Lagos is poised to transform its healthcare landscape, with the state government announcing the full enforcement of mandatory health insurance for all residents by the third quarter of 2025. This ambitious move, rooted in Governor Babajide Sanwo-Olu’s July 2024 Executive Order, signals a resolute commitment to achieving Universal Health Coverage (UHC), a goal that resonates deeply with the aspirations of many Lagosians seeking accessible and affordable healthcare.
“By the third quarter of 2025, we will begin full enforcement of the executive order, ensuring that every resident complies with the compulsory health insurance policy,” confirmed Nifesimi Akinnagbe, Technical Assistant on Lagos Social Health Insurance Executive Order, speaking at the Y2025 Q1 Media Parley. Akinnagbe’s statement underscores the state’s transition from awareness campaigns to active implementation.
For many residents, the prospect of mandatory health insurance evokes a mix of hope and apprehension. On one hand, the promise of accessible healthcare offers a lifeline, particularly for those in the informal sector who often face financial barriers. On the other hand, questions about affordability and the practicality of enforcement linger.
Emmanuella Zamba, Permanent Secretary of the Lagos State Health Management Agency (LASHMA), emphasized the agency’s dedication to making healthcare a reality for every Lagosian. “We are committed to ensuring that every Lagosian is adequately sensitized and educated on the significance and compulsory nature of social health insurance,” she stated. This commitment is reflected in the introduction of ILERA ‘N TIWA Cooperative, a novel initiative designed to integrate the informal sector by offering flexible payment plans.
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“This initiative provides flexible payment plans for artisans, traders, and low-income earners, ensuring they are not excluded from healthcare services,” Zamba explained. This initiative recognizes the diverse economic realities of Lagos residents, acknowledging that a one-size-fits-all approach to health insurance is impractical.
To further bolster enrollment, LASHMA has launched the ILERA EKO Academy, a training program aimed at expanding its sales force. “This academy serves as a platform for training agents who will educate Lagosians on the benefits of enrolling in ILERA EKO,” Zamba noted. The academy has already trained 250 sales agents, demonstrating a proactive approach to public engagement.
Accessibility has also been a key focus, with LASHMA expanding registration options to include physical enrollment centers, community pharmacies, USSD registration, and an online portal. “Let me reiterate that ILERA EKO is mandatory for every resident in Lagos State. For those who are yet to enroll, registration has been made simple and accessible,” Zamba assured.
The success of this ambitious plan hinges significantly on public awareness and understanding. As Kayode Oyekanmi, representing the Permanent Secretary of the Ministry of Information and Strategy, pointed out, “Public awareness is crucial to the success of Governor Sanwo-Olu’s programs, particularly in the health sector.” He urged journalists to play an active role in promoting the scheme, recognizing the media’s power to shape public perception.
As Lagos moves towards the third quarter of 2025, the journey towards universal health coverage is fraught with challenges, yet brimming with potential. The state’s commitment to inclusivity, exemplified by initiatives like ILERA ‘N TIWA Cooperative, offers a beacon of hope for a healthier, more equitable future.
