A Strong Health System Requires More Than Infrastructure—UI Don

A Professor of Health Policy Analysis and Health Systems Strengthening at the University of Ibadan, Professor Kayode Omoniyi Osungbade, has called for a deeper recognition of the interdependence of various actors and elements within the health system, emphasizing that effective health production is both an art and a science that requires unified, coordinated efforts.

Professor Osungbade made the call during the University’s 581st Inaugural Lecture, delivered on behalf of the Faculty of Public Health. The lecture, titled “Art and Science of Molecules of Health Production: The Labour of a Producer,” highlighted the complex, interconnected nature of health systems and the necessity of collaboration to achieve positive outcomes.

“The molecules of health production are not isolated—they are deeply interrelated,” he said. “A breakdown in one segment will inevitably impact others. That is why we must treat health systems as a web of mutual responsibilities.”

According to him, a functional and responsive health system must strike a balance between the services offered and the expectations of the people it serves. He asserted that health systems thrive when there is a harmonious blend of quality infrastructure, efficient supply chains, and real-time information systems to support delivery.

“A strong health system is characterised by robust infrastructure, efficient supply chains, and effective information,” he noted. “These ensure that healthcare services are accessible, affordable, and of high quality.”

Professor Osungbade identified four critical thematic areas—or “molecules”—necessary for the development of effective and efficient health systems: service delivery, health financing and economics, workforce development, and leadership/governance. He warned that myths and misconceptions still hinder access to evidence-based interventions and called for culturally sensitive, context-specific information strategies to counter these barriers.

He further urged sustained engagement with Nigeria’s political class, stressing that leadership and governance are central to building a resilient health system. “The political landscape is dynamic,” he said. “Continuous dialogue with decision-makers is non-negotiable if we want sustainable reforms.”

In his recommendations, the don advocated the speedy implementation of provisions in the National Health Insurance Act (NHIA) aimed at increasing informal sector participation and expanding universal health coverage. He also highlighted the need for continuous training and exposure of health workers to emerging technological innovations as a structural priority in healthcare delivery.

“With the public health sector being the first point of contact for most Nigerians, actors must embrace digital platforms for both provision and payment of services,” he concluded.

The 581st Inaugural Lecture is the fourth in the University of Ibadan’s 2024/2025 academic session, adding to the institution’s tradition of advancing critical national conversations through research-based thought leadership.