ManifesTrack Team Evaluates the Performance of President Buhari on the Nigerian Heath care system via a data-driven assessment in relation to next level promises.

The foundation for sustainable economic growth is qualitative, accessible and affordable healthcare, prior to the 2019 elections, President Muhammad Buhari made Next level Campaign promises on health. The ManifesTrack project, as an integral part of its mandate to hold President Buhari accountable to his electoral promises, evaluated performance of the President on the state of the Nigerian Heath care system via a data-driven assessment.

The promises centered on four (4) major cardinal points:


#ManifesPolls: What are the numbers sayings?

ManifesTrack conducts an online National Survey to sample the opinion public of Nigerians on the Effectiveness of the Healthcare System and Delivery in Nigeria.

The objectives of survey were anchored on following indicators; To evaluate the knowledge of Nigerians on health care related matters such as; Basic Health care provisions fund (BHCPF), Health insurance and promises made by the president; To rate the functionality of Primary health care system and how Nigerians access health care services; The state of health insurance coverage and their rating on the president performance on health care delivery in Nigeria. The findings are as follows:

#StreetChat: Nigerians Speak about Health

Citizens’ participation is an integral element of a functioning democracy, and the extent to which political office holders keep their electoral promises has an impact on democracy.  In another episode of street chat, ManifesTV correspondence; Faith Oche engaged Nigerians on the performance of president Buhari on health care system.

Ifeoma, a nursing mother on a way to the hospital said that:”I use the General hospital in town for my baby, because the hospital in the village I stay is not functional.” Reacting to the functionality of Government Hospitals Joshua a business man expressed that; “The patients are more than the doctors, the structure is not functioning”.

#ManifesTalk: The National health insurance coverage is abysmal – Dr. Babarinde Abdulraheem

Our Guest Analyst on this episode of ManifesTalk; Babarinde Abdulraheem. He is a medical doctor,  public health analyst and an SDG advocate. He shared his opinion  on the state of the healthcare system delivery with our ManifesTv correspondence Amina Yahaya.

He started by highlighting that the performance of the administration as regards the next level road map on health hasn’t been impressive, as we are yet to see any significant improvement.

Babarinde went further to give an overview of the 1% Consolidated Revenue Fund ( CRF) to fund health via the Basic Health care Provision fund( BHCPF) and it’s usage and importance to sustainable healthcare delivery.


In a bid to reach a larger audience, the team conducted a survey aimed at the following: (i)To evaluate how familiar Nigerians were with the NSIP and its various programmes. (ii) To evaluate how familiar they are with the promises made by the administration and how satisfied they are. (iii) To have a sample of beneficiaries.

The finding are as follows:

  1. 73.9% respondents are you aware while 26.1% are not aware of the National Social Investment Programme – from this data, there is an indication that a large percentage of Nigerians does not only know about the NSIP, but also benefitted from the programme.
  2. 65.2% respondents (in a linear scale rating) shared that they were unsatisfied in the President’s achievement in the area of social investments – this is a clear indication that the campaign promises of Mr. President in 2019 were not fulfilled.
  3. Below is the breakdown of the List of NSIP Beneficiaries captured from the survey:


Voices from the street- Nigerians Speak about the NSIP.

Citizens’  participation is an integral element of a functioning democracy, and the extent to which political office holders keep their electoral promises has an impact on democracy.  In another episode of street chat, ManifesTV correspondence ; Nurudeen Hassan engaged  Nigerians on the NSIP of which they ranked the president low on the promises made on the NSIP.

Josephine okeke, a market woman said that; “ A government official came to collect our names and passport photograph for the Market Moni scheme, but we are yet to get feedback”. Also reacting to the president’s commitment John Gulu an IT practitioner expressed that; “Information about these programmes are not properly disseminated, thus many persons end up not benefitting” .


Excerpt From Our Key Expert Interview on the National Social Investment Programme: We Are Not Where We Ought To Be – Sunday Adaje

Our Guest Analyst on ManifesTV Sunday Adaje, Sunday is the founder of Sikika Africa Initiative, shared his thoughts on the effectiveness of the NSIP with our correspondence Bakare Majeed during the May episode of ManifesTalk. He said that the idea behind the National Social Investment is  commendable, however,  the execution so far has not been encouraging.  The data from the National Bureau of Statistics with focus on the poverty line in the country, shows that of the NSIP we are not where we are supposed to be.

He further buttressed lack of transparency in the scheme which has been hijacked by politicians mainly at the state level has been a bottleneck hindering the aim of the scheme to reach those it intended for. He also went further to say that; the budgetary allocations of the NSIP have not been fulfilled up to 40%, he suggested that a straight line charge should be implemented.


Evaluating the Performance of President Buhari on the NSIP

As an integral Part of our mandate to hold of public office accountable to their electoral promises. The ManifesTrack team via a data-driven assessment evaluated the performance   of the Muhammadu Buhari led administration on the National Social Investment Programme (NSIP) based on promises made as contained in the APC  Next Level Roadmap and other sources.

In May 2021, the team tracked seven (7) promises on the NSIP. Our assessment established  that the following promises were kept: The Directive to expand the National Social Register(NSR) and   also Continue  investment in the most vulnerable through the National Cash Transfer Program (NCTP) to reach the target of 1 million poor households.