Who wants Muhammadu Buhari dead?

Originally posted on Tolu Ogunlesi:

Who is Muhammadu Buhari?

He ruled Nigeria as a military Head of State between January 1984 and August 1985.

He’s one of the most popular politicians in Nigeria at the moment, with a cult following across Northern Nigeria, especially in the twelve states generally referred to as the “core” North. 

He contested for the Presidency in 2003, 2007 and 2011, emerging runner-up on all three occasions. In the 2011 elections he amassed 12 million votes (mostly from the North) even in the face of what was generally adjudged a chaotic and poorly run campaign; further evidence of his political clout. He is therefore seen as the person most likely to pose the biggest threat to President Jonathan’s re-election chances in 2015. 

The Assassination Attempt

On Wednesday July 22, Buhari’s convoy was attacked in Kaduna State. According to news reports and eyewitness accounts and photographs from the scene, the attackers both…

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Who wants Muhammadu Buhari dead?

Who is Muhammadu Buhari?

He ruled Nigeria as a military Head of State between January 1984 and August 1985.

He’s one of the most popular politicians in Nigeria at the moment, with a cult following across Northern Nigeria, especially in the twelve states generally referred to as the “core” North. 

He contested for the Presidency in 2003, 2007 and 2011, emerging runner-up on all three occasions. In the 2011 elections he amassed 12 million votes (mostly from the North) even in the face of what was generally adjudged a chaotic and poorly run campaign; further evidence of his political clout. He is therefore seen as the person most likely to pose the biggest threat to President Jonathan’s re-election chances in 2015. 

The Assassination Attempt

On Wednesday July 22, Buhari’s convoy was attacked in Kaduna State. According to news reports and eyewitness accounts and photographs from the scene, the attackers both detonated bombs and fired bullets at Buhari’s convoy. (There’s a video from the immediate aftermath here).

So, who might be after Buhari’s life?

There are four competing theories, as follows:

The Theories:

 

1. Boko Haram

In an April 2013 interview, journalist Ahmed Salkida, said, regarding reports that Boko Haram was seeking to negotiate a ceasefire with the Nigerian government:

I am sorry to say this, if the sect knows where to find General Buhari (someone I respect a lot) they will make an attempt on his life. To them, any retired and servicing soldier, police, politician or civil servant is an infidel that deserves to be killed. So how can the same sect with such an ideology listen to General Buhari, the Governor of Borno state or any other politician or the Sultan? The average member of this sect see all these people whether they are muslims or not as ‘living corpses’. For God sake have we not been listening to this people in the last couple of years?. Am I the only one listening to them? It seems the sect have been more consistent with their message than the Federal and state governments involve in this conflict.” 

Sahara Reporters quoted Buhari in a March 2014 interview as saying he is “not bothered” by the possibility of Boko Haram targeting him for elimination. He also reportedly credited the government with providing him “adequate protection” – an assertion that finds confirmation in Akin Osuntokun’s revelation in today’s This Day that Dangiwa Umar convinced President Jonathan to beef up security around General Buhari “a while ago.” If that is true, we may have that beefed-up security (armoured cars, etc) to thank for Buhari’s survival.

Buhari has in recent times been strident in his condemnation of Boko Haram. After the sect attacked several Borno villages last February, killing more than a hundred people, Buhari issued a statement that described the sect’s ideology as “a devilish ideology that has no place in a civilized society.” 

 

2. The President and/or his party (PDP)

We’ll have to turn to the letter former President Obasanjo wrote to President Jonathan last December to explain this theory:

[The] allegation of keeping over 1,000 people on political watch  list  rather than  criminal  or  security  watch  list  and  training  snipers  and  other  armed personnel  secretly  and  clandestinely  acquiring  weapons  to  match  for political purposes like Abacha, and training them where Abacha trained his own killers, if it is true, cannot augur well for the initiator, the government and  the  people  of  Nigeria. Here  again,  there  is  the  lesson  of  history  to learn  from  for  anybody  who  cares  to  learn  from  history. Mr. President would  always  remember  that  he  was  elected  to  maintain  security  for  all Nigerians and protect them. And  no  one  should  prepare  to  kill  or  maim Nigerians  for  personal  or  political  ambition  or  interest  of  anyone. The Yoruba adage says, “The man with whose head the coconut is broken may not live to savour the taste of the succulent fruit.” Those who advise you to go hard  on  those  who  oppose  you  are  your  worst  enemies. Democratic politics admits and is  permissive of supporters and opponents. When the consequences come, those who have wrongly advised you will not be there to help carry the can. Egypt must teach some lesson.”

The President, in his reply to that letter, denied this allegation that he is keeping a hit list: 

“Perhaps the most invidious accusation in your letter is the allegation that I have placed over one thousand Nigerians on a political watch list, and that I am training snipers and other militia to assassinate people. Baba, I don’t know where you got that from but you do me grave injustice in not only lending credence to such baseless rumours, but also publicizing it. You mentioned God seventeen times in your letter. Can you as a Christian hold the Bible and say that you truly believe this allegation? The allegation of training snipers to assassinate political opponents is particularly incomprehensible to me. Since I started my political career as a Deputy Governor, I have never been associated with any form of political violence. I have been a President for over three years now, with a lot of challenges and opposition mainly from the high and mighty. There have certainly been cases of political assassination since the advent of our Fourth Republic, but as you well know, none of them occurred under my leadership. Regarding the over one thousand people you say are on a political watch list, I urge you to kindly tell Nigerians who they are and what agencies of government are “watching” them.”

With the revelation that he provided increased security for Buhari, it’s hard to see why he would do that if he really wanted Buhari dead.

 

3. The APC or other opponents of President Jonathan

This is This Day columnist, Akin Osuntokun, on the attempted assassination:

“The way some APC partisans have latched on to the Buhari attack to rope in the president would have been comical were it not so tragic. If anybody should talk of conspiracy theories, the finger pointing may actually be more plausibly directed near home. The instant scapegoating of Jonathan – pointedly precluding Boko Haram as likely suspect – is in itself cause for suspicion. General Buhari had better watch his back against those who would rapidly concoct diversionary excuses for his potential assassination.

Even if Jonathan were to be incredibly naïve politically, he would at least know that Buhari is more useful to him alive than dead. Nothing solidifies support for Jonathan’s candidature better than the personality and potential candidacy of a divisive and polarising Buhari. So why eliminate such a rough and ready mobilisation tool?  My thinking is that Buhari is a problem not for Jonathan but for the APC.

Contrariwise and for the same reason of his utility for his political opponent, Buhari has become like a fishbone caught in the throat of the APC. He is the central dilemma figure of the party.”

Osuntokun clearly has PDP sympathies, and his column can generally be summed up as a series of eloquent attacks of APC and eloquent denunciations of the PDP.

Here is a tweet that echoes Osuntokun’s suggestion. Another here.

There is also the view that other opponents of President Jonathan – an allegedly power-hungry “Northern Elite”? (who may or may not necessarily be APC sympathisers – may have plotted this knowing that the death of Buhari would likely bring down the Jonathan government

 

 4. Buhari himself

This argument emerged on the Internet immediately after the news of the attack broke. Pushed by rabidly anti-Buhari people, the idea is that he arranged the assassination attempt to clear himself of allegations that he and his party are sympathetic to Boko Haram.

Of course ‘APC-is-a-party-of-extremist-Muslims’  allegations have gained ground in recent months, pushed by a wide range of sources: the PDP, a former APC member with a penchant for rabble-rousing, an ex-Kremlin adviser, and a UK Conservative think-tank.

While it may sound ridiculous – especially when one considers the extent of the attack – the Internet tells us there are people who actually believe it.

*

So who tried to kill General Buhari? I personally think it’s Boko Haram. Unfortunately we live in a country where the chances of the truth ever coming out are slimmer than the chance of Nigeria putting a man on the sun, or even even of winning the 2014 World Cup.

Major arrests and killings of Boko Haram leaders by Nigeria’s military

I’m compiling a list of Boko Haram leaders reportedly arrested or killed by Nigeria’s military. I will continue to update the list with new data and weblinks.

ARRESTED

  1. Alleged Senior Commander Mohammed Zakiri (“Chief Butcher”, arrested July 2014)
  1. Alleged Female recruiters Hafsat Usman Bako, Zainab Idris and Aisha Abubakar (Arrested July 2014)
  1. Alleged Commander, and key player in Chibok abduction, Babuji Ya’ari (Arrested July 2014)
  1. Alleged Mastermind of Nyanya Bombings, Aminu Sadiq Ogwuche (Declared wanted May 2014, Arrested in Sudan by Interpol May 2014, Extradited to Nigeria July 2014)
  1. Alleged Commander Shuaibu Mohammed Bama (Arrested October 2012)
  1. Alleged Commander Suleiman Mohammed (Arrested July 2012)
  1. Alleged Spokesman Abu Qaqa (believed to have been captured or killed in 2012)
  1. Alleged Commander, and mastermind of December 2011 bombing of Catholic Church in Madalla, Niger State, Kabiru Sokoto, arrested January 2012, convicted December 2013, and sentenced to life imprisonment.

KILLED

  1. Alleged Commanders Momodu Bama aka Abu Saad, and  Zakariyya Yau killed August 2013, alongside Bama’s father, Abatcha Flatari, alleged to be a Boko Haram spiritual figure
  1. Alleged Commander Mallam Husaini (Killed June 2014)

 

The Chibok Abductions: An ongoing Timeline

April 14: More than 200 girls are abducted from a school in Chibok Village, Borno State, Northeastern Nigeria.

April 30: The #BringBackOurGirls Movement commences a daily “sit-out” to push for the rescue of the abducted girls

May 2: The President sets up a fact-finding committee, “in view of the inconsistent and contradictory information available to government on the Chibok abduction.”

May 4: The President addresses the nation in a “presidential media chat.” It is the first time he is speaking directly to Nigerians regarding the abduction. Clearly he has been compelled to, because by then local efforts (including by the #BringBackOurGirls Nigeria Movement) have attracted international attention, which has seriously embarrassed the president and his government.

May: Throughout May the President calls for international help, and gets a flood of offers of military and intelligence assistance from around the world. He also attends a high-profile security summits on Boko Haram in Paris (May 17).

Also throughout May the world takes up the #BringBackOurGirls campaign: world leaders, celebrities, ordinary people everywhere pose with banners that read: #BringBackOurGirls

June 20: The presidential fact-finding committee submits its report, confirms that the abductions did indeed happen and that 219 girls are still missing.

June 26: News breaks that the President’s aides have hired an international PR agency to rescue his battered reputation, arising from his government’s poor handling of the crisis.

July 12: Campaigner for girl-child education Malala Yousafzai visits Abuja, Nigeria’s capital and meets, first with five of the girls who escaped (July 13), and then with the President (July 14). She convinces the President to meet with the girls and their parents (No, he hasn’t, even though it’s been three months. His wife on the other hand has caused some of the families to be harassed by the police for embarrassing her husband). The campaigner somehow managed to convince the President to meet with the parents and girls.

July 14: Malala Yousafzai delivers a speech in Abuja, Nigeria’s capital, in which she reportedly mentions that President Jonathan has agreed to meet with the parents. Recall that this is 91 days since the abduction took place.

July 15: The meeting with the president, scheduled for this day, fails to hold. The Presidency issues a letter to the Chibok Community saying that they were informed that “the parents needed more time to be organized” and rescheduling the event to Tuesday July 22, 2014

July 16: Doyin Okupe, Senior Special Assistant on Public Affairs to the President, apparently unaware of the communication between the Chibok community and the President’s office” rushes to town (using the American PR firm, Levick) to accuse the Bring Back Our Girls Movement of “play[ing] politics with the situation and the grief of the parents and the girls and of manipulate[ing] the victims of terrorism for their own benefit, [and] engaging in […] psychological terrorism.”

He also appears on Channels TV to attack Oby Ezekwesili, one of the leaders of the #BringBackOurGirls movement, accusing her of being the one who ordered the Chibok community to not see the President.

(Okupe has already previously demonstrated an obsession with discrediting the movement, and attacking Mrs. Ezekwesili)

July 16: The Chibok Parents issue a statement absolving the #BringBackOurGirls movement of blame and saying that:

1. There was initially no formal invitation to them from the Presidency. They first heard of the planned meeting with the President from a speech Malala delivered to mark her 17th birthday
2. They needed to better prepare for the meeting, and give a chance to other parents (back home in Chibok, hundreds of miles away from Abuja) to attend.
3. They reached out to Malala’s team to communicate to the President their wishes to meet on a new date.

Statement by the Abuja Chibok Community on the planned meeting with President Jonathan

STATEMENT BY KIBAKU (CHIBOK) AREA DEVELOPMENT ASSOCIATION (KADA)

PRESS RELEASE DATED 16TH JULY, 2014

We the members of the Kibaku (Chibok) Community and representatives of the 12 fathers and 5 escaped girls who were hosted by Malala during her visit to Nigeria hereby speak on their behalf to offer to Nigerians the facts as they are and to put the records straight and correct the erroneous impression making rounds in the media on the botched meeting with the President:

1. The logistics and meeting between the twelve (12) fathers and five (5) girls and Malala was facilitated by the Abuja Chibok Community and the Citizens platform of BringBackOurGirls with our consent and on TRUST considering their sustained and focused advocacy to Bring Back our daughters.

2. These parents and escaped girls did not come to Abuja at the instance of government or its representatives for a meeting with Mr. President but on the full understanding that they were coming to meet with Malala; an advocate of girl child education and most importantly one who has suffered a similar fate as their daughters’.

3. That in the course of the interactions with Malala, NEITHER the parents nor the escaped girls asked for a meeting with the President or any government functionary, rather the narrative back home was to persistently ask why the President has not visited them in Chibok since the abduction.

4. It is obvious that their numbers of 12 fathers and 5 girls is about 2% of the parents of the 219 abducted girls still with their abductors and the 57 girls that escaped. Therefore, these parents DECIDED on their own accord to review the announced visit, which they FIRST heard of like every other person during Malala speech in Hilton.

5. That consequent to their decision to revert to other family members in order to incorporate every stakeholder on the matter as well as avoid discord and suspicion on a change of plans from the original mission to Abuja, they reached out to the Malala team and through them to the Presidency; to request for a new date for an expanded and more representative meeting that has a legitimate mandate to meet with the President.

6. That their request is also in recognition of the huge opportunity of a meeting with the President for the first time and after over 90 days of the tragic abduction of their daughters, and therefore required better consultations, structure and formality as against an instant advocacy request.

7. That it is totally misleading, unjust and without foundation to hold the Citizens’ platform BringBackOurGirls responsible for the decision made by the 12 parents and our community. We therefore take full responsibility for our decision and welcome the formal invitation by the Presidency as a follow up to Malala’s visit which we received this morning.

Thank You.

The Statement LEVICK sent out to Nigerian media on the meeting with the Chibok Parents & Girls

Please attribute the following statement to President Goodluck Jonathan of Nigeria (but delivered by Dr. Doyin Okupe, Senior Special Assistant on Public Affairs) -

STATEMENT REGRDING THE CANCELLATION OF MEETING WITH THE PARENTS OF ABDUCTED CHIBOCK CHILDREN AND FIVE ESCAPEES

“It now appears that our fight to get the girls of Chibok back is not only a fight against a terrorist insurgency, but also against a political opposition.

“It is with great regret that I announce the cancellation of the meeting with 12 parents of the abducted Chibock children, as well as five of the brave girls who escaped from the terrorist organization Boko Haram. I scheduled this meeting, which was to be open to the media for coverage by Nigerian and international press, to listen to their stories and to privately brief the parents and the girls on our efforts to rescue the abducted girls.

“My priority is not politics. My priority is the return of these girls.

“Unfortunately, political forces within the Nigerian chapter of Bring Back Our Girls have decided to take this opportunity to play politics with the situation and the grief of the parents and the girls. They should be ashamed of their actions.

“Those who would manipulate the victims of terrorism for their own benefit, are engaging in a similar kind of evil: psychological terrorism.

“I want to be clear, this government stands with complete solidarity with the girls and their parents. We are doing everything in our power to bring back our girls. Despite the shameful and disgusting games being played by the Nigerian chapter of Bring Back Our Girls, as a father of girls, I stand ready to meet with the parents of our abducted children and the truly brave girls that have escaped this nightmare through the grace of God.”

On the ‘Boko Haram suspects’ arrested in Abia State

Almost 500 persons arrested early hours of Sunday along the Enugu-Aba-Port Harcourt highway in southeastern Nigeria, by Nigerian soldiers. They were travelling in a convoy of three dozen buses. News reports did not mention where they were coming from, but suggested they are from across Northern Nigeria. They were reportedly travelling down south in search of jobs. 

They were arrested by the military on suspicion of being ‘Boko Haram’, and all of the reporting I’ve seen has described them as ‘Boko Haram suspects’. (Should the media have refrained from that hasty categorisation?)

There has been much debate online about the arrests, with a good number of people describing it as a sad case of profiling, targeted at persons of Northern origins on account of the actions of terrorist group Boko Haram.

Here’s what I think: 

The military was right to halt the journey, and decide to investigate. It is only right and proper to investigate a convoy of 30-plus vehicles travelling cross-country, considering the security situation in Nigeria at the moment. While I strongly believe that our law enforcement agents have a reputation for highhandedness and brutality, it is also important to state that in a situation like this the right thing to do was to decide to investigate. 

It would be good to get answers to a number of important questions

  • Who arranged the cross-country expedition – providing the vehicles, fueling them, etc.
  • Where did they depart from?
  • What job plans, if any, were made for the almost five hundred men at their intended destination
  • Are they Nigerians, or undocumented immigrants? (That’d be a tough question to answer, in a country with poor documentation habits).
  • Were any arms or dangerous possessions found on them?

If there were no arms found, and there is no proof they are not undocumented foreigners, then the men should be released with immediate effect, and allowed to continue their journey. There is no basis for trying to restrict the movement of Nigerians within their country. (Lagos Governor Tunde Fashola deserved all the flak he got last year for the ill-advised deportation of persons of southeastern origin). The only thing the authorities can do, from a security concerns point of view, is keep them under non-intrusive surveillance.

It is important to note that cross-country migration in search of greener pastures is an important part of the Nigerian story. On a visit to Yenagoa, Bayelsa state in 2013 I found out that many of the commercial rickshaw operators were from Northern Nigeria. There are lots of people from the North also in the South West, making the occasional trip back home to farm or see family. I met one of them a few years ago.

However, the idea of tens of buses rolling in a convoy across the country, laden with job-seekers, is a novel one to me. 

It is also necessary for the authorities to immediately provide the men with access to lawyers. It is the prerogative of the men and their lawyers to seek redress if they feel they have been unjustly treated by the military personnel.

I have not seen any evidence that the detained men were mistreated or abused. If such has happened then the military officers responsible should be made to face disciplinary action. 

In closing let’s recall two incidents from recent years:

July 2010 and December 2011, when convoys of youth from the delta made their way to Abuja to protest (in one case the non-payment of their allowances as part of the amnesty programme; in the other it was an issue related to party politics).

In both cases the groups had almost made it into the capital Abuja before they were stopped by law enforcement agents. Back then there was a lot of outcry – how did hundreds of persons make their way that far before being intercepted?

It’s hard to blame the military and the authorities for erring on the side of caution. What we can and should blame them for is any attempt to mistreat or dehumanize what I would call the ‘persons of interest’.

Feel free to disagree. 

Takeaway – thoughts around entrepreneurship and retail

Ran into a friend yesterday in Lagos. He relocated – part relocation; divides his time between Lagos and NY – to Nigeria two years ago to start a service business. He actually cashed out his 401(k) pension plan and invested it in his Lagos business. Now he wants to expand into another line of service business, and he’s fundraising in Nigeria and abroad. Has commitments in excess of $750k. A chunk of that money is from Nigerians living in Nigeria. He attributes this success to the fact that he already has a business running quite successfully. He’s optimistic about success, but at the same time worried about the security implications of the 2015 elections. 

A few hours later I ran into another young Lagos entrepreneur. Interesting conversation about the size of Opportunity in Nigeria, considering we’re starting from a low/no base. He highlighted retail distribution as one of the biggest codes waiting to be cracked in Nigeria. I mentioned NIPOST, the government-owned postal system that almost no one I know still uses. I recall Minister of Communications Technology saying NIPOST has the largest existing infrastructure spread in Nigeria. In excess of 3,000 buildings nationwide. The closest competition is banks – but no Nigerian bank has got up to 1,000 branches.

The problem is that NIPOST is in government hands. Which means it’s not quite dead, but also nowhere near alive-alive (grossly underutilised/underperforming, when you put output side by side with potential). Privatisation has been in the works for several years now, but this is Nigeria. Mrs Johnson appears to have big plans for it, but I’m not sure how feasible that would be without some form of private-sector involvement.

Will NIPOST infrastructure – in the right hands – play any role in altering the face of retail in Nigeria?

The answer is chilling in the post…

Tolu’s Takeaway

1. There’s money in Nigeria. The problem is connecting the Money with the Opportunities. On the one hand there’s money, on the other hand there’s very little of it going into seed-stage financing for good ideas. 

2. There could be even more money in Nigeria. There are people who’ve got money sitting idle, who haven’t even realised what their money could be doing (This story, from a few years ago, always comes to mind). 

3. My friend believes there’s not enough entrepreneurial passion among young Nigerians. Says he’s pained he keeps meeting young Nigerians who claim to be entrepreneurs but are ready to up and leave at the first whiff of a modest-paying office job offer. 

4. Home-based Nigerian investors are too focused on traditional areas like oil and gas, and real estate, to devote their attention to newer areas of growth like e-commerce and services targeted at upscale clientele.

5. As local manufacturing and e-commerce and Nollywood grow there will be even more intense demand for distribution systems. The sort that allows you to release a line of shirts or a DVD in Lagos and have it stocked in a few thousand outlets across Nigeria in days. Of course people are at work on all sorts of business plans to tackle this – I doubt there are any successes yet… 

I think I may have solved the Mystery of my Vanishing Internet Data

So I’ve been complaining on Twitter about my Internet data.

Well, it seems as if I’ve now discovered what’s wrong.

Dropbox. Yeah, Dropbox.

My CANON camera folder auto-synced with the Dropbox folder on my Mac. So when I put in my memory card all the photos (hundreds of 4-6MB files) started automatically uploading to Dropbox, ON MY INTERNET.

That’s probably why 2Gb of Etisalat data vanished in 2 days, and 4+Gb of Smile data vanished in one afternoon. 

So there, mystery solved, I reckon.

On this specific count of undue and excessive exploitation both Internet providers are hereby acquitted and discharged. 

I have also now proceeded to unlink everything unlinkable in my Dropbox settings. 

Lesson Learned: Beware what your computer (or other internet-connected device) is plugged into. The Dropboxes of this world, with automatic settings that encourage unrestrained data consumption. 

INTERVIEW: Muhammad Ali Pate on Primary Health Care reforms, the fight against Polio, and the new generation of innovative players emerging in Nigerian healthcare

Image courtesy QQdotcom

Muhammad Ali Pate was Nigeria’s Minister of State for Health, and Chairman of the Presidential Task Force on Polio Eradication, until July 2013, when he resigned to take up an appointment as a Professor at the Duke University’s Global Health Institute. Before he appointment as Minister in 2011 he was, from 2008, Executive Director of Nigeria’s National Primary Health Care Development Agency. Of him Bill Gates said, in 2011: “One of the polio leaders I respect most is Dr. Muhammad Pate, who directs Nigeria’s national eradication effort. […] Muhammad Pate [has] demonstrated that the best leaders can overcome the worst circumstances.”

 

I interviewed him at the Economist’s Nigeria Summit in March 2014.

*

What governance reforms do you think Nigeria needs but haven’t been implemented? What would you like to see in place?

In 2004 the Health Policy delegated Primary Health Care to the Local Governments, and in most states the responsibility for Primary Health Care still is on the back of LGs, and yet they don’t have the resources, and the institutions are weak. 

The Primary Health Care Under One Roof policy that we passed at the National Council of Health a few years ago actually offers the best opportunity for states to have a much more active hands-on control over delivery of Primary Health Care services, bringing in the human resources and also the investments to improve the delivery of Primary Health Care at the front-lines. That is critical. Most states and Local Governments have joint accounts, so local governments don’t have the money to [buy] vaccines, or recruit the right kinds of human resources or train or incentivize them, or [buy] basic equipment. The consequence of that is that everything falls back to the hospitals and the Federal Government. 

I think if the Primary Health Care Under One Roof policy were to be uniformly applied by all state governments and the fiscal space for health is improved at the subnational level, then the delivery of Primary Health Care on the supply side will get a lot better.

What is that Primary Health Care Under One Roof Policy?

Before that policy what you had was that the Ministries of Health at the state level were responsible for Primary Health Care programmes, but the staff that delivered Primary Health Care were staff of the Local Government Service Commissions, and so there was a bit of a disconnect. The Local Governments also had responsibility for hiring for Primary Health Care, and they don’t always hire the right people, or allocate the right levels of resources.

The Primary Health Care Under One Roof policy basically was to bring the delivery of Primary Health Care under one umbrella between states and their LGs – funded through a joint mechanism where 40% of the funding for Primary Health Care was directly coming from the state government and 60% from the Local Government all at once – and then have State Primary Health Care Development Agencies or State Primary Health Care Boards that then oversee the implementation to ensure the facilities are appropriately sited, functional, that the human resource is available.

Why is Nigeria one of the few remaining countries in the world still struggling with polio? What role is religion playing in this?

Five years ago there were twenty-seven states of Nigeria that had polio. We used to have thousands of cases a year, so Nigeria has made progress given that it has interrupted Type-3 polio, for almost eighteen months we’ve not had a case of Type 3. Even Type-1, there’s only been one case this year (2014), which is a lot of progress. So in the global context when we’re talking of polio

Nigeria is no longer the issue. A few years ago Nigeria was the issue.

When you look at population immunity, from almost 42% in 2008, by the end of 2013 it was almost getting to ninety-something percent. So polio has been localized, there are only pockets of the country that continue to transmit, and even in those pockets we’ve only had one case in 2014. Which means that Nigeria can interrupt even Type-1 polio by the end of 2014.

But all the effort that has been put in over the last several years has to be sustained for that to happen because reversals would not be anything anyone would one at the global level or the national level.

When India was struggling to do this people thought maybe the vaccine was not efficacious because of the frequency of diarrheal diseases, but that turned out to be not the case. Now in Nigeria are there those factors that have to do with the nature of the interaction between the virus and the population? I don’t think there’s evidence to support that. There was misinformation, which has been cleared and that’s why people are now bringing their children, that’s why the progress that we’ve made is actually real.

Of course there are Christian and Muslim countries that have been polio-free for a very long time, so it’s not about religion. It’s about delivery of public health programmes in an effective manner, and ensuring accountability,

What we did with the Presidential Task Force was to restore accountability within the system, meaning that we had good information, and we used that good information to make decisions, to hold people accountable where things were going right and where things were not going right.

Provided that accountability is in place you can do a lot of things. Information is core to accountability. Accountability is core to governance. Without information you cannot have accountability and without accountability there’s no governance. Information will not flow anyhow by itself. It has to be demanded.

Why are we not at the moment seeing any substantial private investment in healthcare in Nigeria, targeting the 1 billion dollars you’ve said is going into medical tourism annually?

A year and a half ago – in 2012 – when this conversation started it was a turning point, and since then I think there’s been interest shown more so than in the past. The environment is imperfect, but from the conversations we’re hearing even the domestic private health sector is beginning to look at how to improve the game such that they retain some of these revenues going abroad. Why would you allow a private provider in India deliver services that a private provider in Lagos or Abuja can provide?

So the argument is that there are things governments that can do on the policy and regulatory side, and also things that the markets can do in terms of providing access to capital.

We have had some private equity funds targeting health, so I think that tells you that there’s good response. The private health sector has to organize itself; the [current] fragmentation means that lots of people are small-scale, solo providers. They may not be able to raise or utilize the capital that will be required to improve on their infrastructure, buy the large equipment, but if they come together as groups they might be able to do something. But that’s not something that government will force on them.

But at the end of it all I have a lot of confidence in the Nigerian spirit, and that a generation of Nigerian players is coming to the stage. We’ve seen it with the Private Sector Health Alliance, with the Innovation Marketplace, with the young people that are coming out to contribute. I think [there’s an energy that] can be unleashed. It has not yet been unleashed but I think we’ve started, and I hope that will be sustained.

Tolu Ogunlesi (c) 2014