UWAR JIKI: KANO’S PRIMARY HEALTHCARE — WHERE IS THE MONEY GOING?
A Special Investigation by Alfijir Labarai — 2026
Primary Healthcare is the first point of contact with the healthcare system for many residents, particularly those living in rural and underserved communities.
In Kano State’s 2026 budget, significant funds were allocated to the Primary Health Care Management Board (PHCMB).
The Kano State Government’s Q2 2026 Budget Performance Report shows that N14.918 billion was allocated to Primary Healthcare.
By the end of June 2026, the report recorded expenditure of N5.646 billion, representing 37.8 per cent of the allocation.
The key question for this investigation is:
How much was budgeted, how much was spent, what was the money allocated for, where did the projects take place, and what are residents actually seeing on the ground?
CAPITAL INVESTMENT IN PRIMARY HEALTHCARE
The report shows that N12.901 billion was allocated for capital expenditure under Primary Healthcare.
By the end of June, N4.993 billion had been recorded as spent, representing 38.7 per cent.
Capital expenditure includes areas such as construction, rehabilitation, renovation, equipment and other major investments in healthcare infrastructure.
For Alfijir Labarai, the figures provide the starting point — not the conclusion.
The investigation will seek to identify the specific projects behind the expenditure and determine what has actually been delivered.
HOSPITALS AND HEALTH CENTRES
The 2026 budget allocated N2.598 billion for the construction and provision of hospitals and health centres.
By June, the Q2 report recorded expenditure of N862.625 million, representing 33.2 per cent.
The investigation will examine the locations of these projects, their status, the amounts allocated to them and what can be independently verified at the facilities.
HOSPITAL REHABILITATION AND REPAIRS
Another major allocation was N6.015 billion for the rehabilitation and repair of hospitals and health centres.
The Q2 report recorded expenditure of N2.413 billion by June, representing 40.1 per cent.
The questions for our investigation are straightforward:
Which facilities were covered?
How much was spent on each?
When did the work begin?
What stage has each project reached?
And has the work translated into improved healthcare services?
PRIMARY HEALTHCARE FACILITY RENOVATION AND MAINTENANCE
For renovation and maintenance of Primary Healthcare facilities, N472.5 million was allocated.
The Q2 report recorded expenditure of N234.5 million, representing 49.6 per cent by the end of June.
This raises another area for investigation: identifying the facilities involved and determining what work was actually carried out.
KWAJELE AND FANDA: TWO PROJECTS THAT REQUIRE FURTHER INVESTIGATION
Among the specific Primary Healthcare projects listed in the Q2 report are:
N100 million — Construction of a Primary Healthcare Centre in Kwajele Town, Sumaila LGA.
The Q2 report recorded 0 per cent expenditure under this specific project by the end of June.
Another project is:
N100 million — Upgrade of Fanda Primary Health Centre, Albasu LGA.
The report also recorded 0 per cent expenditure under this specific project by the end of June.
The 0 per cent expenditure figures do not, by themselves, establish that construction or preparatory work did not take place.
What they establish is that the Q2 report did not record expenditure against those specific project lines by the end of June.
For that reason, Kwajele and Fanda will be among the first locations Alfijir Labarai seeks to investigate further.
MEDICINES: EXPANDING ACCESS TO 100 MORE FACILITIES
The government also allocated N192.21 million for scaling up the Drug Revolving Fund to an additional 100 facilities, with the stated objective of increasing access to quality medicines.
The Q2 report recorded 0 per cent expenditure against this specific line by June.
This raises an important investigative question:
What is the current status of the planned expansion, and which facilities are expected to benefit?
REFERRAL SYSTEM
N10 million was allocated to strengthen the referral system at Primary Healthcare Centres.
The Q2 report recorded 0 per cent expenditure under this line by the end of June.
This is an important area because Primary Healthcare Centres cannot manage every medical condition.
When a patient requires higher-level care, an effective referral system can determine how quickly that patient reaches an appropriate facility.
Alfijir Labarai will therefore examine how referrals currently work, where patients are referred, how they are transported and what costs they may face.
LABORATORY SERVICES
N20 million was allocated for the coordination of laboratory services at state and local government levels.
The Q2 report recorded 0 per cent expenditure against this line by June.
Our investigation will therefore examine the availability of laboratory services at selected PHCs.
What tests can be conducted?
Which tests are unavailable?
Where are patients sent when a test cannot be conducted?
And how much do patients have to pay?
MATERNAL AND CHILD HEALTH
Maternal and child healthcare will form another important part of the investigation.
The 2026 budget allocated N150.56 million to the Child Birth Spacing Programme, with N50 million recorded as spent, representing 33.2 per cent.
N40 million was allocated for Integrated Maternal, Newborn and Child Health, while the Q2 report recorded 0 per cent expenditure against that specific line by June.
N50 million was allocated for Active Case Finding of Severe Acute Malnutrition, with 0 per cent expenditure recorded in the Q2 report by June.
For Nutrition Corners across 42 local government areas, N200.5 million was allocated, with N100 million recorded as spent, representing 49.9 per cent.
These figures will be examined alongside what is actually available to women and children at selected health facilities.
ROUTINE IMMUNISATION
Routine Immunisation is another major component of Primary Healthcare.
N2.912 billion was allocated for the programme.
By the end of June, the Q2 report recorded expenditure of N1.544 billion, representing 53 per cent.
The investigation will examine whether this spending has translated into improved access to vaccines, whether vaccines are available when required, and whether there are differences in access between urban and rural communities.
FROM BUDGET FIGURES TO THE REALITY ON THE GROUND
Alfijir Labarai will not treat budget figures as the final measure of healthcare performance.
The investigation will follow a simple chain:
Budget → Project → Location → Physical Verification → Residents → Health Workers → Government Response.
We will begin with Kwajele in Sumaila LGA and Fanda in Albasu LGA, alongside selected PHCs connected to renovation, equipment, medicines and other Primary Healthcare programmes.
We will seek information from relevant government agencies, healthcare workers, residents and other stakeholders.
Where information cannot be independently verified, that limitation will be clearly stated.
THE CENTRAL QUESTION
If government allocates significant resources to Primary Healthcare, what are the people of Kano actually seeing at their healthcare facilities?
That is the central question of this phase of the UWAR JIKI investigation.
Alfijir Labarai will continue following the evidence — from official budget documents to healthcare facilities and, ultimately, to the people who depend on them.
SOURCE
Kano State Government, Q2 2026 Budget Performance Report, particularly the Primary Healthcare sections on pages 49–52. The report provides information on the 2026 budget and expenditure recorded up to the second quarter.
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