FG expands emergency healthcare services to 34 states

FG expands emergency healthcare services to 34 states

The Federal Government (FG) has expanded the National Emergency Medical Service and Ambulance System (NEMSAS) to 34 states, in a major push to improve emergency healthcare, strengthen intensive and critical care services, and accelerate progress towards Universal Health Coverage (UHC) across Nigeria.

The expansion was announced by the Minister of State for Health and Social Welfare, Dr. Iziaq Salako, during the opening of the 11th Annual Scientific Conference and Annual General Meeting of the Intensive and Critical Care Society of Nigeria (I-CCSN) in Abuja.

Speaking on the conference theme, “Sustainable Financing for Intensive Care in Public Hospitals in Nigeria,” Salako described emergency and intensive care as essential pillars of a resilient healthcare system, saying timely access to quality treatment saves lives, reduces preventable deaths and protects families from the devastating financial impact of critical illnesses.

According to a statement issued by the ministry’s Assistant Director of Information and Public Relations, Ado Bako, the minister said the expansion of NEMSAS from its pilot phase in the Federal Capital Territory (FCT) to 34 states represents one of the Federal Government’s flagship health sector reforms, with efforts already underway to extend the programme to all 36 states and the FCT.

The National Emergency Medical Service and Ambulance System (NEMSAS) was established to provide a coordinated national emergency response by ensuring the rapid evacuation and transportation of critically ill or injured patients to appropriate healthcare facilities. The initiative supports victims of road traffic crashes, maternal emergencies, medical complications, disasters and other life-threatening situations that require urgent intervention.

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Salako said the Tinubu administration considers emergency and critical care a strategic investment in Nigeria’s healthcare system, noting that improved emergency response capacity is critical to achieving better health outcomes, strengthening national health security and reducing avoidable deaths.

He observed that delivering quality intensive care requires sustained investments in specialised infrastructure, fully equipped ambulances, intensive care units (ICUs), trauma centres, medical oxygen systems, modern diagnostic equipment, reliable electricity supply and highly trained healthcare professionals.

The minister also expressed concern over Nigeria’s continued dependence on out-of-pocket healthcare spending, warning that many households are forced into financial hardship because of the high cost of emergency treatment and intensive care.

To reduce this burden, he said the Federal Government is expanding health insurance coverage, strengthening sustainable healthcare financing and implementing reforms aimed at making emergency medical services more accessible and affordable.

According to Salako, the government is simultaneously implementing complementary programmes to improve maternal and newborn healthcare, strengthen referral systems and integrate ambulance services with intensive care units, operating theatres, rehabilitation centres and medical oxygen supply networks.

He added that lessons from the COVID-19 pandemic have prompted increased investment in medical oxygen infrastructure, with Pressure Swing Adsorption (PSA) oxygen plants already installed in several federal and state health facilities to improve oxygen availability for critically ill patients.

The minister further disclosed that the government is promoting digital health technologies, telemedicine and tele-critical care services to bridge gaps in access to specialist healthcare, particularly in underserved and rural communities.

Salako emphasised that achieving sustainable emergency healthcare requires stronger collaboration among the Federal Government, state governments, healthcare institutions, professional associations, academic and research institutions, development partners, civil society organisations and the private sector.

He also called for greater investment in healthcare workforce development through the training of more intensive care physicians, emergency medicine specialists, nurses, physiotherapists, pharmacists, anaesthetists, biomedical engineers and other specialised healthcare professionals.

The minister said these reforms align with the Nigeria Health Sector Renewal Investment Initiative and other ongoing efforts to strengthen primary healthcare, emergency medical services and referral systems nationwide.

Earlier, Chairman of the Conference Local Organising Committee, Dr. Harrison Nwogu, said participants would examine the persistent underfunding of intensive care units and explore innovative financing mechanisms, including public-private partnerships (PPPs), expanded health insurance, philanthropic support and diaspora investment.

Chairman of the occasion and Chief Medical Director of Zenith Medical and Kidney Centre, Dr. Olalekan Olutesi, urged wealthy Nigerians and corporate organisations to invest more in the health sector, suggesting tax incentives to encourage greater private-sector participation in healthcare delivery.

Delivering the keynote address, Professor Tamuno-Ojuemi Ogaji advocated a sustainable financing framework that guarantees access to quality intensive care regardless of a patient’s financial status.

He identified inadequate infrastructure, shortages of medical equipment and consumables, unstable electricity supply, limited intensive care beds and insufficient funding as some of the major obstacles affecting critical care delivery in Nigeria.

Also speaking, the Emir of Wase, Dr. Muhammadu Haruna, who represented the Emir of Tula, Dr. Abubakar Buba, described intensive care as a national development issue that affects every Nigerian family.

He said strengthening emergency and critical care services would improve survival rates, reduce preventable deaths and contribute significantly to Nigeria’s economic and social development.

The Federal Government expressed confidence that the continued expansion of NEMSAS, improved healthcare financing, stronger referral systems and sustained investments in emergency medical infrastructure would significantly improve access to life-saving care and strengthen Nigeria’s overall healthcare system.

FG expands emergency healthcare services to 34 states