The House of Representatives has launched an investigative hearing into how Nigeria managed over $4.6 billion in health grants received between 2021 and 2025 from the Global Fund and the United States Agency for International Development (USAID).
The funds, comprising $1.8 billion from the Global Fund and $2.8 billion from USAID, were intended to combat HIV/AIDS, tuberculosis, and malaria, as well as to strengthen Nigeria’s health systems.
The hearing comes at a critical time as Nigeria faces multiple health system challenges, including overstretched primary care, drug stock-outs, and uneven access to treatment across states.
Despite billions in donor funding, mortality rates from preventable diseases remain high in several regions, highlighting gaps in governance, fund leakages, and delays in programme implementation.
Declaring the hearing open in Abuja on Monday, Chairman of the House Committee on Infectious Diseases, Amobi Ogah, said the probe aims to uncover how the substantial donor funds were utilised and whether they delivered tangible health outcomes for Nigerians.
Ogah recalled that the House, at plenary on 21 October 2025, had resolved to investigate the management of donor resources channelled through Nigeria’s health system.
The then Committee on HIV/AIDS, Tuberculosis and Malaria Control (ATM) was mandated to handle the probe, which the restructured House Committee on Infectious Diseases has now taken over
He commended Speaker Abbas Tajudeen for renaming and broadening the committee’s mandate to reflect a more comprehensive focus on public health threats.
The committee chairman noted that about 90 per cent of Nigeria’s intervention funds for these diseases come from international partners, warning that the country would no longer remain a “mere spectator” in the management of donor resources.
He directed the Federal Ministry of Health and Social Welfare, alongside the Country Coordinating Mechanism (CCM), to ensure that all principal recipients and implementing partners submit their implementation plans for National Assembly approval before funds are disbursed.
The lawmaker also disclosed that the House is amending the National Agency for the Control of AIDS (NACA) Establishment Act to expand the agency’s scope.
The proposed amendment seeks to transform NACA into the National Agency for the Control of AIDS, Tuberculosis and Malaria (NACATAM), making it a multi-sectoral institution.
According to him, the investigative hearing will assess transparency, accountability, and efficiency in the use of donor funds since 2021.
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