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CBN Data Signals Structural Shift as Nigerians Turn to Local Hospitals for Advanced Care

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Central Bank of Nigeria (CBN)

Data from the Central Bank of Nigeria (CBN) shows a sharp and sustained decline in Nigeria’s spending on overseas medical treatment.

The figures indicate that outbound medical-related foreign exchange usage remained exceptionally low through the first half of 2025, with no meaningful rebound across the period.

Analysts say the pattern points to a change in behaviour rather than a temporary disruption, suggesting that Nigerians are increasingly relying on local hospitals for treatments previously sought abroad.

For years, medical tourism was driven by limited specialist capacity, weak infrastructure, and low confidence in domestic healthcare outcomes. That dynamic is now changing as local providers expand their clinical capabilities and deliver outcomes comparable to international standards in key areas such as cardiac surgery, oncology, fertility treatment, and urology.

Healthcare sector investments over the past decade have improved access to modern equipment, specialist training, and advanced treatment technologies. As a result, complex procedures that once required travel to Europe, Asia, or North America are increasingly being performed within Nigeria, reducing the perceived necessity of offshore care.

Facilities such as Duchess International Hospital have strengthened local capacity in high-end surgical and cardiac care, contributing to the retention of patients who would previously have sought treatment overseas.

Industry observers cite the hospital’s expanding scope of services as evidence of the improving depth of Nigeria’s tertiary healthcare system.

In fertility and women’s health, Nordica Fertility Centre has reduced outbound medical travel by offering non-invasive treatment options supported by advanced ultrasound-based technologies.

The centre has also begun to attract patients from neighbouring countries, indicating a reversal of traditional medical tourism flows.

Similarly, The Prostate Centre has enhanced local access to specialised urology and cancer care through the deployment of technology-driven, minimally invasive treatments. Medical professionals say these services now align with global best practices in targeted areas.

Policy developments may have reinforced the trend. Reforms introduced by the Central Bank to tighten transparency and discipline in the foreign exchange market have limited discretionary FX access for non-essential spending, including overseas medical travel.

CBN Governor Olayemi Cardoso has stated that restoring market integrity requires eliminating distortions that previously enabled preferential access to foreign exchange.

However, analysts note that the persistence of low outbound medical spending suggests the shift is not solely policy-driven.

The absence of a recovery over multiple months indicates growing confidence in domestic healthcare delivery rather than deferred demand.

From a macroeconomic perspective, reduced medical tourism supports foreign exchange conservation and keeps high-value healthcare spending within the local economy.

The retained expenditure contributes to job creation, skills development, and reinvestment across the healthcare value chain.

The data strengthens the view that Nigeria’s healthcare sector is undergoing a long-term transformation. As capacity continues to expand and service quality improves, analysts expect reliance on overseas medical treatment to decline further, reshaping both patient behaviour and the economics of healthcare delivery in the country.

is the CEO and Founder of Investors King Limited. He is a seasoned foreign exchange research analyst with over 20 years of experience in global financial markets. Olukoya is a published contributor to Yahoo Finance, Business Insider, Nasdaq, Entrepreneur.com, InvestorPlace, and other leading financial platforms. He is widely recognized for his in-depth market analysis, macroeconomic insights, and commitment to financial literacy across emerging economies.

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