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Nigerians Spent Over $3.6bn Annually On Foreign Healthcare Under Buhari

Published

5 months ago

July 21, 2025

Nigerians spent at least $29.29bn on foreign medical expenses during the eight years of former President Muhammadu Buhari’s administration, according to The PUNCH. This translates to an annual spending of about $3.6bn during the review period.

This is according to a detailed analysis of data from the Central Bank of Nigeria’s quarterly statistical bulletins. The sum, recorded under the “Health-Related and Social Services” category, reflects cumulative outflows of foreign exchange from June 2015 to May 2023 — precisely covering the duration of Buhari’s two-term presidency, which spanned from May 29, 2015, to May 28, 2023.

The data, reviewed by our correspondent, shows the depth of Nigeria’s dependence on foreign healthcare services, with the CBN’s record showing a year-on-year movement of funds abroad for medical purposes amid economic downturns or dollar shortages at home.

It also highlights the irony that, despite repeated declarations by the administration to revamp the health sector and reduce capital flight, health-related foreign exchange outflows remained significant and even spiked dramatically during the latter years of Buhari’s presidency.

A close review of the spending pattern shows that the first year of Buhari’s presidency recorded the single highest amount spent on medical tourism. Between June 2015 and May 2016, Nigeria spent $7.81bn on health-related services abroad.

This figure alone accounted for over a quarter of the total medical tourism expenditure under his administration. Notably, September 2015 stood out as a month of exceptional outflow, with $3.20bn disbursed — the highest for any single month throughout the eight-year period.

That spike occurred during Buhari’s first few months in office and was followed by elevated monthly figures in October, November, and December of 2015, which further raised questions about whether the expenditure reflected a backlog of deferred medical bills or a broader trend among elites seeking healthcare abroad immediately after the administration took office.

In the subsequent year, between June 2016 and May 2017, the figure dipped to $2.76bn, although substantial sums were still recorded in months such as March 2016 ($0.96bn) and April 2016 ($0.67bn).

Spending continued to decline in Buhari’s third year in office, falling to $1.72bn between June 2017 and May 2018. By the fourth year of the first term, which ran from June 2018 to May 2019, Nigeria’s medical tourism bill had dropped sharply to just $0.44bn — the lowest across all eight years.

However, a closer examination of the second term reveals a different picture. After a relatively low fifth year, when Nigeria spent $0.92bn on medical services abroad between June 2019 and May 2020, there was a slight increase in the sixth year, with foreign exchange outflows reaching $1.57bn.

This modest recovery coincided with the COVID-19 pandemic, which imposed global travel restrictions and temporarily subdued international medical travel. The data during the lockdown period between April 2020 and June 2021 reflected lower figures, but it also hinted at pent-up demand that would soon be unleashed.

Indeed, from June 2021, medical tourism experienced a surge once again. The seventh year of Buhari’s administration — between June 2021 and May 2022 — recorded $6.96bn in health-related foreign exchange disbursements.

June 2021 alone accounted for $3.02bn, almost matching the record set back in 2015. April 2022 saw another massive jump with $1.28bn spent, suggesting that Nigerians, particularly the affluent class and public officials, resumed international travel en masse to seek healthcare that remained inaccessible or underdeveloped at home.

The eighth and final year of the administration recorded the second-highest annual expenditure, with $7.12bn spent between June 2022 and May 2023. January 2023 was a particularly costly month, accounting for $2.30bn in medical outflows — the third highest monthly figure during Buhari’s presidency.

With this late surge in medical tourism spending, the second term of Buhari’s government, which initially appeared more conservative in terms of health-related foreign exchange usage, ended up outpacing the first term.

A total of $16.56bn was spent in the second term, compared to $12.73bn in the first term. This shift suggests that, despite earlier constraints, the underlying drivers of medical tourism — including poor local healthcare infrastructure, lack of trust in domestic medical services, and the elite’s preference for foreign treatment — remained unaddressed and may have worsened.

Throughout his presidency, Buhari was frequently criticised for seeking medical care abroad. He made multiple trips to the United Kingdom for undisclosed treatments, sometimes staying for extended periods.

Buhari, during his eight-year reign, spent at least 225 days outside the country on medical trips, visiting no fewer than 40 countries since 2015. Eight months after assuming office, the former President embarked on his first medical trip to London, United Kingdom, on February 5, 2016, spending six days.

His second medical trip followed four months later, on June 6, 2016, during which he spent 10 days treating an undisclosed ear infection. On January 19, 2017, Buhari embarked on his second-longest medical trip to London, spending 50 days away.

In May of the same year, barely two months after his last trip, he returned to London for what became his longest medical stay, lasting 104 days. He did not return to the UK for medical purposes again until May 2018, when he spent four days on a follow-up review.

In March 2021, Buhari departed for London once again, on what the Presidency described as a “routine medical check-up,” which lasted 15 days. His departure came amid a labour crisis in the health sector, during which members of the Nigerian Association of Resident Doctors commenced an indefinite strike over unpaid allowances.

Almost a year later, on March 6, 2022, the ex-President travelled to London again for medical reasons. This time, he spent 12 days. On October 31, 2022, Buhari departed from Owerri, the capital of Imo State, to London for another medical check-up, which lasted approximately two weeks. He returned to the country on November 13, 2022.

Former presidential spokesman, Femi Adesina, consistently defended Buhari’s foreign medical trips, stating that he “has used the same medical team for about 40 years.” In a recent interview following Buhari’s death, Adesina argued: “If he had said I’d do my medicals in Nigeria just for show off or something, he could have long been dead.”

In total, Buhari undertook 84 trips to 40 countries during his tenure in office.

Meanwhile, the Nigerian Medical Association, the Medical and Dental Consultants’ Association of Nigeria, and the Nigerian Association of Resident Doctors earlier criticised political leaders for consistently seeking medical care abroad while neglecting the country’s healthcare system.

The President of the Nigerian Association of Resident Doctors, Dr Tope Osundara, described the trend as not only disheartening but an indictment of Nigerian leaders’ investments in the sector they are expected to strengthen.

Osundara expressed disappointment that Nigerian leaders continue to patronise foreign hospitals despite annual budget allocations to domestic medical facilities like the State House Clinic.

“It’s more like building a company, investing resources in it, then refusing to use the product and telling others to trust it. It tells you that something is fundamentally wrong with the system, with the people entrusted with managing it.

“There was a time when the former president, Muhammad Buhari, made some utterances that they should abolish this medical tourism. But unfortunately, before he died, he was even at the forefront of going abroad for treatment. Even a former Head of State, General Abdulsalami Abubakar, disclosed that he and Buhari were admitted to the same hospital in London shortly before Buhari passed away. This tells you that Nigeria’s healthcare system is in bad shape.”

On his part, the President of the Nigerian Medical Association, Prof Bala Audu, noted that while individuals are free to seek care wherever they choose, the consistent reliance of public office holders on foreign hospitals despite Nigeria’s budgetary allocations to domestic healthcare speaks volumes about misplaced priorities.
(PUNCH)

News

Bauchi Govt Sensitises 14,000 LG Staff On Promotion Examination

Published

54 minutes ago

December 18, 2025

Editor

The Bauchi State Local Government Service Commission has conducted a 2-day Sensitisation workshop for 14,000 local government staff on how to excel in the forthcoming promotion examination.

Speaking before the commencement of the workshop, Alh. Abubakar Wabi, the Chairman, Local Government Service Commission, said that the importance of the workshop for the LG workers could not be over-emphasised.

He said according to the tenets of examination policy, the main thrust of the exam, apart from paving the way for promotion, was to acquaint the staff with regulatory professional and general knowledge.

This, he added, contributed immensely in boosting their capacity and reading culture as well as increase effective performance of their duties for efficient service delivery.

According to him, the administration of Gov. Bala Mohammed of the state has resolved to sustain the examination policy and do everything within its reach to strengthen it for the benefit of civil servants and the Civil Service.

“The conduct of this sensitisation workshop is therefore a continued demonstration of the governor’s commitment and concern towards the upliftment of Local Governments as well as human capital development,” he said.

Also speaking, Mr Nasir Dewu, the Overseeing Permanent Secretary, Local Government Service Commission, said promotion examination has the main merit of keeping staff up-to-date with the staff regulations, procedures and General Knowledge.

These, he said, were vital for ensuring effective, efficient and productive Local Government Service.

“I am happy to inform you that the success witnessed in the 2023 edition of the examination held in 2024 is a further signal that the policy is a worthwhile one.”

He commended governor Mohammed for his commitment to ensure the examination policy’ success in the state.

Dewu urged the participants to reciprocate the kind gestures of the governor by being more dedicated to duties as well as contributing immensely in the revamping efforts of the Local Government Service.

In his address, Alh. Gambo Magaji, Dugge Management Services Limited (DMSL) the Consultant of the promotion examination, called on the participants to listen attentively to the papers that would be presented during the workshop.

Magaji, who said that the resource persons were experienced retired and serving technocrats billed to prepare them for the examination and beyond, added that the examination questions won’t be outside of what they would be taught.

The sensitisation workshop was carried out to help the staff writing the 2024 promotion examination on December 27 to excel.

News

Edo SSG Calls On Media To Support Govt Policies, Assures Better Welfare

Published

4 hours ago

December 18, 2025

Editor

L-R: Government House Public Relations Officer (PRO); Chief Press Secretary to Governor Monday Okpebholo, Patrick Ebojele, Ph.D; Secretary to Edo State Government, Musa Ikhilor; Special Adviser to Governor Monday Okpebholo, Mr. Paul Ezewon during the courtesy visit.

The Secretary to the Edo State Government (SSG), Umar Musa Ikhilor, has called on members of the media to continue to support government policies and programmes through objective, professional and balanced reportage, describing them as critical stakeholders in governance.

Ikhilor made the call while receiving members of the Governor’s Press Crew, Edo State Government House, led by the Chief Press Secretary, Ebojele Akhere Patrick, PhD, who paid him a courtesy visit in his office as part of the season’s greetings.

Responding, Ikhilor expressed gratitude for the gesture, noting that it was thoughtful and symbolic.

According to him, the media plays an indispensable role in governance and public accountability.

He said, “Whatever it is that we do, it still will not matter much if we do not have you guys to be our eyes and our ears to report some of those things so that Edo people will be aware and people globally will be aware, and that is where you come in very important.”

The SSG further emphasized the strategic role of journalists, describing them as the fourth estate of the realm.

Ikhilor stated, “Because without the press, the government is blind, deaf and dumb. You are the ones we can see with and you are the ones we can hear with and talk with as well. So we consider you very critical stakeholders in the affairs of governance. That is the sincere sentiment of the government,”

He acknowledged the challenges faced by the media, particularly poor working conditions, and assured that the government was aware and already taking steps to address them.

He said, “Your working conditions have not been the best one would have expected. These are some of the things we have made recommendations to His Excellency the Governor, and he has promised from next year, after this budget by January, with a new budget that is coming, there will be something substantial to cater for the media.”

Explaining the initial constraints of the administration, Ikhilor noted that spending was limited by budgetary provisions inherited at the time the government assumed office.

He explained, “When we came in, we met a budget already prepared. We just tried and tinkered with it to pass it as at then November–December. Once you don’t have an appropriation, you can’t spend. That would be a criminal offence,”

The SSG urged journalists to remain professional and committed to truth, regardless of circumstances.

He said, “Your responsibility as a journalist, your first training, your first duty, is the pursuit of truth wherever you find it. Reporting should not be based on a special relationship. Professionalism actually means you are consistent and you deliver, whether the day is good or the day is bad.”

He encouraged the media to continue to support government policies and programmes through accurate and diligent reporting, stressing the importance of teamwork in effective communication.

Commending the press crew, Ikhilor added, “I have seen exceptional reports from a lot of reporters here. Our camera men have done very well in terms of proper coverage. Everybody needs to work together as a team for the story to come alive and for the story to be complete.”

Earlier, while presenting a gift on behalf of the team to the SSG in appreciation of his leadership and support, the Chief Press Secretary, Ebojele Akhere Patrick, PhD, said, “In the spirit of the season, I present this to you on behalf of the Governor’s Press Crew in appreciation of your effort as the engine room of government.”

News

Forest Reserve: Okpebholo Broker Peace Between Host Communities, Investors

Published

16 hours ago

December 17, 2025

Editor

Governor Monday Okpebholo of Edo state on Wednesday brokered peace between host communities and investors on the use of government forest reserve land for agricultural purposes and investors.

The governor, who was represented by his deputy, Hon Dennis Idahosa, appealed to the various stakeholders to always tow the line of peace at all times

Okpebholo noted that by virtue of the Land Use Act, the land in dispute belongs to the Edo state government.

The governor blamed activities of the previous administration of the state for the hostility between the investors and the host communities over the land that spreads across Ovia South West and Ovia North East Local Government Areas.

He accused the previous administration of arbitrarily allocating the said forest reserve to investors to without due consultation with host communities of Iguomon, Egbetta and Usen.

He stated that the meeting with stakeholders became expedient in order to straighten out facts and restrategize.

“We had three investors that want to invest in oil palm production in the council areas, which is in line with the vision of Governor Monday Okpebholo to turn the state into investment heaven.

“Today, we met with the critical stakeholders of Ovia South West and Ovia North East to ensure all interests are captured.

“The investors were here, the community leaders, led by the Elawure of Usen, Oba Wilson Oluogbe II, and Palace Chiefs all came.

“Initially, a 5 percent buffer was proposed by the previous administration, but based on the conversation we had today, the investors agreed to increase to 10 percent.

“Haven put into consideration that Ovia is an agrarian area, with 80 percent of people relying on subsistence farming for survival,” he stated.

Okpebholo maintained that part of the resolution involved the raising of a memorandum of understanding (MoU) by investors with their host communities to keep all parties involved in decision making.

IHe declared, “Our administration is people oriented. The interest of investors are paramount to us as well as the interest of our people.”

The Secretary to the Edo State Government (SSG), Musa Ikhilor stated that before the said land allocation to investors, the previous administration was supposed to have carried out diligent studies and a NEEDS assessment in relations to the communities.

He said basic steps ought to have been followed, such as meetings with Community Development Associations (CDA) with agreements reached on community development.

Historically, Ikhilor said Usen community started as a farm stead hence the need to carry such a community along in decision making on issues that affect their means of livelihood.

He further encouraged investors to engage in Corporate Social rlResponsibility (CSR) acts as well as put in place activities that promote job creation and general welfare of their host.

The Elawure of Usen, Oba Wilson Oluogbe II praised the Edo State Government for its intervention.

He appealed for communities to be carried along when critical decisions are being made, especially on issues that affect their livelihood.

The investors, included: Nimbel Shaw Limited; Professional Support Farms Limited and Steve Integrated Limited, commended Edo state government for the peaceful resolution of the matter.