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Gates Foundation spent $27m to boost Nigeria’s primary healthcare in 4 years
The Gates Foundation has invested $27 million in Nigeria’s primary healthcare since 2019. Most of the funds rewarded states for improving health services. Officials say the initiative has led to better immunisation rates and maternal health.
"We remain fully aligned with the Government of Nigeria’s determination to revitalise primary health care."
Highlights
- About 70% of the $27 million went to performance-based awards for state-level reforms.
- National Penta3 immunisation coverage rose to the high 60% range, with some states above 75% as of 2024.
- Over 500,000 previously unvaccinated children were reached between July 2024 and October 2025.
- Maternal health indicators improved, with skilled birth attendance and antenatal care coverage now above 50%.
- Challenges remain, including insecurity in the North-East and North-West, and persistent gaps in data and coverage.