The recent suspension of USAID funding has posed significant challenges to health programs across Africa, particularly in the fight against HIV/AIDS, tuberculosis and malaria. In response, the Nigerian governments leadership has demonstrated its strength by implementing measures to mitigate the impact of these cuts and ensure the continuity of essential health services. ​

Establishing a Multi-Ministerial Committee

In February 2025, Nigerian officials launched a multi-ministerial committee tasked with developing a transition and sustainability plan for health programs previously supported by USAID. This committee, comprising representatives from the ministries of finance, health, and environment, aims to secure new financial support and safeguard patients reliant on ongoing treatments. ​

Increasing Domestic Health Financing

Demonstrating a commitment to self-reliance, Nigerian lawmakers approved an additional $200 million for the health sector in the 2025 budget. This allocation is intended to offset the shortfall from U.S. government aid cuts, with a focus on supplying vaccines and treatments for epidemic diseases. This move reflects Nigeria’s dedication to prioritising sustainable health financing amid external uncertainties. ​

The Imperative of Domestic Resource Mobilisation

Nigeria’s actions highlight the severe importance of domestic resource mobilisation (DRM) in building resilient health systems. Through investing in their own health infrastructure, countries can reduce dependency on external aid and ensure sustainable, locally-driven solutions to public health challenges. This approach not only addresses immediate funding gaps but also lays the foundation for long-term, home-grown health security. ​

A Call to Action for Other African Countries

Nigeria’s proactive measures serve as a compelling example for other African countries facing similar challenges. The establishment of dedicated committees and the allocation of domestic funds are pivotal steps toward achieving health sovereignty. It is imperative for governments to explore innovative financing mechanisms, foster public-private partnerships and demonstrate political will to prioritise health in national agendas. ​ The US government funding freeze has highlighted the vulnerabilities in health systems reliant on external aid. Nigeria’s response demonstrates how strategic domestic investments and coordinated policy actions can mitigate such challenges. As the global health landscape evolves, it is crucial for nations to take ownership of their health financing to ensure the well-being of their populations and the sustainability of health programs. ​