Nigeria's health insurance enrolment has increased significantly to over 22 million by July 2026, marking a 35% year-on-year rise. This growth is attributed to expanded participation in federal and state-backed programs, with state social health insurance agencies playing a key role. Despite this progress, the coverage gap remains substantial, with millions still facing high out-of-pocket healthcare costs. Low-income households and informal sector workers are especially vulnerable, relying on direct payments for medical care. Recent analysis highlights the risks of catastrophic health expenditure due to this reliance. While the NHIA Act aims to expand coverage, industry experts argue structural challenges such as income instability, limited provider networks, and low public trust hinder broader enrollment.
Bias read (Center): The article presents a balanced view of the situation, citing both government efforts and industry perspectives. It reports on the progress made by the National Health Insurance Authority without overtly criticizing or praising the government. The framing remains neutral, focusing on data and expert



