Gbadebo Rhodes-Vivour Criticises Health Scheme, Sanwo-Olu’s Aide Defends Policy.
The Lagos State Government has responded to criticism from former governorship candidate Gbadebo Rhodes-Vivour regarding Governor Babajide Sanwo-Olu’s Executive Order on the Social Health Insurance Scheme.
Rhodes-Vivour expressed concerns that the scheme would worsen economic hardship by mandating a ₦15,000 monthly contribution from residents. However, Sanwo-Olu’s Special Adviser on Media and Publicity, Gboyega Akosile, clarified that the required amount is an annual premium, not a monthly fee.
Akosile explained that the initiative aligns with the National Health Insurance Authority (NHIA) Act of 2022, which mandates social health insurance for all Nigerians. To accommodate informal sector workers, the state has introduced a flexible “pay small-small” system, allowing installment payments while ensuring access to healthcare services.
Recognising financial constraints among some residents, Akosile highlighted the government’s provision for vulnerable groups. He noted that Lagos has significantly increased its equity fund allocation, tripling the budget from ₦1 billion to ₦3 billion in 2024. This fund ensures healthcare access for those unable to afford the premium.
Addressing concerns about healthcare workforce shortages, Akosile emphasised that this challenge is not unique to Lagos. He outlined the state’s strategic initiatives, including the establishment of a dedicated Lagos State University of Medicine and Health Sciences to improve the doctor-to-patient ratio.
Furthermore, Akosile pointed out the state’s reliance on public-private partnerships in delivering healthcare services. He noted that private facilities play a major role in the scheme, providing around 60-70% of services in Lagos.
The government has also prioritised investments in healthcare infrastructure. Akosile highlighted completed and ongoing projects such as Mother and Child Care hospitals in Ajah, Badagry, and Alimosho, as well as the nearly completed New Massey Children’s Hospital and new psychiatric hospitals in Ketu-Ereyun and Epe.
To support public servants, the state is subsidising up to 75% of their health insurance premiums. Additionally, pensioners are covered for free under the Lagos State Health Insurance Fund (LASHEF), which is strictly utilised for its intended purpose.
Akosile reaffirmed the scheme’s benefits, stating that it provides a wide range of primary and secondary healthcare services tailored to the state’s health needs. He also pointed to numerous testimonials highlighting its positive impact on residents, including vulnerable groups.
With continued investment and government support, the Lagos State Social Health Insurance Scheme aims to enhance healthcare accessibility while ensuring financial sustainability for health facilities across the state.
