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Out-of-Pocket Health Costs & Insurance Coverage in Nigeria 2015-2024

How much Nigerian households spend out of pocket on healthcare, where catastrophic costs hit hardest, and how state insurance schemes are performing — for HMOs, health-tech, and investors.

Out-of-Pocket Health Costs & Insurance Coverage in Nigeria 2015-2024 — image 1

DS2 Catastrophic Health Expendi

VALUE (%)

DS3 CHE Inequality

VALUE

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About this dataset

This dataset brings together findings on how Nigerians pay for healthcare and how far the country has come toward universal coverage. It covers a six-state study of State-Supported Health Insurance Schemes across all geopolitical zones, drawn from 3,732 respondents, alongside national figures on households facing catastrophic health spending.

Use it to size the gap in the private and community insurance market, understand who is paying for care out of their own pocket, and pinpoint which regions and household groups are most exposed to ruinous medical bills. Nearly half of households (45.5% by budget-share measure, 43.1% by capacity-to-pay measure) face catastrophic health expenditure, signalling clear demand for affordable coverage products.

The dataset also identifies the drivers behind catastrophic spending and how it varies across income groups, giving product, pricing, and expansion teams a grounded view of where to build and who to serve.

What's inside

  • Catastrophic health spending affects ~45% of households (two measurement approaches with confidence ranges)
  • State insurance scheme coverage mapped across six states in all six geopolitical zones
  • Backed by 3,732 survey respondents; self-employment the predominant status
  • Breakdown of catastrophic spending inequality across income groups
  • Named drivers behind why households fall into catastrophic health costs
  • Sourced from the Nigeria General Household Survey and peer-reviewed studies

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