Reported by: Ijeoma G | Edited by: Oravbiere Osayomore Promise.
The Niger State Government received over N48 billion in Federation Account Allocation Committee funds between January and March 2026, yet a primary healthcare centre serving more than 4,700 residents in Suleja Local Government Area operates in a state of shocking disrepair, with patients treated on torn, worn-out mattresses and ceilings caving in. The civic technology platform MonITNG, which raised the alarm on Sunday, September 6, 2026, said the Kwamba Primary Health Centre, which serves Anguwa Rimi and the Kwamba Low-Cost housing estate, is a stark example of how public funds are failing to translate into basic services for the poor.
Photographs and accounts shared by MonITNG paint a grim picture of a facility that appears to have been abandoned for years. The ceiling is badly damaged, with sections caving in and exposing the structure above, while water stains are visible across the ceiling and walls. In one room, a worn-out bed with a torn, badly stained mattress is the only option for patients. The toilet facility is equally disturbing, with dirty walls, stagnant water and poor sanitation that could expose patients and health workers to further health risks. “It is difficult to believe that this is a functioning Primary Health Centre in 2026,” MonITNG said in a post on X. The platform noted that the facility serves mothers bringing children for immunisation, pregnant women requiring maternal healthcare, elderly residents and others who cannot afford private hospitals.
The contrast between the state's revenue and the condition of the facility is jarring. Data on first-quarter 2026 allocations shows that Niger State received approximately N48.37 billion in FAAC allocations between January and March. The figure places Niger among the states that received substantial allocations during the period, yet the Kwamba PHC lacks basic infrastructure, essential medical equipment, clean toilets, safe beds and adequate staffing. MonITNG questioned where the investment in basic healthcare has gone, stating, “With billions of naira accruing to the state in just three months, residents have every right to ask: where is the investment in basic healthcare?”
The organisation also raised concerns over a plaque at the facility indicating that it had been renovated, demanding that the state government disclose details of the reported renovation, including the amount spent and the contractor responsible. “If this is the result of a renovation, then residents deserve to know what work was actually carried out and how much was spent,” MonITNG said. The platform called on Governor Mohammed Umaru Bago and relevant authorities to visit the facility, assess its condition and take immediate steps to restore it.
The report comes amid persistent concerns over the quality of primary healthcare infrastructure in Niger State, where residents in rural and semi-urban communities have repeatedly complained of neglect. Earlier this year, the Boyi PHC in Gurara LGA was reported to be in a state of collapse, with no functional medical equipment, exposing over 4,000 residents to health risks. The Kwamba PHC, which serves as the only primary healthcare centre for a community of about 4,798 people, has now joined the growing list of abandoned facilities in the state.
MonITNG has demanded that the Niger State Government, the Federal Ministry of Health and Social Welfare and Suleja LGA authorities urgently inspect the facility. The platform also demanded the renovation of the health centre, replacement of damaged beds and mattresses, improved sanitation, provision of essential medical equipment and adequate staffing. “The people of Kwamba deserve healthcare with dignity. Their lives should not depend on a PHC that the government has forgotten,” MonITNG said.
The development has renewed calls for transparency and accountability in the management of public funds. While FAAC allocations provide governments with resources to deliver essential services, residents and stakeholders continue to demand visible improvements in critical sectors such as healthcare. The condition of Kwamba PHC underscores wider concerns about the state of primary healthcare facilities in parts of Nigeria, where inadequate infrastructure and equipment can affect the quality of healthcare available to the most vulnerable. As one resident put it, “With such significant resources available to the state, communities like Anguwa Rimi should not still be receiving healthcare in facilities in this condition.”
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