The House of Representatives has commenced an investigation into the management of over $4.6 billion in grants received by Nigeria from the Global Fund and the United States Agency for International Development (USAID) between 2021 and 2025.
The funds were provided to support Nigeria’s response to HIV/AIDS, tuberculosis, and malaria, as well as to strengthen resilient and sustainable health systems (RSSH) across the country.
The investigation, initiated by the House Committee on Aids, Tuberculosis and Malaria Control, seeks to ensure transparency, accountability, and effective utilization of international health funds disbursed to various government agencies and implementing partners.
Lawmakers noted that while Nigeria remains one of the largest recipients of Global Fund and USAID health grants in Africa, there have been growing concerns about mismanagement, duplication of efforts, and inadequate oversight in how these funds are spent.
During the committee’s inaugural briefing, the Chairman emphasized that the probe is not intended to witch-hunt any institution, but to guarantee that donor funds achieve their intended purpose — saving lives and strengthening the nation’s health infrastructure.
“These grants are meant to improve access to healthcare, reduce disease burden, and enhance public health outcomes,” the committee stated. “We must ensure that every dollar received is properly accounted for and delivers real impact.”
The investigation will cover financial disbursements, project implementation, and monitoring processes under the grants, including programs run by the National Agency for the Control of AIDS (NACA), the National Malaria Elimination Programme (NMEP), and the National Tuberculosis and Leprosy Control Programme (NTBLCP).
The House also reaffirmed its commitment to working with donor partners and civil society groups to promote fiscal responsibility and transparency within Nigeria’s health sector, ensuring that future international aid contributes effectively to national development goals.
