By Onoja Baba

As Governor Umo Eno prepares to unveil the Ibom International Hospital as the flagship project of the proposed Ibom Medical City in Uyo, questions are mounting over the fate of the existing Ibom Multi Specialty Hospital, a multi-billion-naira healthcare facility established to achieve many of the same objectives now being advanced for the new project.

The Ibom International Hospital, scheduled for unveiling on June 24, 2026, has been presented by the Akwa Ibom State Government as a transformative healthcare initiative designed to reduce medical tourism and position the state as a regional destination for advanced medical care.

According to government officials, the proposed facility will feature 350 beds, robotic surgical theatres, advanced oncology services, PET-CT scanning equipment, 3-Tesla MRI systems, transplant units, spinal surgery centers, cancer treatment facilities and research institutions.

The Commissioner for Information, Dr. Aniekan Umanah, has described the project as a healthcare revolution capable of attracting patients from across Nigeria and other African countries while reducing the need for overseas medical treatment.

However, an investigation by SecretsReporters has uncovered lingering concerns about the state’s existing flagship healthcare facility and whether lessons from that project have been fully addressed before embarking on another major investment.

A N41 Billion Vision

Less than a decade ago, Akwa Ibom State reportedly spent about N41 billion constructing and equipping the Ibom Multi Specialty Hospital in Uyo.

Commissioned in 2015 during the administration of former Governor Godswill Akpabio, the hospital was similarly promoted as a world-class healthcare institution that would reverse medical tourism and provide specialist services previously unavailable in Nigeria.

Located along the Uyo–Ikot Ekpene Road corridor, the hospital was designed as a 302-bed tertiary healthcare facility equipped with specialist diagnostic and treatment units. At the time of commissioning, it was described as one of the most advanced medical facilities in West Africa.

Yet nearly a decade later, investigations suggest the hospital has struggled to fully realize that vision.

Unfinished Sections, Unmet Expectations

Findings by SecretsReporters indicate that significant sections of the facility remained incomplete years after commissioning.

During visits to the hospital, this reporter observed areas with unfinished works, exposed installations, missing fittings and sections that appeared not to be fully operational. Sources familiar with the facility’s development also alleged that some specialized components contained in the original project design were either incomplete or never fully deployed.

Multiple sources within the health sector claimed that parts of the hospital were commissioned before all planned infrastructure and services had been completed.

Although these claims require official clarification, they raise important questions about the extent to which the facility has achieved the objectives for which it was established.

Governor’s Admission

Concerns about the hospital’s performance gained further attention when Governor Umo Eno acknowledged that the facility had not fully achieved its founding objectives.

In his 2025 New Year broadcast, the governor announced plans to reorganize the Ibom Multi Specialty Hospital as a standalone institution and stated that the facility would be repositioned to fulfil the vision behind its establishment.

“We will reorganize Ibom Multi Specialty Hospital to achieve its founding objective,” the governor stated.

The governor’s remarks, which remain reflected on the hospital’s official platform, have been interpreted by observers as an acknowledgement that the hospital has yet to fully deliver on its original mandate more than a decade after commissioning.

Another N105 Billion Commitment

Despite the unresolved issues surrounding the existing facility, the state government has committed substantial resources to the proposed Ibom Medical City project.

Documents reviewed by SecretsReporters from the Akwa Ibom State 2026 Approved Budget indicate that N100 billion has been allocated for the construction of the Ibom International Hospital under the Ministry of Health.

An additional N5 billion has been earmarked for the construction, equipping and take-off of a Mental Rehabilitation Centre within the broader Medical City framework.

The allocations form part of the state’s N1.584 trillion 2026 budget and represent one of the largest single health infrastructure commitments in the state’s history.

Accountability Questions

The emergence of the new project has triggered questions about the future of the existing hospital and the utilization of previous investments.

If the Ibom Multi Specialty Hospital was originally established to reduce medical tourism, provide advanced specialist care and position Akwa Ibom as a healthcare destination, why is another N100 billion hospital being developed around similar objectives?

What is the current operational status of the specialized units installed at the existing facility?

How much has the state spent on maintaining, upgrading and operating the hospital since its commissioning in 2015?

To what extent have the hospital’s original targets been achieved?

Would completing and expanding the existing facility provide a more cost-effective alternative to constructing a new hospital complex?

These questions remain unanswered.

Experts Raise Concerns

Health policy analysts who spoke to this newspaper noted that major healthcare investments are most effective when governments maximize the value of existing infrastructure before embarking on new capital-intensive projects.

According to them, Nigeria’s public sector has often struggled with sustaining large-scale projects, resulting in underutilized facilities and repeated spending on similar initiatives.

While state officials maintain that the Ibom Multi Specialty Hospital is not being abandoned and will coexist with the proposed Medical City, concerns remain over whether substantial portions of the existing facility are being fully utilized.

The Need for Transparency

For many residents, healthcare stakeholders and public finance advocates, the central issue is accountability.

Before committing another N105 billion in public funds to a new medical complex, stakeholders argue that government should provide a comprehensive public account of the Ibom Multi Specialty Hospital’s development, including the total amount spent, facilities delivered, current operational status, outstanding challenges and plans for optimization.

Such transparency, they contend, would help the public assess whether the new investment represents an expansion of healthcare capacity or an attempt to address shortcomings in an earlier project.

As preparations continue for the unveiling of the Ibom International Hospital, the debate is likely to intensify.

Whether the new facility becomes a transformative healthcare milestone or raises further questions about public infrastructure planning may ultimately depend on how government addresses the unresolved concerns surrounding the hospital that came before it.

Secrets Reporters

Inside the National Institute for Sports (NIS) in Abuja stands a massive 200-bed hostel originally built to accommodate coaches, referees, sports officials and paramedics expected to drive Nigeria’s sporting development.

Nearly two decades after its construction, however, the facility remains at the centre of a mystery that raises troubling questions about government assets, accountability and the management of public infrastructure.

Findings by SecretsReporters reveal that the hostel was among projects scheduled for commissioning on April 10, 2007, during the administration of former President Olusegun Obasanjo.

While the Athlete Development Centre within the institute was commissioned during the visit, the hostel was not.

Nineteen years later, no publicly available explanation has emerged as to why the facility was excluded from the commissioning ceremony.

Today, the building tells a different story.

Rather than housing athletes and sports personnel, the facility is occupied by dozens of residents who say they moved into what was once an abandoned structure after years of neglect.

NIS: Occupants Are Not Authorized

During a visit to the institute, a media aide to the current Director-General of NIS told this reporter that the hostel remains the property of the institute and that its current occupants are not authorised tenants.

According to him, the facility was left uncompleted and unoccupied for years, creating an opportunity for people to move into the building.

The aide said the occupants have since been directed to vacate the premises.

He further claimed that the inability of NIS to utilise the hostel for its intended purpose has forced the institute to incur additional costs in accommodating athletes elsewhere.

According to him, NIS has had to partner with external organisations, including the Nigeria Judicial Institute, to provide temporary accommodation for athletes during training programmes and events.

The official also alleged that some occupants had been making payments to unidentified persons or groups for access to the facility.

However, he acknowledged that the institute had not established who was allegedly receiving such payments.

Occupants Tell A Different Story

When this reporter visited the hostel, some residents rejected claims that they were paying rent for the facility.

Instead, they narrated how they allegedly gained access to the abandoned building.

According to several occupants interviewed, they paid N100,000 each before moving into the hostel between two and three years ago.

They claimed the building had become a hideout for suspected criminals who allegedly stripped parts of the structure and used the premises for unlawful activities.

Some residents said they took significant risks by moving into the abandoned facility despite security concerns.

According to them, the building lacked basic infrastructure, including access roads, electricity and water supply.

They alleged that they contributed personal funds to make parts of the facility habitable.

Several residents also claimed that they later received a request to collectively raise N5 million monthly, which they said was shared among occupants at approximately N23,000 per room.

According to their accounts, the payments were made for a limited period before they stopped after receiving information that the Federal Government intended to reclaim the property.

The residents further alleged that the initial N100,000 payments were made into a private account, although they declined to disclose the account details.

Management Denies Collecting Rent

To verify the claims, this reporter met officials of Package B Management, the entity responsible for overseeing the facility.

The management however denied collecting rent from the occupants.

Instead, officials argued that allowing people to occupy parts of the building was a practical response to worsening security challenges around the abandoned structure.

According to the facility manager, criminal elements had turned the hostel into a base for illegal activities, posing a threat to nearby sports infrastructure.

The manager maintained that security personnel were consulted before some individuals were allowed to reside within the premises.

He further stated that the N100,000 contribution mentioned by residents was intended to fund access roads, electricity and water connections rather than rent payments.

According to him, management did not receive the money.

The manager also disclosed that a former police officer in charge of the area allegedly obtained written undertakings from occupants agreeing to vacate the property whenever the government required it.

Efforts by this reporter to obtain a copy of the undertaking were unsuccessful. Police officials said the officer had since been transferred and no copy of the document could immediately be located.

Questions Without Answers

The investigation uncovered conflicting narratives but few definitive answers.

Was the hostel completed before the 2007 commissioning exercise?

Why was it left out of the inauguration programme?

Who authorised the occupation of the building?

Were payments collected from occupants and, if so, by whom?

Why has a public facility built for athletes remained unavailable for nearly two decades?

These questions remain unanswered.

For now, one fact is undisputed: a hostel built with public funds for Nigeria’s sports development has not served its original purpose since construction began almost 20 years ago.

In Part Two, this investigation follows the money trail behind payments allegedly made by occupants and examines who may have benefited from the occupation of the government-owned facility.

Stanley Ugagbe

The 2024 Audit Report of the Borno State Government has exposed significant revenue generation failures across several ministries and agencies, with a number of government institutions recording zero Internally Generated Revenue (IGR) under the “licences” revenue category despite being allocated substantial revenue targets in the fiscal year.

The report, signed by the State Auditor-General, Shettima Bukar, revealed that none of the affected Ministries, Departments and Agencies (MDAs) generated a single Naira from the revenue sources assigned to them, resulting in a complete shortfall against their approved budgets.

According to the audit findings, the Ministry of Home Affairs, Information and Culture failed to generate any revenue from licences in 2024. The ministry had been projected to realise ₦1.12 million during the year but ended the period with an actual collection of ₦0.00, leaving a negative variance of ₦1.12 million.

Similarly, the Ministry of Transport recorded no revenue under the licences category despite a budget target of ₦59 million. The audit showed that the ministry did not remit any amount throughout the fiscal year, resulting in a revenue deficit equal to its entire budget projection.

The Road Traffic and Inspection Management Agency (ROTIMA), one of the agencies expected to contribute significantly to government revenue through licensing activities, also posted a zero collection record. The agency had been assigned an ambitious revenue target of ₦750 million but failed to generate any income from the source, creating one of the largest revenue gaps identified in the audit.

The Ministry of Health was equally cited for recording no revenue under the category. Although the ministry had a budgeted target of ₦57.25 million, the audit found that no collection was made during the year, leaving the entire projected revenue unrealised.

Also listed among the agencies with zero performance was the Ministry of Environment. The ministry was expected to generate ₦13,000 from licence-related revenue but failed to record any collection, resulting in a complete variance from its approved target.

According to the audit, the findings underscore persistent weaknesses in revenue mobilisation and collection mechanisms within some government institutions, raising concerns over accountability, enforcement and compliance with established revenue generation frameworks.

To address the lapses, the Auditor-General recommended a comprehensive strengthening of the Treasury Single Account (TSA) and Remita-based revenue collection system through the introduction of more robust checks and balances to ensure transparency and accountability in revenue management.

The report also called for enhanced supervision of revenue collectors, urging superior officers to conduct periodic random inspections of collection activities to prevent leakages and improve efficiency.

Furthermore, the Auditor-General advised the state government to extend the ongoing review of revenue-related laws beyond the Borno State Internal Revenue Board Law to cover tertiary institutions and other revenue-generating agencies. According to the report, such reforms would strengthen the institutional and regulatory framework required for sustainable revenue mobilisation across the state.

The audit equally stressed the need for the creation of a comprehensive database of all taxable entities and revenue-generating establishments operating within the state, noting that accurate data remains critical to improving revenue collection and monitoring.

In addition, the report recommended stronger collaboration among revenue-generating MDAs, the Borno State Internal Revenue Service and the Office of the Accountant-General to ensure proper accounting, recording and reporting of all revenues generated.

The Auditor-General further called for the establishment of a follow-up mechanism to monitor MDAs that recorded zero collections against their approved budgets, insisting that affected agencies must provide adequate revenue returns in subsequent fiscal periods.

To improve capacity and compliance, the report urged regular training and sensitisation programmes for personnel of the Borno State Internal Revenue Service, the Office of the State Auditor-General and the Office of the Accountant-General, particularly in areas relating to electronic revenue collection, rendering of returns and preparation of revenue reports.

The audit recommendations are expected to guide efforts aimed at plugging revenue leakages, enhancing accountability and boosting internally generated revenue as Borno State seeks to strengthen its fiscal sustainability amid growing development demands.