As the first term drew to a close in early 2023, the Oyo State Health Insurance Agency (OYSHIA) reported a surge in total enrollees, reaching over 100,000 lives across various plans. However, the specific "Community-based" segment, targeting residents in their local wards, remained concentrated in a few pilot areas. 

 

Empowering Community Health Workers: The Backbone of Primary Healthcare Transformation in Nigeria - Aig-Imoukhuede Foundation

 

The initiative began in late 2019 and early 2020, shortly after the Governor’s inauguration. By the end of the first year in office, the administration had only piloted the CBHI scheme in two communities, Eyin Grammar and Ogungbade Community in Egbeda Local Government Area, rather than the four LGAs per senatorial zone (totaling 12 LGAs across three senatorial zones) as explicitly promised. 

 

8 Facts About Healthcare in Nigeria - The Borgen Project

 

Although this pilot provided the "proof of concept" mentioned in the Roadmap for Accelerated Development, the momentum required to scale this specific community-led model to the remaining 11 target LGAs across Oyo North and Oyo South stalled, as the administration’s focus turned toward renovating physical Primary Healthcare Centres (PHCs) to provide the infrastructure needed for future insurance rollout.