The Political Economy of Healthcare in Nigeria: Diagnosing the Structural Barriers to Reform and Equity

Key Points

• The research aims to identify and diagnose structural barriers hindering health equity and reform in Nigeria's healthcare system.
• Conducted a systematic review following PRISMA 2020 guidelines.
• Synthesized evidence related to political economy factors in healthcare.
• Analyzed governance fragmentation, financing issues, and implementation gaps.
• Identified governance fragmentation as a significant barrier to effective healthcare delivery.
• Highlighted financing paradoxes that limit funding access and equity.
• Revealed implementation gaps that prevent necessary reforms in healthcare.