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THE ’12- DAY WAR : lesson for tomorrow-Inuwa Waya

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Let me start with a hypothetical scenario. You have a neighbour who was full of pride because he is strong economically and otherwise. He has friends equally very powerful who come to his assistance whenever he requested.

Because of that, he holds every household in your area with disdain and contempt. With or without provocation, he enters any household, maim, and even kill if there is resistance. His powerful friends rearmed him with weapons and money from time to time for him to continue oppressing and frightening the neighbourhood. Everyone in the environs and beyond is afraid of him, and nobody dare challenge his impunity and wanton display of power and arrogance. Any perceived threat to his power is met by maximum punishment. When the situation became unbearable, you started showing signs of disapproval. You began to raise awareness for the neighbourhood to address his excesses. Once he noticed your actions, he became more aggressive and started planning on how to deal with you. He began by planning with his powerful friends to kill your relations who are staying
in a nearby neighbourhood. He followed that with clandestine actions to intimidate you for daring him. One day in your absence, he entered your house, vandalised properties, and killed some members of your family whilst others managed to escape. He also left an inscription on your door stating that you are the next target. When you returned home and saw the carnage, you became confused. You started having a dilemma on whether to avenge or beg him to spare your life and those of the remaining members of your family. The aforementioned hypothetical narration typified the situation between the Islamic Republic of Iran and Israel. We assumed you are IRAN and ISRAEL is the neighbour who has been terrorising the neighbourhood and the one that conducted the assault in your house. Let’s move out of the hypothetical World into the realm of reality. After the Israel preemptive attack against Iran on the 13th of June, it took less than twenty- four hours for Iran to exert her revenge. The revenge itself was one, it’s significance however was the show of determination and courage on the part of the Iranian nation to confront the state of Israel. Since its creation in 1948, Israel uprooted and expelled the Palestinians who are the original inhabitants of the land. Over time, they expanded their land grab by building more settlements in occupied lands of Jerusalem, Jericho, West Bank, and Bethlehem, actions which are illegal under the International Law. They invaded Southern Lebanon in 1982 and participated in planning, preparation and execution of Sabra and Chatila massacre in which nearly three thousand five hundred Labanese and Palestinians were killed. In June 1967, Israel entered and gained control of Golan Heights, which was under the control of the Syrian Arab Republic. From time to time, Israel made incursions into any territory to conduct covert and overt military and intelligence operations. Through targeted assassinations, Israel killed a number of persons. In Palestine for instance, Israel assassinated Yahaya Ayesh, Sheik Ahmed Yasin, Mahmoud Rantisi his brother Abdulaziz Rantisi, Yahaya Sinwar, Mohammed Sinwar, Ismail Haneya, Chairman Yasser Arafat, to mention but a few. On 27th November 2020, Israel assassinated Mohsen Fakhrizadeh Mahabad an Iranian nuclear scientist. In the 13th June attack, Israel killed fourteen Iranian nuclear scientist along with their neighbours and members of their families. At the behest of Israel, the United States assassinated Iranian Genaral Qasim Soleimani on the 3rd January 2020 at the Baghdad airport. It was based on Israel false intelligence that America and the rest of the West invaded Iraq and deposed Saddam Hussain in March 2003. Tens of thousands of people were killed in that war. In the end, no weapons of mass destruction were found as stated by the Israeli intelligence. In Gaza where Israel is raging a relentless war against unarmed people, over 56,000 thousand Palestinians were killed and 2.1 million of them were displaced and subjected to starvation. All infrastructures in Gaza were destroyed by Israel bombs. The strip is now unhabitable for ordinary human beings. This war followed the Hamas attack on Israel which killed 1200 Israelis. In addition to the general subjugation the Palestinians are going through since Israel was created in 1948, the people of Gaza suffered additional humiliation by living in what is generally referred to as the largest open prison in the World. In this particular war, Israel tested lethal weapons that were never use in any warfare. When they run out of bombs, America, replenished them with new supplies. Millions of Palestinians are scattered all over the World as refugees or on exile to escape Israel onslaught.
Israel is a very powerful Country. It is the only nuclear state in the Middle East, although it maintained policy of silence regarding its nuclear weapons. The Israel nuclear possession came to the World’s attention in 1986, when Mordachai Vanunu a former Israel nuclear technician gave detailed information and photos of Israel’s nuclear program to the British newspaper The Sunday Times. His revelations indicated that Israel had developed a substantial nuclear arsenal. After that revealing interview, Vanunu was kidnapped in Rome and brought to Israel by the Israel intelligence outfit, Mossad. He was tried in secret and was sentenced to 18 years imprisonment. To date Israel refused to join the International Atomic Energy Agency ( IAEA) and denied it’s inspectors entry visa to visit the County for inspection.
Through the work of the American Israel Public Affairs Committee ( AIPAC), Israel was able to get political and diplomatic cover from the United States of America. It was estimated that the United Nations Security Council had passed over 30 resolutions that Israel is accused of contravening. Additionally, the US had used its veto power over 40 times to block resolutions critical of Israel in the Security Council. Most of these resolutions relates to Israel’s activities in Palestine, Lebanon, Syria and Jerusalem. In today’s World, political analysts have concluded that Israel is the most powerful Country, more powerful than even the United States that gives it all the protection at the International level.
When a Country like Israel attacks one, it is in One’s interest to retreat and run away. That brought us to the significance of the revenge carried out by the Islamic Republic of Iran against the Jewish state. The Iranian bravery demystified the vulnerability of the invulnerability of the state of Israel. It further exposed the myth that no Country can attack Israel and remain a Country. In the twelve days war, the Iranian short, medium and long range missiles caused massive destruction in Israel. The Iranian drones and missiles penetrated the Israel’s iron dome, David sling and arrows, to cause maximum damage in Tel Aviv, Haifa, Dimona, Hora, Hod HaSharon, Beersheba, and Rishon LeZion. During the period of the war, the Israelis experienced terrible consequences of their actions. Schools were closed, workers were asked to go home, sirens were activated every now and then and people were in and out of public shelters. At home, people were asked to listen to radios and television for intermittent announcements. The restaurants, beaches and night clubs were all deserted. People were running helter skelter. Before the 13th of June, if you ask the Israelis that they would experience such, they would say you are deluded. But it happened, it was a reality and not a dream. The government became confused just as the people were. The jews are pampered people full of pride and lavish lifestyle. The Iranians are not. They are prepared for a long war. They experienced it before fighting the Iraqis for eight years. The Iranians have been in one form of sanction or another since the Islamic revolution of 1979. The sanctions made them resilient and enable to make inventions and innovations for their progress and development. They also have pride about their religion and their ancestry. You just can not beat them easily.
When Israel realised that their military campaign is ineffective, they begged the Americans to come to their rescue. Back home, the majority of the Americans do not have the appetite for war. President Trump was elected to stop Americans from going to war. However in order not to embarrass the Israelis, President Trump decided to intervene in the war by striking the Iranian nuclear facilities on June 22. On that day, the United States Air Force and Navy attacked three Iranian nuclear sites at Fordow, Natanz, and Isfahan. The operation was conducted using bunker buster bombs. President Trump said the Iranian nuclear programme has been obliterated. Israel said the same thing. Iran and other intelligence sources in the US said otherwise. They believe the programme was only delayed with a month or two. Be that as it may, the Islamic Republic of Iran had always insisted that its nuclear programme is for civilian purposes and nobody can stop it from exercising that right under whatever guise. On June 23, Iran retaliated by attacking the American air base at Al Udeid in Qatar. One hour before the attack, the Iranians gave the Qatari government notice of the attack, and also to the Americans through Qatar. There were no casualties in the attack.
On the 12th day of the war, President Trump informed the World that both Iran and Israel agreed on ceasefire. From the way President Trump spoke, it appears both Iran and Israel showed signs of exhaustion. More importantly, Israel who started the unjustified pre-emptive military strikes was severely devastated . It was a tactical blunder on their part. They should have known that there is a limit to nations endurance. The ceasefire which everyone has been asking them for over 15 months in respect of their war in Gaza, they now agree to it in 12 days in the war with Iran. Their pre-emptive strike at this time boomerang. As for the Middle Eastern region and the World in general, the ceasefire has brought a welcome relief. The global economy would have been adversely affected had the war continue.
In conclusion, it is our hope that the International community especially the United Nations Security Council (UNSC) will take a lesson from these. They should put the necessary mechanisms in place to ensure that all members of the United Nations are treated equal. They must ensure that every member respects the UN charter and also abide by the UNSC resolutions. They should immediately call for ceasefire in respect of the Israel war in Gaza. That war is an embarrassment to the International community. Human rights has no meaning if human life is not guaranteed. Solving the Palestinian issue is solving half of the global conflicts. Just as the Israelis are leading their free lives, the Palestinians deserve to live in peace and dignity. God created human beings as equals. There is no superior race or races. Blacks and whites are the same.
I rest my case.

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Opinion

Muhuyi and the Fight for Kano’s Future-Ismail Auwal

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By Ismail Auwal

I knew Muhuyi Magaji Rimin Gado had capacity. His work at Kano’s Public Complaints and Anti-Corruption Commission had established that much. But watching the pace of his present assignment, I have had to revise my expectations upward. I did not imagine he would bring this much energy to the task.
The operations have kept coming: arrests, investigations and court proceedings. Alongside them are plans for rehabilitation and skills training. What has emerged is a public official taking responsibility for an assignment whose consequences reach far beyond his office and into the homes and neighbourhoods of Kano.
Within 45 days, the task force reportedly conducted more than 200 raids and secured more than 200 convictions, with four mobile courts handling the cases. Those figures remain reported results. They nevertheless describe an early pace of enforcement that deserves attention, and the leadership sustaining it deserves recognition.
Consider the work behind an operation. Information arrives and must be assessed. Someone decides what requires investigation and brings the relevant agencies together. Officers are deployed, evidence is gathered and records are prepared. After an arrest, the responsibility continues through the preparation and handling of a case.
Maintaining that effort across repeated operations requires organisation and follow-through. This is where Muhuyi’s energy becomes significant. He has taken on a responsibility that demands sustained attention, and the accounts emerging from Kano suggest he is giving the assignment precisely that.
The arrests sit at the centre of this effort because they make government action visible. For residents who have reported suspected criminal activity, an operation can show that their information reached someone prepared to respond. It can begin to restore a connection between public complaints and public action.
That connection matters. When people believe a complaint will go nowhere, they may stop making it. They find ways to live around the problem, avoid certain places or carry their concerns privately. An institution that responds gives them a reason to participate again and demonstrates that their knowledge of their community has value.
Muhuyi’s task force has an opportunity to strengthen that relationship with every operation properly investigated and every case properly followed. His leadership deserves commendation for pursuing the work through institutions, bringing enforcement and court proceedings into the same understanding of public responsibility.
For Kano, the stakes are personal. A family dealing with harmful drug use may find its plans gradually displaced by the next crisis. Schooling is interrupted, money intended for other needs goes towards seeking help, and relationships come under strain. Parents try to understand what is happening while worrying about what might happen next.
These are the lives behind the assignment. A response that reaches them can change what they expect from government. It can provide somewhere to seek assistance and a reason to believe that the burden they have been carrying is receiving attention beyond the household.
That is why I have followed Muhuyi’s work with growing interest. The task force is addressing a problem whose effects can spread through generations. Protecting a young person’s opportunity to learn, work and contribute has consequences for an entire family. It also influences the kind of Kano that will emerge in the years ahead.
Muhuyi brings experience suited to these demands. At the Public Complaints and Anti-Corruption Commission, he worked where citizens’ grievances met the machinery of government. Complaints had to be received, records examined and investigations pursued. Public expectations had to be translated into administrative and legal action.
His contribution included work on the institution itself. In April 2025, the commission published an account of commendations from the Civil Society Legislative Advocacy Centre. CISLAC recognised developments under his leadership, including an anticorruption strategy, operating guidelines for government institutions and offices across Kano’s 44 local government areas.
There is substance in that record. Extending an institution’s presence makes it easier for people to approach it. Establishing procedures gives staff a framework for handling complaints. Setting a strategy helps work continue across competing demands. These are foundations on which visible results depend.
For a resident seeking assistance, the difference can be practical: an office within reach, a process that can be understood and an official assigned to follow the matter. Such arrangements give public service a form people can use. Muhuyi’s experience developing them is an asset to his present responsibility.
The commission’s engagement with CISLAC also involved cooperation on asset tracking and recovery. That experience points to another quality relevant to the task force: understanding that institutions can accomplish more when they combine expertise and establish clear arrangements for working together.
Drug enforcement brings together responsibilities held by different bodies. Reporting on the task force’s maiden meeting described participation by the NDLEA, police, Department of State Services and other public institutions. Their involvement provides a basis for coordinated work, while leadership keeps that cooperation active after the meeting ends.
Information must move to those able to assess it. Evidence must reach those preparing proceedings. Responsibilities must be understood well enough to prevent a case from losing momentum between institutions. Muhuyi’s role is to help make these connections work, and the reported activity gives reason to recognise his commitment.
Governor Abba Kabir Yusuf also deserves credit for establishing the platform and giving the assignment political backing. Placing an experienced official at its head was a consequential decision. Muhuyi’s response has given that decision operational meaning through the task force’s reported activities and developing partnerships.
The governor’s support and the chairman’s drive can reinforce each other. Public backing enables institutions to commit resources, while operational leadership directs those resources towards the work. Kano benefits when both remain focused on the people the assignment is meant to serve.
The effort has attracted recognition from other institutions. Reports of an August visit said the NDLEA’s Zone 5 Command named Muhuyi a War Against Drug Abuse ambassador, citing cooperation, awareness and community mobilisation. In September, the North-West Development Commission also commended the task force and expressed interest in collaboration.
Such recognition can open opportunities for assistance and shared expertise. It also encourages the personnel carrying out the work. Officers, investigators and administrative staff all contribute to the results associated with a chairman’s name. Their effort deserves recognition alongside the leadership coordinating it.
The ambition to help people rebuild their lives after enforcement is equally important. Muhuyi has reportedly outlined plans for skills training reaching 10,000 people, with a role envisaged for the Kiru Reformation Centre. That number is a proposed target, and its direction is encouraging: rehabilitation has a place in how he understands the assignment.
A young person returning home may need treatment, an opportunity to resume education or help acquiring a skill. The family may also need guidance. Recovery can involve a series of steps, each requiring someone to remain involved after the immediate crisis has passed.
Including rehabilitation recognises that public responsibility continues through those steps. It gives the campaign a purpose that families can understand: helping a person regain the ability to participate in everyday life. That ambition deserves support because its benefits can extend well beyond the individual receiving assistance.
A young person who resumes school recovers an opportunity to prepare for adulthood. Someone who acquires a useful skill has a basis for pursuing a livelihood. A household that receives help can begin making plans again. Through these changes, an intervention becomes an investment in Kano’s future.
The support of religious scholars, Friday mosque imams and Hisbah can strengthen this effort. These institutions have relationships with communities that government agencies can work alongside. Their participation can encourage discussion, prevention and assistance in places where families already seek guidance.
Muhuyi deserves credit for leading an assignment that is developing these connections. Public engagement helps build the cooperation on which sustained progress depends. Families need to know where to seek help, and communities need to understand how they can contribute to protecting young people.
The task force’s developing approach brings these responsibilities into the same conversation. Operations address suspected offences, court proceedings carry cases forward, rehabilitation plans look towards recovery, and community partnerships create opportunities for prevention and support. Together, they provide a basis for recognising the leadership behind the effort.
I have followed Muhuyi’s work with an existing appreciation of his capacity. What I now appreciate more fully is his willingness to apply it with urgency. He has brought energy to an assignment that requires people to keep showing up, keep coordinating and keep following the work. That commitment deserves commendation.
Kano’s future will be shaped partly by what happens to its young people today. Every opportunity preserved, every family assisted and every community able to obtain a response contributes to that future. Muhuyi has taken on a responsibility that reaches directly into those possibilities.
The arrests have made the effort visible, and his leadership is giving it momentum. With sustained support, the work can leave its strongest record in the lives of people who find a way forward: young people returning to education and employment, families receiving assistance and communities gaining confidence in the institutions serving them.

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Opinion

Dry Taps Gone, Kano Flows Again: The Abba Yusuf Water Comeback By Abba Anwar

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By Abba Anwar

It is evidently clear and on record to understand that Kano thirsty decade is ending, as how His Excellency the Governor of Kano State, Eng Abba Kabir Yusuf is turning 95 years of ruin into a N21.3 Billion revival. This is leadership, commitment, display of patriotic political will and understanding of complexities and peculiarities of human existence.

What Kano is experiencing now, in terms of redirecting the water industry into human face, calls for global gist and account. For example in Cape Town, they called perennial shortage of water Day Zero – the day the taps would run dry.

In Flint, Michigan, history tells us that it was a lead poisoning crisis that shocked America. While in Kano, Africa’s most populous city, situated in Northern Nigeria, it was slower, quieter, and more painful. Very pathetic and heartbreaking, for over ten years, the taps simply stopped. No announcement. No Day Zero. Just air.

The history of Kano water sector reveals that the city needs 700 million litres of water every single day to survive. Until last year, it was getting less than 300 million. A deficit of 400 million litres. That is not a shortage; it is a systemic collapse. Mothers woke up at 4 a.m. to queue at boreholes. Children trekked kilometres with jerry cans. Industries shut down. Cholera whispered in the background.

Identification of problem didn’t match with problem diagnosis. For years, successive administrations applied plaster to a cancer. The current administration of Governor Yusuf has chosen to perform open-heart surgery. A better and neater option. Surgical operation not plaster application. Which catches and punches the right button.
And the heart is now beating again as the Governor means business and genuine service delivery.

Kano’s 95-year-old legacy, which I term as The Soul of a City, is a deliberate presentation for proper
understanding of the magnitude of what is happening now. Hence we must understand what was lost.

Kano’s water story did not start yesterday. It started in 1927, when the British colonial administration, under Emir Abdullahi Bayero, broke ground for what would become the first waterworks in Northern Nigeria – the Challawa Water Works. Completed in 1930, with a modest 20 million litres per day, it was an engineering marvel of its time. It supplied Dorayi, Kabuga, Kofar Fanfo, Jan Bulo, Rijiyar Zaki, and even the Army Barracks in Janguza. It ran non-stop for 86 years.

Then came its younger brothers. The Old Tamburawa in 1986 – 9.6 million litres, later upgraded to 20 million. Then the New Tamburawa, a behemoth with a 150 million litre per day capacity. And anchoring them all, the legendary Goron Dutse reservoirs – five massive underground and surface reservoirs built between 1930 and 1974, with a combined storage of over 40 million litres. They were the lungs of Kano’s distribution.

By whatever standard and estimation this was a system built by visionaries, with clearly defined vision. But it was, unfortunately, killed by neglect. Year in year out all the donkey years witnessed terrifying reality when city’s lifeline was utterly and irresponsibly looted.

To tell my reader that, that experience was worrying our Governor deeply even before he came on board, before he took the oath of office on May 29, 2023, he set up a powerful Committee of Experts to look into the perennial nature of the water industry. Immediately after he came on board his engineers gave him a report on water that read like a war zone assessment.

Since then, when I discussed the concern with a friend from Darmanawa he quickly commended the effort and called for public support of the entire process and procedures.

It was fundamentally clear that in Challawa, the scene was “pathetic and disheartening,” in the official words of the Ministry. Out of six giant industrial generating sets that power the entire plant when the national grid fails, only two were limping. Water Works No. 1 and No. 2 were dead. No. 3 was gasping at 30% capacity. A call for action at whatever rate.

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Worse than decay was destruction. Raw water pumps were gone. Electrical starters ripped from control rooms. Underground electrical facilities stolen. And in an act that shocked even veteran engineers, a 15-kilometre, 15.6 kilometre underground transmission pipeline – the artery that feeds Challawa – was excavated and stolen. Not vandalised. Stolen. Some individuals even walked into the premises claiming the federal government had sold the waterworks to them. A brazen dishonesty of the highest order.

At Goron Dutse, the story was even more symbolic. The reservoirs that had quenched Kano for nearly a century had not received a single drop of water for over ten years. Ten years! They were dry, cracked, and filled with silt. As bad as economies during conventional wars. Abandonment amid need for attention.

The total cost of decay was put at over N30 billion. An administration in the past had spent N5.6 billion in just 11 months for “maintenance” but it was maintenance without a soul. As pipes were not replaced, reservoirs were not desilted, pumps were not procured. The result? Tamburawa, designed for 150 million litres, was doing 27%. Challawa, designed for 220 million, was doing less than 30%. Together, they should produce 370 million litres. They were producing less than 90 million.

To revive just Challawa, an official told journalists that the state would need $3.5 million, later revised to over $10 million, because the 1930-era machines have to be custom-built in Europe on demand. They are not on any shelf in the world.

This is the rot Governor Yusuf inherited. To me, Governor Yusuf’s political will is doctrinal with no match in sight. Unmatched political will. It is glaring for all to know that great cities are not revived by press releases. They are revived by political will. This is where His Excellency separates himself from every administration in the last decade.

He did not send a committee. He went himself. Since from the start of the good re-engineering touch of the water facilities. For example just yesterday, he and his able Deputy H.E. Murtala Sule Garo alongside other top government functionaries visited water projects that are almost ready for good operations.

In a now-famous inspection tour, Governor Yusuf, in rain boots, walked the length of Challawa and Tamburawa with engineers from CGC Nigeria Limited and CCECC Nigeria Limited – the same Chinese engineering giants building Africa’s biggest dams and railways. He saw the leaking pipes. He saw the obsolete clarifiers. He saw the dead high-lift pumps. And there, on the spot, he made a decision that will define his legacy.

He approved without any hesitation, the sum of N21.29 billion. Wow! the single largest water investment in Kano in 15 years. Leadership by example. Viva our dear Governor Viva.

Not N21.89 billion in rumour. N21.29 billion in signed contracts. With N9.9 billion to CGC Nigeria Limited for the total rehabilitation of Tamburawa Water Treatment Plant and its raw water pump station. The sum of N11.39 billion to CCECC Nigeria Limited for the rehabilitation of Challawa Raw Water Pump Station, its treatment plant, and the total restoration of the Goron Dutse reservoirs. Action! Action!! Action!!!

This is not rehabilitation on paper. This is what is happening on the ground right now, as confirmed by Dr. Dahiru Muhammad Hashim, Acting Commissioner for Water Resources, Environment and Climate Change. That:

1. The critical 15.6-kilometre transmission line to Goron Dutse has been restored with modern ductile steel pipes, replacing the 1970s asbestos pipes that were poisoning the system.

2. Goron Dutse reservoirs have been fully desilted and repaired.

3. Clarifiers, filtration units, manifolds, and high-lift pumps have been restored.

4. Ten high-capacity 110-kilowatt pumps have been procured.

5. A full test run was completed in mid-September.

And beyond the metropolis, the Governor is doing what no one did – reviving the dead. Nine out of Kano’s 19 dormant regional water schemes are under restoration. Guzugu in Kabo is flowing. Joda in Gabasawa is flowing. Wudil Waterworks, dead for years, is alive. For the first time, rural Kano is part of the water equation. Government for all sections of the state.

On September 21, 2026, the Ministry officially announced: expanded distribution of potable water would commence within few days to come. All are waiting patiently Your Excellency Sir!

Why Kano must attract global communities? From London to Lagos, water is politics. The UN says water scarcity will displace 700 million people by 2030. What Governor Yusuf has done is a case study in how to reverse it without World Bank loans, without privatising your heritage.

He did not outsource the problem. He funded the solution. He did not blame the past. He fixed the future. Sometime in the past I spoke to Malam Musa in Tarauni, he was lamenting all over. When asked again, now, he simply smiles that Governor Yusuf is on the top of the situation. This is courageous.

When the taps in Kofar Mata sputter and then gush, when a child in Dala drinks from the tap for the first time in his life, when Goron Dutse reservoirs hold water again after a 10-year drought, Kano will not just be celebrating water. Kano will be celebrating a Governor who proved that a 95-year-old dream, buried under silt, stolen pipes, and failed promises, can still flow.

That is not just governance. That is unmatched and unwavering political will in action.

KANO FLOWS AGAIN UNDER GOVERNOR YUSUF!

Viva Kano. Viva Abba Gida-Gida.

Anwar writes from Kano
Tuesday, 29th September, 2026

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Opinion

The Tinubu Health Reset: A Consultant Examines Nigeria’s Healthcare Reforms

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By Dr. Usman Muhammad Shanawa

For decades, Nigeria’s healthcare system has faced a familiar set of challenges: inadequate infrastructure, limited access to specialised medical services, weak primary healthcare facilities, shortages of healthcare personnel and the rising financial burden of treatment on ordinary Nigerians.

Against this backdrop, the Federal Government under President Bola Ahmed Tinubu has pursued interventions across different levels of the healthcare system, ranging from primary healthcare and general hospitals to specialised tertiary facilities, digital health, emergency care and healthcare financing.

For Dr. Usman Muhammad Shanawa, a Consultant Obstetrician and Gynaecologist and specialist in Gynaecological Oncology with more than two decades of experience in clinical practice and healthcare management, the interventions deserve to be examined as part of a broader attempt to strengthen Nigeria’s healthcare architecture.

Dr. Shanawa’s assessment moves across the three levels of healthcare delivery, ranging from primary, secondary and tertiary, while drawing particular attention to diagnostics, maternal healthcare, hospital infrastructure, health insurance and the growing role of technology.

For him, the real significance of healthcare reform lies not simply in the announcement of new projects, but in whether the changes improve access to quality medical care for Nigerians.

*Zamfara: A local window into the reforms*
Dr. Shanawa’s assessment begins from Zamfara State, where he says federal support and collaboration with state authorities have provided a local perspective on the changing healthcare landscape.

He recalled that financial constraints had historically affected the implementation of several healthcare projects at the state level.

According to him, increased federal financial support and policy interventions under the Tinubu administration created room for renewed investment, with 2025 emerging as a particularly significant period for healthcare development in the state.

He views the experience as an illustration of how government intervention can translate into improved access to healthcare when funding, policy and implementation converge.

*At the top: Expanding tertiary healthcare*
At the apex of Nigeria’s healthcare system are tertiary institutions, where patients with complex medical conditions are expected to receive specialised treatment and advanced diagnostic services.

Yet these institutions have historically faced technological and infrastructural gaps.

Dr. Shanawa identifies improved diagnostic capacity as one of the areas requiring sustained attention.

He points to technologies such as Computerised Tomography (CT) scanners and Magnetic Resonance Imaging (MRI) as critical tools for modern medical practice.

For a specialist in gynaecological oncology, the issue carries particular weight.

Cancer care, he explains, depends heavily on timely and accurate diagnosis. The availability of sophisticated diagnostic and oncology services closer to patients can reduce the need for long-distance travel in search of specialised treatment.

He also points to the development of oncology facilities in states such as Katsina, Enugu and Edo as examples of efforts to expand specialised cancer services beyond traditional medical centres.

The broader implication, in his assessment, is that advanced healthcare should not remain concentrated in only a few locations.

*The missing link: Strengthening secondary healthcare*
Between the primary healthcare centre and the highly specialised tertiary hospital lies another crucial layer, that is the secondary healthcare.

For Dr. Shanawa, general and state hospitals remain an indispensable part of the healthcare chain.

These facilities often receive patients referred from primary healthcare centres and provide services beyond the capacity of frontline facilities, while also serving as important points for emergency treatment.

He particularly highlights emergency obstetric care.

For women experiencing complications during pregnancy or childbirth, he argues, the availability of properly equipped secondary hospitals and effective referral systems can be critical.

This makes the strengthening of general hospitals more than an infrastructure issue. It is also a question of how quickly the healthcare system can respond when lives are at risk.

*Primary healthcare: Rebuilding from the foundation*
If tertiary healthcare represents the peak of the system, primary healthcare is its foundation.

And this, according to Dr. Shanawa, is where one of the most important aspects of the current reforms lies.

Nigeria’s healthcare system has historically been characterised by patients bypassing weak or poorly equipped primary healthcare centres and seeking treatment directly at secondary and tertiary institutions.

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The result has been pressure on higher-level hospitals, with facilities already handling complicated cases also having to deal with conditions that could have been managed closer to patients’ communities.

Dr. Shanawa sees the renewed emphasis on primary healthcare as an attempt to reverse this pattern.

He argues that strengthening the base of the healthcare pyramid while maintaining improvements at the tertiary level is essential to creating a more functional system.

The Federal Government has reported the deployment of National Health Fellows and Public Financial Management Officers across all 774 local government areas under the health-sector renewal programme, alongside the revitalisation of primary healthcare facilities in priority areas.

For Dr. Shanawa, the importance of such interventions lies in bringing healthcare closer to the people before illnesses become more complicated.

*Maternal mortality: The doctor’s particular concern*
For an obstetrician, the discussion inevitably returns to maternal health.

Dr. Shanawa describes maternal mortality as one of Nigeria’s most persistent public-health challenges, one that has affected generations of Nigerian women.

He argues that strengthening primary healthcare, improving referral systems, expanding the frontline health workforce and ensuring access to emergency obstetric care are essential to addressing pregnancy-related complications.

The Federal Ministry of Health has reported improvements in maternal and newborn health indicators in areas targeted under its intervention programmes.

For Dr. Shanawa, however, the importance of such interventions ultimately comes down to whether a pregnant woman can obtain appropriate care at the time she needs it.

The journey from pregnancy to safe delivery, he suggests, depends on the strength of the entire healthcare chain, from community-level services to emergency and specialist hospitals.

Healthcare needs people, not just buildings
Infrastructure may be the visible face of healthcare investment, but Dr. Shanawa stresses that facilities cannot function without the professionals who operate them.

Doctors, nurses, midwives, community health workers, laboratory scientists, pharmacists and other healthcare professionals are central to translating infrastructure and equipment into actual medical services.

The Federal Government has reported recruitment and retraining initiatives for frontline and community-based health workers as part of its health-sector renewal efforts.

But recruitment is only one part of the challenge.

For the reforms to be sustained, healthcare workers must also be retained, properly deployed and supported with the equipment and working environment required to provide quality care.

*The cost of getting sick*
Another dimension of Nigeria’s healthcare challenge is affordability.

For many families, the question is not only whether a hospital exists, but whether they can afford the treatment available there.

Dr. Shanawa therefore places health insurance and healthcare financing alongside infrastructure and medical technology in his assessment of the reforms.

He points to the Basic Health Care Provision Fund and broader efforts to expand health insurance coverage as mechanisms that could reduce the financial burden on patients.

The Federal Ministry of Health has reported significant increases in health insurance enrolment, while also acknowledging that out-of-pocket expenditure remains high.

This presents one of the central tests for healthcare reform: expanding services while ensuring that the people who need those services are not priced out of the system.

Healthcare goes digital
The transformation is also taking place beyond hospital walls.

Digital health and electronic medical records are increasingly becoming part of the effort to modernise Nigeria’s healthcare system.

Dr. Shanawa highlights electronic medical records and health-information exchange systems as important tools for improving the management and continuity of patient care.

The Federal Government’s Nigeria Digital in Health Initiative is intended to improve interoperability between healthcare facilities and facilitate the secure sharing of health information.

For a healthcare system spread across a vast country, better digital connectivity could help bridge some of the gaps between facilities and levels of care.

Measuring the Tinubu health reset
For Dr. Shanawa, the ultimate measure of healthcare reform is not the number of projects announced or facilities commissioned.

It is what happens to the patient.

Can a woman access skilled care when she needs it?

Can a patient obtain an accurate diagnosis without travelling hundreds of kilometres?

Can an emergency case receive timely treatment?

Can a family afford the cost of care?

Can healthcare professionals work with the equipment, personnel and systems they require?

These questions bring the debate back to the heart of healthcare delivery.

The Federal Government has reported progress across areas including infrastructure, digital health, primary healthcare, workforce development and maternal-health interventions.

But sustaining such gains will require continued financing, effective implementation, maintenance of infrastructure, retention of skilled professionals and stronger coordination among federal, state and local authorities.

For Dr. Shanawa, Nigeria’s healthcare system cannot be transformed by focusing on only one level.

The primary healthcare centre, the general hospital and the specialist tertiary institution must function as parts of the same system.

That, ultimately, is the test of the health reset, and whether the reforms can move beyond policy and infrastructure to create a healthcare system in which quality, affordable and accessible medical care is closer to the Nigerian who needs it most.

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