Nigeria, Sept. 26 -- In 2025, only about 10% of Nigerians have reliable access to health insurance coverage, while access to quality healthcare services remains below 45% nationwide-and considerably lower in rural and underserved communities. More than 76% of Nigerians continue to pay for healthcare out-of-pocket, highlighting deep inequities and the persistent failure of public insurance schemes to reach most of the population. With over 54% of Nigerians projected to be living in extreme poverty (earning less than $2.15 per day)-75.5% in rural areas and 41.3% in urban areas-access to healthcare often becomes a mirage after the harsh reality of meeting basic needs like food and shelter.
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