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· Medtu Care Team

Cardiology Infrastructure Gaps in Nigeria

The only published national audit of Nigeria’s cardiac surgery capacity, what its numbers show, how the corridor to India works for heart patients, and the checks before any travel decision.

Cardiology Infrastructure Gaps in Nigeria

Cardiac care is the specialty where Nigeria’s published record is most specific — and most dated. This article sets out what the only published national audit shows, where the honest gaps in the record are, and how the corridor to India actually works for heart patients who weigh it. Whether an angioplasty, a bypass, or medical management is right for you is a question for the cardiologist who has seen your angiogram; what follows is infrastructure, logistics and money.

The published figures, in one table

Published metric (paediatric cardiac audit, 2010–2014 data)FigureWhat it can and cannot tell you
Centres surveyed nationwide48 (100% response)The audit’s own coverage — not a census of every facility
Centres performing open-heart surgery6 of 48 (12.5%)Where surgery capacity existed when measured; not today’s picture
Centres in the south-west zone20 of 48 (41.7%)How unevenly capacity sits across the country
Open-heart centres in the south-west4 of the 6The same concentration, at the surgical tier
Cardiac catheterisation available / used in children6 centres / 3 centresDiagnostic capacity is thinner still at the intervention step
Echocardiography available45 of 48 centres (93.8%)The widest-available cardiac service — imaging, not intervention
Paediatric cardiologists33 for 87.7 million childrenA workforce ratio the authors call far below the ideal
The audit’s own conclusionServices “grossly inadequate and poorly distributed”The professional literature’s language, not a facilitator’s

What the audit shows — and what it cannot

The audit (Ekure et al., published 2017 in the Cardiovascular Journal of Africa) is the only published national count of its kind, and its numbers carry two honest limits. First, the data were collected between 2010 and 2014 — a decade and more before this article — and no newer national audit has been published that we could ground, so treat the figures as a baseline, not a snapshot of today. Second, it is a paediatric audit: adult cardiac surgery capacity has no comparable published national census, and we say so rather than extrapolate. What the audit does establish is the shape of the system — intervention concentrated in a small number of centres, heavily weighted to one zone, with diagnostic services far more widespread than surgical ones.

For an adult patient planning care, the practical read is different from the paediatric one: the published record simply does not quantify today’s adult capacity, so the honest inputs are your own case — the referral you hold, the centre you are referred to, what it can do and when. Our specialist-shortage article for Lagos and Abuja covers the verification steps any patient can take with any referral.

How the corridor to India works for heart patients

For patients who do weigh India, the grounded inputs are published. On cost, our India CABG ballparks article puts standard bypass at about ₹2.5–5.5 lakh (roughly $2,900–6,400) at tier-2 city private hospitals and ₹3.5–7.5 lakh (roughly $4,100–8,700) at metro hospitals, with valve-plus-bypass work higher — and our India vs Nigeria vs Kenya comparison sets those numbers beside the corridor realities. On logistics, the Nigeria–India corridor guide carries the specifics: an in-person sticker visa (the High Commission states there is no e-visa facility for Nigerian nationals), the referral and invitation letters sent to the mission, a three-month certified bank statement, connections through Addis Ababa, Doha, Dubai or Nairobi, and payment planning that needs to start early.

The step that needs none of that — no visa, no flight, no travel — is the independent read of your angiogram and notes from home. Our remote consultation ($50) and written second opinion ($150) exist for exactly that question: is the advised procedure the recognized approach for this case.

What Medtu Care’s fees are, and what they are not

Our fees: $50 for a remote consultation, $150 for a written independent second opinion, $1,000 for full journey coordination — each credited in full toward the next step, paid by you and never by a hospital. We are a facilitator, not a hospital and not a clinical authority: we do not perform surgery, we do not make clinical decisions, and we do not promise outcomes.

The fees page states the terms in full, including the crediting and refund rules.

Sources

Questions this article answers

How many hospitals in Nigeria can perform open-heart surgery?
The only published national audit — of paediatric cardiology services, published in the Cardiovascular Journal of Africa — surveyed 48 centres and found open-heart surgery performed in six of them (12.5%), with four of the six in the south-west zone. The audit covered services as they stood between 2010 and 2014, so treat it as the published baseline rather than a picture of today; no newer national audit has been published that we could ground.
What did the audit say about distribution across Nigeria?
That services are poorly distributed: the south-west zone held 20 of the 48 centres (41.7%) and four of the six centres doing open-heart surgery, while the audit describes a severe shortage of personnel and services in the northeast. Cardiac catheterisation was available in six centres and used for children in three.
How many paediatric cardiologists does Nigeria have?
The audit counted 33 paediatric cardiologists serving 87.7 million children — a ratio its authors describe as far below the ideal of one per half-million children. The audit is paediatric; we could not ground a comparable national census for adult cardiology, which is an honest gap in the published record.
What does heart bypass surgery cost in India for a self-pay patient?
Published India ballparks put standard CABG at about $2,900–6,400 at tier-2 city private hospitals and $4,100–8,700 at metro private hospitals, with combined valve-plus-bypass work running higher. Those are surgical-package ranges; an itemized written quote for your case replaces every range. Our comparison of India, Nigeria and Kenya for bypass covers the full picture.
What does the journey from Nigeria to India for cardiac care involve?
An in-person sticker visa (the High Commission of India in Abuja states there is no e-visa facility for Nigerian nationals), a Nigerian hospital referral letter and an Indian hospital invitation letter sent to the mission, a three-month certified bank statement, and connections through hubs such as Addis Ababa, Doha, Dubai or Nairobi — there are no direct flights. Reported return fares run roughly US$600–1,400.
What does Medtu Care charge for its services?
Published fees: $50 for a remote consultation, $150 for a written independent second opinion, and $1,000 flat for full journey coordination — each credited in full toward the next step. We are paid by you and take no commissions from hospitals.

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