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Financing Health Futures: Nigeria, Ghana, Uganda Turn to Tobacco and Telecom Taxes in Big Push Against Malaria

Published

2 months ago

September 28, 2025

African leaders, parliamentarians, health experts, and development partners have renewed their commitment to ending malaria by 2030, with a bold call for domestic financing through innovative taxation on tobacco, alcohol, and telecom services to close critical funding gaps.

The discussions took center stage at the Big Push Against Malaria: Harnessing Africa’s Role high-level political engagement in Abuja, where Nigeria, Ghana, and Uganda showcased new homegrown financing strategies aimed at reducing dependence on dwindling donor support.

Africa’s Heavy Burden

Malaria remains one of Africa’s deadliest diseases. In 2023, the world recorded 263 million cases and nearly 600,000 deaths, with 94% of cases and 95% of deaths occurring in Africa. Nigeria alone accounted for 26.6% of global cases and 31% of deaths, according to the World Malaria Report 2024. Children under five remain the most vulnerable, making up 76% of deaths.

Despite progress — with Nigeria cutting malaria deaths by more than half since 2000 through insecticide-treated nets, preventive treatments, and the rollout of the new R21 malaria vaccine — leaders warned that global targets are off-track. The World Health Organization’s technical strategy for malaria (2016–2030) has stalled since 2017, with Africa unlikely to meet its 2025 and 2030 milestones without urgent action.

Taxing for Health Futures

The Nigerian Parliament’s Committee on HIV/AIDS, Tuberculosis, and Malaria (ATM) announced plans to fund malaria elimination through “sin taxes” and telecom levies.

According to the House Chair on ATM, Hon. Linda Ogar, a bill is underway to restructure the National Agency for the Control of AIDS (NACA) into a multi-disease agency that will address HIV, TB, and malaria.

The new financing mechanism proposes:

Taxes on tobacco, alcohol, and other luxury items

Dedicated levies on telecom airtime and mobile money transactions

A percentage of the nation’s consolidated revenue

“These resources will provide sustainable funding to strengthen health systems and accelerate malaria elimination,” Ogar said, stressing that Africa must stop relying solely on foreign donors. “We cannot continue to take two steps forward and five steps backward. Africa must begin to show the world that we are ready to solve our problems ourselves.”

Similar models are already being piloted in Ghana and Uganda, where levies on mobile money and telecoms are being redirected to finance health interventions. The Abuja meeting urged other African countries to adopt this approach as part of a continental framework for sustainable financing.

Leaders Call for Urgent Action

Nigeria’s Minister of State for Health and Social Welfare, Dr. Iziaq Adekunle Salako, emphasized that while malaria is preventable and treatable, it still kills hundreds of thousands yearly due to funding shortfalls, climate change, insecticide resistance, and humanitarian crises.

“To truly defeat this disease, we must rethink, join forces, and mount a concerted ‘Big Push’. Funding gaps remain a major obstacle, and innovative domestic financing is the way forward,” Salako declared.

From the civil society front, grassroots representatives pledged to act as “foot soldiers”, demanding that communities have a seat at the decision-making table. The World Health Organization, Bill & Melinda Gates Foundation, Aliko Dangote Foundation, and other partners reaffirmed support but stressed the need for stronger political will and local ownership.

Private Sector and Global Support

Representing billionaire philanthropist Aliko Dangote, the Nigeria Malaria Council reiterated that private sector investment must complement government financing. Meanwhile, the Global Fund confirmed it has invested nearly $2 billion in Nigeria’s malaria response and committed an additional $500 million for 2024–2026, including support for local production of malaria drugs.

The Gates Foundation’s Uche Anaowu noted that while progress has slowed, malaria remains beatable:

“Smallpox is the only human disease ever eradicated. The question is — can malaria be next? I believe Africa has both the burden and the opportunity to lead the world in making that happen.”

Financing Health Futures: Nigeria, Ghana, Uganda Turn to Tobacco and Telecom Taxes in Big Push Against Malaria

Abuja, Nigeria – African leaders, parliamentarians, health experts, and development partners have renewed their commitment to ending malaria by 2030, with a bold call for domestic financing through innovative taxation on tobacco, alcohol, and telecom services to close critical funding gaps.

Africa’s Heavy Burden

Taxing for Health Futures

The Nigerian Parliament’s Committee on HIV/AIDS, Tuberculosis, and Malaria (ATM) announced plans to fund malaria elimination through “sin taxes” and telecom levies.

The new financing mechanism proposes:

Taxes on tobacco, alcohol, and other luxury items

Dedicated levies on telecom airtime and mobile money transactions

A percentage of the nation’s consolidated revenue

Leaders Call for Urgent Action

Private Sector and Global Support

The Gates Foundation’s Uche Anaowu noted that while progress has slowed, malaria remains beatable:

“Smallpox is the only human disease ever eradicated. The question is — can malaria be next? I believe Africa has both the burden and the opportunity to lead the world in making that happen.”

The Big Push: From Talk to Action

Speakers acknowledged that Africa has hosted too many malaria meetings without concrete outcomes. This time, however, leaders insisted the Abuja gathering must mark a turning point — from dependency to self-reliance.

With Nigeria, Ghana, and Uganda setting the pace on tax-based health financing, the continent now faces the challenge of replicating and scaling up these models.

“Now that Africa is at a critical point, the need for a Big Push against malaria cannot be overemphasized. If we align political will, innovative financing, and community engagement, we can end malaria within our lifetime.”

Nigeria, Ghana, and Uganda are pioneering a shift from donor dependence to domestic revenue mobilization via tobacco, alcohol, and telecom taxes — a model hailed as central to financing Africa’s health futures and ending malaria by 2030
Speakers acknowledged that Africa has hosted too many malaria meetings without concrete outcomes. This time, however, leaders insisted the Abuja gathering must mark a turning point — from dependency to self-reliance.

With Nigeria, Ghana, and Uganda setting the pace on tax-based health financing, the continent now faces the challenge of replicating and scaling up these models.

“Now that Africa is at a critical point, the need for a Big Push against malaria cannot be overemphasized. If we align political will, innovative financing, and community engagement, we can end malaria within our lifetime.”

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From U.S. Alarm to Tinubu’s Validation

Published

2 days ago

November 22, 2025

The Gleamer

U.S. President Donald Trump’s recent decision to list Nigeria as a “Country of Particular Concern” triggered a wave of reactions across diplomatic and political circles.

While many Nigerians viewed the designation as a national embarrassment and critics seized it as evidence of deepening instability, the development has taken on a surprising twist: it has become an unintended validation of President Bola Ahmed Tinubu’s ongoing reforms.

For global observers, Trump’s warning underscored the security and governance challenges facing Africa’s largest democracy. But within Nigeria, it cast renewed attention on Tinubu’s attempts to tackle the very issues that led to the U.S. designation from terror attacks and mass kidnappings to deep rooted economic distortions.

Political analysts note that long before Trump’s statement, Tinubu had already begun overhauling Nigeria’s security and economic systems, taking steps more far-reaching than those implemented by his predecessors. Trump may have amplified global concern, but Tinubu had already moved into the repair phase.

Upon assuming office, Tinubu inherited a nation strained by years of structural decline a costly fuel subsidy regime, an opaque multi-tiered foreign exchange system, rising insecurity, and widening regional imbalances. Instead of opting for gradualism, he pursued sweeping measures aimed at resetting Nigeria’s foundations.

One of his earliest actions was an overhaul of the security architecture. Tinubu dismissed and replaced the previous service chiefs, appointed field tested commanders, strengthened joint operations, and demanded measurable results. The armed forces intensified land and air offensives, resulting in major arrests, rescue operations, and the neutralisation of terror cells. Security improvements were coupled with community-level interventions to break cycles of violence and restore economic activity in long neglected regions.

Economically, Tinubu took two of the most contentious decisions in decades: removal of petrol subsidy and unification of the exchange rate. His administration framed the decisions as necessary to end fiscal leakages and curb entrenched rent-seeking. Though the reforms generated short-term hardships, they also freed revenue for federal and state governments and signaled to investors that Nigeria was ready for structural cleanup.

In governance, Tinubu implemented what analysts describe as an equity-driven restructuring of the federation. Every geopolitical zone now has a dedicated regional development commission a move designed to institutionalise fairness and ensure balanced growth. This expansion is widely regarded as one of the administration’s most strategic long-term decisions.

Meanwhile, Nigeria is witnessing what officials describe as a new wave of infrastructure expansion. Work is underway on the multi-state Lagos–Calabar Coastal Highway, the Sokoto–Badagry Super Highway, major rail upgrades, power sector reforms, and the rehabilitation of key federal roads. Port modernization projects are also accelerating to position Nigeria as a competitive maritime hub.

International confidence appears to be responding to these reforms. Tinubu has pursued aggressive economic diplomacy, securing investment commitments from the UAE, Germany, Saudi Arabia, the United States, and leading multinationals. Government officials report that more than $30 billion in investment pledges were recorded during the administration’s first year.

The government has also launched a comprehensive tax reform effort aimed at curbing multiple taxation, expanding the tax net, and strengthening transparency a shift intended to help raise Nigeria’s historically low tax-to-GDP ratio.

As global reactions to Trump’s warning continue, Nigerian officials argue that the designation inadvertently highlights a turning point rather than a downward spiral. While the U.S. warning spotlighted Nigeria’s challenges, Tinubu’s defenders say the administration is already confronting those challenges with bold, long-term reforms.

In this framing, Trump’s alarm has become a backdrop that underscores the urgency of Tinubu’s agenda and, paradoxically, the evidence of its relevance.

Supporters of the president say the label “country of concern” is being transformed into a story of a country in recovery, driven by a leader intent on reversing years of stagnation. According to them, Tinubu’s approach prioritising difficult reforms over popular short-term fixes is precisely what positions Nigeria for renewed global confidence.

In a twist of geopolitical irony, what was meant to warn the world about Nigeria may now be drawing attention to an unfolding attempt at national renewal.

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