Nigeria, a lower middle income country with a population of 162.5 million and a Gross Domestic Product (GDP) of $235.9 billion has 54.7% of the population living below the national poverty line. Total Health Expenditure (THE) as a share of GDP has declined from 12.25% in 2003 to 8.56% in 2005.
Household out-of-pocket expenditure is by far the largest source of health expenditure in Nigeria (about 69%). Given the poverty indices and the burden of health care expenditure on household finances, it is clear that households continue to grapple with equitable and sustainable access to quality health care and adhoc services.
There is a correlation between education and health care indices. Children born to mothers who have attained higher education status are more likely to reach their fifth birthday than children born to mothers with lower educational status.
Given the challenges with accessing health and other pro-health services e.g. good education, infrastructure etc, the role of non-governmental organizations in supporting access for resource-constrained communities cannot be over emphasized.
PAMAI was created to contribute to bridging the gap in improving the access of resource constrained populations to services, infrastructure, equipment and commodities that improve their quality of life.