COVID-19 provides opportunity for Nigeria to invest, improve health sector – Expert

Tue, Jun 16, 2020
By publisher
5 MIN READ

Coronavirus Pandemic

A Development Finance Specialist, Mr. Princewill Eziukwu, on Tuesday said Coronavirus (COVID-19) was an opportunity for Nigeria to invest and improve its health sector financing.

Eziukwu told the News Agency of Nigeria (NAN) in Abuja that the pandemic had exposed countries that failed to critically invest in their respective health sectors.

He said that for over a decade Nigeria had invested less than five per cent of its annual budget to the health sector.

The financial expert said that with improved health sector financing, strengthening accountability mechanisms and public-private partnerships, Nigeria would be better prepared for future emergencies.

“Indeed, the COVID-19 pandemic has provided us with an avenue to evaluate the way we have been doing things.

”It has also provided us with an opportunity to re-assess the government’s preparedness to address future pandemics,” he said.

Eziukwu said it was imperative that health policymakers took advantage of the pandemic to improve health financing mechanisms, the correlation between health and economic growth and increased attention to disease prevention.

He said the larger impact of the pandemic could be broadly grouped a national health emergency.

He said that this was because of its rate of spread and the diversion of human and financial resources from other critical health challenges such as Ebola, Malaria, and HIV/AIDS.

Eziukwu said that coronavirus could overwhelm the health system in little time as was currently the case in Nigeria and other affected countries.

He further said that the neglect of other health challenges could lead to loss of already gained grounds in the fight against them.

He said that the economic challenge presented by the pandemic could be quite devastating particularly for emerging economies in Africa.

“As at June 2, Africa had about 108,121 confirmed cases with a death rate lower than the rest of the world.

“However, the continent can be said to be the worst hit considering other factors.

“One key factor is the mono-primary commodity export in most African countries, of which price falls will lead to a great loss of income in these countries.

“Another factor is the dominant informal sector in the economies.

“Contrary to what is obtainable in Western economies, African economies are still very nascent with the majority of its citizens operating in the informal sectors,” he said.

Eziukwu, said that the approach of locking down the economy had  caused hardship to many citizens, adding that the limited fiscal policy had also contributed to the hardship the citizens were experiencing.

“Many African countries have high debt to revenue ratios, of which a reduction in commodity prices will be unable to meet the basic operating and administrative costs.

“Also, there is limited health insurance in emerging economies which leads to high out-of-pocket health expenditure and these have further increased poverty rates,” he said.

Eziukwu said that some of the most hit areas of the economy during this pandemic were foreign reserves and currency values.

“Many emerging countries’ 12 months forward price is trading at approximately 50 percent reduction when compared with the U.S. dollars and other currencies.

“It is reported that the Naira is currently trading at over N500 to a dollar in the foreign exchange market.

“This is an over 42 percent reduction when compared with the currency’s trading average of N360 before the pandemic,” he said.

Eziukwu said that the epidemic preparedness and health sector funding models had also been seriously tested at this time.

He said that African countries that religiously followed the 2001 Abuja Accord were better positioned to withstand the economic impact of the pandemic.

The financial expert said that the countries that failed to meet the Abuja Accord target were more vulnerable as a result of the pandemic which was already overstretching frail health systems.

“This pandemic has provided a critical juncture for policymakers to review all possible approaches to better health financing.

”There is no better time to understand and agree that health is indeed wealth and should take precedence in all budgetary and financing decisions of the government.

“It is expected that going forward, there must be a convergence between the private sector, donor agencies and the government.

”This convergence will be important in addressing the weaknesses the COVID-19 pandemic has amplified,” he said.

Eziukwu said that in April, Nigeria’s Finance Minister had rolled out several interventions to address the pandemic.

He said that the interventions among other things included N500 billion intervention funds to build and maintain various primary health care facilities across the country.

“While this is a welcome development, an enabling environment should be created and sustained.

”This enabling environment is necessary to assist the private sector to further invest in the revamp and management of primary healthcare facilities across the country.

“Doing such will bring Nigeria closer to achieving universal health coverage (UHC),” he said.

Eziukwu said that investing in infrastructure only would not be sufficient to address the weaknesses in Nigeria’s health sector.

He said that there was a need to reduce the burden of care for basic ailments on secondary and tertiary health facilities by improving and sustaining PHCs.

The expert said that during a pandemic, improving micro and medium scale enterprise investments would have to be another approach for all Central Bank’s development finance investments.

He said that on March 27, CBN rolled out several interventions aimed at assisting businesses facing challenges as a result of the lockdown, which was welcome.

Eziukwu, however, othebserved that review of the requirements from the CBN revealed certain requirements that small-scale businesses would not be able to meet to access the funds.

To address this, he said, the CBN  should lower the requirements for accessing the funds and target high-impact job-generating sectors during the lockdown and after.

Eziukwu, however, said that while this might have short term positive impact as a considerable amount of the funds would go into food purchases, in the long run, it might lead to inflation.

He said that targeted interventions should be critically encouraged at this point. (NAN)

– Jun. 16, 2020 @ 17:35 GMT |

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