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No Pay, No Escape: Unpacking Shehu Sani’s Account of Abuja Hospital Lock-Ins

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By Yusuf Danjuma Yunusa

 

The escalating cost of healthcare in Nigeria has reached a critical inflection point, with private hospitals in the Federal Capital Territory now reportedly resorting to security protocols to prevent patients from absconding at night without settling their bills. This stark reality was brought to light on Thursday by former Kaduna Central Senator, Shehu Sani.

In a post on his Facebook page, Sani described witnessing the practice firsthand during a visit to a private clinic in Abuja.

“Some Abuja private hospitals have started taking security measures to ensure that patients don’t escape at night without completely settling their bills. That’s the case when I visited one of the private clinics today,” he wrote.

While he refrained from naming the facility or detailing the specific security steps, his observation underscores a deepening national crisis where medical care is rapidly becoming a luxury, trapping families between the desperation for treatment and the burden of debt.

This practice is merely the symptom of a systemic failure where the rising costs of drugs, diagnostic scans, surgery, and hospital admission fees are pushing citizens to the brink. For many, the choice is no longer between private and public care, but between treatment and survival.

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While patients suffer, health workers argue that hospitals are also struggling under the weight of economic headwinds. With inflation eroding the naira’s value, forex challenges limiting the import of medical supplies, and the removal of fuel subsidies impacting logistics and energy costs, the operational expenses for healthcare facilities have more than doubled in the last 18 months.

While on the other hand, a health practitioner, Ummee Manson, painted a stark picture of Nigeria’s healthcare burden, citing the ordeal of a fictional mother, Mama Chinedu, who had to sell her earrings and borrow money to raise ₦185,000 for her children’s malaria treatment—a bill that, despite saving the children, left the family skipping meals for weeks.

The practitioner noted that this experience mirrors the reality for millions, as it’s documented that in 2024, out‑of‑pocket spending still accounted for 58.3% of total health expenditure, meaning families directly bear the cost of drugs, tests, and hospital care.

The practitioner further warned that such high financial exposure pushes over one million Nigerians into poverty each year, since a single illness can deplete savings, create crushing debt, or force households to abandon care altogether, locking them in a relentless cycle of worsening health and economic distress.

The statistics paint a grim picture of a broken system. Recently released data from the National Bureau of Statistics (NBS) indicates that out-of-pocket spending still accounts for over 70% of total health expenditure in Nigeria. With most families lacking any form of health insurance, they are left to pay directly for services, often depleting their life savings in the process.

In response, both the Nigerian Medical Association (NMA) and various patient advocacy groups are renewing their calls for urgent government intervention. They urge the Federal Government to aggressively expand the National Health Insurance Scheme (NHIS) to cover a larger percentage of the population and to regulate the prices of essential medicines to curb exploitation.

For now, however, survival often depends on the kindness of strangers. Many Nigerians are forced to resort to crowdfunding, church donations, and social media appeals to raise funds for life-saving procedures—a precarious lifeline that is not available to everyone.

Health economists and medical professionals warn that without comprehensive reforms, the trend will only worsen, and until structural changes are made, the haunting reality remains: for millions of Nigerians, a hospital bed is a financial gamble, and the price of life is becoming too high to pay.

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Beyond Connectivity: How a Community Network Is Changing Life in Dakwa

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By Ali Sabo

Dakwa is the kind of community that can easily be overlooked in Nigeria’s digital story.

Located along the Zuba–Dei-Dei–Zuma corridor of the Federal Capital Territory, the agrarian community is only about 29 kilometres from Abuja, yet proximity to the nation’s capital has not always translated into access to reliable and affordable internet. For many residents, particularly young people, accessing the opportunities of the digital world meant looking beyond their immediate environment.

That is beginning to change.

Through the efforts of the Centre for Information Technology and Development (CITAD), the Association for Progressive Communications (APC), Hello World and 48 Percent, a community network and internet hub was established in Dakwa, bringing affordable connectivity closer to residents and creating a space where people can use the internet for learning, communication and accessing opportunities.

But the real story of the Dakwa Community Network is not the infrastructure. It is what the people of Dakwa are beginning to do with it.

During a recent visit to the community, the District Head of Dakwa, Alhaji Shuaibu Samu, described the intervention as a “life-changing opportunity” for residents.

His description is rooted in what the community experienced before the hub came into existence.

“Before the establishment of this facility, access to reliable and affordable internet was a major challenge for our people.”

For a community increasingly connected to a world where education, employment, communication and access to information are moving online, that challenge carries consequences. Being offline or poorly connected does not simply mean having no internet. It can mean missing opportunities that others take for granted.

Today, Samu says the situation is changing.

“Now, our youths can access information, learn new skills and explore opportunities online without having to travel far from the community.”

That statement captures perhaps the most important change taking place in Dakwa: the world of opportunities is becoming physically closer to the people who live there.

A window beyond Dakwa

For Ismail Shuaibu, a Community Champion at the hub, the facility has already become part of the community’s daily life.

He explained that young people now use the hub to study, search for jobs, access online opportunities and communicate with others.

“Many young people now come here to study, search for jobs, access online opportunities and communicate with others.”

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These may sound like simple activities. But in a community where reliable and affordable internet was previously a major challenge, they represent something much bigger.

A young person who comes to the hub to search for a job is no longer limited to opportunities advertised within the community. A student who comes to study can access information and learning resources that may not be available locally. Someone looking for information can reach beyond the boundaries of Dakwa and engage with a much wider world.

In that sense, the community network is not merely connecting devices. It is expanding people’s horizons.

From a project to a community asset

Perhaps equally important is the way residents are beginning to see the facility.

Ismail explained that the hub operates through a community-driven model, with users paying a small fee that contributes to maintaining the equipment and keeping the service running.

“The idea is for the community to see this as its own facility. The small amount paid by users helps us maintain the equipment and provide the service continuously.”

This is significant.

Many development interventions struggle after external support ends because the communities that benefit from them were not sufficiently involved in their ownership or management. Dakwa is attempting a different path: making the community part of the solution.

The District Head has also called on residents to take ownership of the facility and support efforts to keep it operational.

That sense of ownership could ultimately determine whether the digital opportunity created in Dakwa becomes a temporary intervention or a lasting community institution.

The real measure of digital inclusion

Dakwa’s experience offers a broader lesson about digital inclusion in Nigeria.

For years, discussions about the digital divide have often focused on infrastructure, broadband coverage and the number of people connected to the internet. These are important measures, but they do not tell the whole story.

The more important question is: What changes when people get connected?

In Dakwa, the early answers are emerging from the residents themselves: young people are studying, searching for jobs, accessing opportunities, communicating and becoming more familiar with digital tools and online services.

The organisations that helped bring the community network into existence deserve recognition for creating that opportunity. But the most important voices in determining its impact are those of the people who now use it.

And their testimonies suggest that something deeper than internet access is taking place.

Dakwa is beginning to discover that distance does not necessarily have to determine opportunity.

A young person can live in a community outside the centre of Abuja and still search for employment online. A student can access learning resources without travelling to the city. A resident can communicate, find information and explore opportunities that were previously difficult to reach.

That is what meaningful connectivity should ultimately achieve.

The success of Dakwa’s community network will not be measured simply by how many people connect to it. It will be measured by how many possibilities people discover because they can.

And perhaps that is the most important transformation happening in Dakwa: the internet is not only bringing the wider world into the community. It is giving the people of Dakwa a stronger opportunity to reach out and participate in that world.

Ali Sabo is the Campaign and Communication Officer of the Centre for Information Technology and Development and can be reached at asabo@citad.org

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Kenyan Presidential Aspirant Warns Dangote: ‘Don’t Rush Lamu Refinery, I’ll Send You Back to Nigeria’

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By Yusuf Danjuma Yunusa

A man identified in a viral video as Kenyan presidential aspirant Patrick Osoi has sparked a heated online debate after warning Nigerian billionaire Aliko Dangote not to rush into establishing an oil refinery in Lamu, saying he would send the businessman back to Nigeria if elected president.

In the clip, said to have been recorded at a Lions Movement event, Osoi says: “I want to tell Aliko Dangote, please don’t rush to start the refinery because, when I’m sworn in as President of Kenya next year, you will be heading back to Nigeria.”

The remarks appear to reference a proposed $16 billion refinery project in Lamu, a coastal county that Kenya has promoted as a future hub for oil and gas infrastructure. Osoi argued that Kenyan investors have the capacity to build and run such a facility without foreign ownership.

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“We don’t need to beg foreigners to develop our resources,” he said, according to a partial transcript of the video. “Kenyans can do it.”

The video has been shared widely on Facebook, X and WhatsApp, drawing mixed reactions. Supporters praised Osoi for what they called a bold defense of economic sovereignty. Critics warned that the comments could scare off foreign investors and strain Kenya’s diplomatic and trade ties with Nigeria.

Dangote, Africa’s richest man and chairman of Dangote Group, has not publicly responded to the clip. His conglomerate operates one of the world’s largest single-train refineries in Nigeria and has investments in cement, sugar, fertilizer and petroleum across Africa.

The Kenyan government has not commented on the video. It was not immediately clear whether the Lamu refinery project involving Dangote is still active or whether Osoi’s remarks reflect any official policy.

Political analysts say the controversy underscores growing public debate in Kenya over foreign investment, local content and control of natural resources ahead of the next general election, expected in 2027.

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NDC’s Kano Governorship Candidate Gwarzo Missing From INEC Final List

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By Yusuf Danjuma Yunusa

The National Democratic Congress (NDC) governorship candidate in Kano State, Aminu Abdussalam Gwarzo, is absent from the final list of governorship candidates released by the Independent National Electoral Commission (INEC).

The three-page list, signed by INEC Secretary Rose Oriaran-Anthony, contains 17 governorship candidates and their running mates for the Kano election, but neither Gwarzo nor any other NDC candidate appears on it.

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Those listed include Governor Abba Kabir Yusuf of the All Progressives Congress (APC), Abacha Muhammed Sani of the Peoples Democratic Party (PDP), and candidates from the African Democratic Congress (ADC), Labour Party (LP), Social Democratic Party (SDP), Action Alliance (AA), African Action Congress (AAC), Action Democratic Party (ADP), All Progressives Grand Alliance (APGA), Allied Peoples Movement (APM), and New Democratic Party (NDP), among others.

The document provides the names, political parties, ages, genders, and educational qualifications of the candidates and their deputy governorship candidates.

INEC did not state why the NDC candidate was omitted, and the published list does not indicate whether the omission is connected to the party’s nomination process, documentation, or another issue.

The development raises questions about the NDC’s participation in the Kano governorship election, although the list alone does not establish the reason for Gwarzo’s absence.

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