Nigeria’s Health System Revamped by ADHFP Initiative

Nigeria’s overstretched primary healthcare system is undergoing a major transformation, thanks to a pioneering public-private initiative known as the Adopt-A-Healthcare-Facility Programme (ADHFP). 

Spearheaded by the Aig-Imoukhuede Foundation and implemented by the Private Sector Health Alliance of Nigeria (PSHAN), the programme is rapidly revitalising neglected health centres and bringing quality medical care closer to millions of Nigerians.

Despite having over 30,000 primary healthcare centres (PHCs), Nigeria’s system has long been marred by underfunding, outdated infrastructure, and poor service delivery—issues that have left large segments of the population, particularly in rural and low-income areas, without essential health services.

The ADHFP initiative is changing that narrative. With a commitment to adopt and standardise at least one globally compliant PHC in each of Nigeria’s 774 local government areas, the programme uses both “greenfield” (building from scratch) and “brownfield” (renovation and upgrade) approaches. 

This dual strategy enables the initiative to address localised needs effectively while fostering accountability through multi-stakeholder partnerships.

In Edo State, the Aig-Imoukhuede Foundation has already adopted 23 PHCs, with four fully revitalised and a five-year sustainability plan in place to ensure long-term impact. Nationally, 215 PHCs have been adopted under the initiative, representing a significant milestone in the fight to improve healthcare delivery in Africa’s most populous nation.

“The ADHFP proves that with visionary leadership and coordinated effort, decades of underinvestment can be reversed,” the Foundation noted. “It’s a model that blends sustainability, community involvement, and private sector efficiency to deliver tangible public good.”

The programme also stands as a global example of how innovative, scalable solutions can bridge systemic healthcare gaps—especially in developing nations. As countries worldwide contend with diverse health challenges, Nigeria’s reform path could offer a replicable framework for nations striving for universal health coverage.

ADHFP is not just a health project—it’s a blueprint for national transformation through strategic collaboration and shared vision.