 2016, growing at 3.2% annually, and the ₦35 billion health allocation for the proposed 2022 budget state, the state will spend the sum of ₦4,257 per person on healthcare in the year 2022. This is 10.69% reduced from the ₦4,767 allocated per person in 2021. In essence, ₦354 will be spent per person in a month and ₦11 per person in day to take care of their health need.”

The 2022 budget also showed that 28% of the budget, that is ₦67 billion out of the total 233 billion is expected to be sourced from citizens pockets through Internally Generated Revenue (IGR), as against 20% in the previous year, ₦23% from the statutory transfer as against 20% from the previous year.

The State government is working to ensure all citizens are enrolled in its Contributory Health Scheme where each citizens are expected to the sum of N10,650 annually for them to access healthcare services and a household of 6 to pay N57,000.

The ₦4,257 budgeted per person and the N10,650 each person is expected to pay, stakeholders said showed a sharp contrast between government priority and concerns for the healthcare sector.

“The health capital budget was reduced from ₦26 billion in the 2021 approved budget to ₦22 billion in the proposed 2022 budget. In essence, this is a 13.23% reduction. Therefore, the overall health budget was reduced by 10.69%. Despite this reduction, the
state maintained a 15% total budget allocation to the health sector in line with the 2001
Abuja declaration”. Jumare noted.

The analysis which was put together by different Coalitions working around health and health related issues further states that the total Budget size was reduced from ₦246 billion to ₦233 billion.

“This represents a 5.72% decrease. Despite this decrease, the total state’s recurrent budget was
increased by 6.72%. The state health budget was also reduced from ₦39.34 billion in the approved 2021 budget to ₦35.13 billion in the proposed 2022 budget. This also shows a cut of about
10.69%.

“The health allocation as percentage of the state’s budget size stands at 15.03%. This
is in line with 15% recommended by the 2001 Abuja Declaration. Given the reduction in the total health budget, the health recurrent was cut by 5.64% and the health capital budget by 13.23%.

“Despite the cut in the health budget, the State PHCDA capital budget was increased by 3.34%, its recurrent budget was also increased by 12.57%. The total allocation of the agency in the proposed budget was increased by 5.39%.

“The family planning has a dedicated budget line with ₦7 million funding commitment
in the proposed 2022 budget. The ₦7 million allocated to FP is 0.02% of the total health budget. This is less than 1%. The routine immunisation has two dedicated budget lines: Immunisation plus Day and Routine Immunisation and system strengthening with a total of ₦5.3 million allocations. This allocation is 0.01% of the total health proposed health budget. This is also less
than 1%.

The Covid-19, essential and non-essential health services are properly defined in the budget. The state is spending less than 3% (₦1.02 billion) of the total health budget on covid-19 health emergency response. The total estimated healthcare investment on a resident of Kaduna State in the proposed 2022 budget is as low as ₦11 per day, ₦354 per month, and ₦4,257 per year. 47% of the total allocation to the healthcare budget in the 2021 approved budget was
released as of Q2 2021″.

They therefore recommends that; “the state government needs to sustain the 15% allocation for the health sector. There is a need to reverse the cut in the proposed 2022 health budget. This is to ensure that more fund is available to address the healthcare challenges in the state.

“There is a need to ensure timely releases of funds for various health budget lines and provide adequate funds for routine immunisation, family planning, and primary health care under one roof programmes and activities. There is a need to sustain a culture of dedicated budget lines for FP and RI for
transparency and accountability.

“There is a need for a stakeholder meeting by the government with the interested individuals and groups to ascertain how much is going to RI and FP in integrated health programmes identified in the proposed 2022 budget. Civil society organisations must understand and familiarise themselves with the RI budget trend and raise critical questions for transparency and accountability in and FP and RI funding.

“The government needs to have adequate planning on how to improve state revenue, prioritise health programmes activities, channels, and maximise the scarce resources for efficiency. There is also a need for the state government to ensure realistic budgeting. Activities and programmes to be included in the budget should be those that the state would have resources to implement”.

Participants at the meeting in Zaria, include; members of KADMAM, Civil Society Scaling-Up Nutrition in Nigeria (CS-SUNN), Kaduna Social Protection Accountability Coalition (KADSPAC), Ward Development Committees (WDCs), Traditional Rulers, the media, Local Government Accountability Mechanism, etc.

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