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Partially Completed
Health

By The End Of The First Year, Some Pilot Community-based Health Insurance (CBHI) Schemes Would Have Commenced In At Least Four LGAs In Each Senatorial Zone. By The Second Year, This Will Be Scaled Up To Other LGAs

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Our Assessment 

This promise is rated Partially Completed. While the administration successfully launched the Oyo State Health Insurance Agency (OYSHIA) and initiated pilot Community-Based Health Insurance (CBHI) schemes, it significantly missed the quantitative and geographic targets set for its first two years. 

 

 

Why It Matters 

Traditional health insurance often caters to formal sector workers with steady salaries, leaving farmers, artisans, and rural dwellers vulnerable to catastrophic health expenses. Community-Based Health Insurance is designed to pool local resources and provide a safety net for these underserved populations, ensuring that a sudden illness does not lead to financial ruin. For the average citizen in Oyo’s remote areas, the successful rollout of these schemes across every zone would mean access to clinics without having to pay out-of-pocket at the point of care, effectively democratizing healthcare access beyond the urban elite. 

 

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Progress So Far

Dec 10, 2020 Updated: May 04, 2026

Oyo Exceeds General Insurance Targets but CBHI Scale-Up Misses 12-LGA Pilot Deadline

As the first term drew to a close in early 2023, the Oyo State Health Insurance Agency (OYSHIA) reported a surge in total enrollees, reaching over 100,000 lives across various plans. However, the specific "Community-based" segment, targeting residents in their local wards, remained concentrated in a few pilot areas. 

 

Empowering Community Health Workers: The Backbone of Primary Healthcare Transformation in Nigeria - Aig-Imoukhuede Foundation

 

The initiative began in late 2019 and early 2020, shortly after the Governor’s inauguration. By the end of the first year in office, the administration had only piloted the CBHI scheme in two communities, Eyin Grammar and Ogungbade Community in Egbeda Local Government Area, rather than the four LGAs per senatorial zone (totaling 12 LGAs across three senatorial zones) as explicitly promised. 

 

8 Facts About Healthcare in Nigeria - The Borgen Project

 

Although this pilot provided the "proof of concept" mentioned in the Roadmap for Accelerated Development, the momentum required to scale this specific community-led model to the remaining 11 target LGAs across Oyo North and Oyo South stalled, as the administration’s focus turned toward renovating physical Primary Healthcare Centres (PHCs) to provide the infrastructure needed for future insurance rollout.

 

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