As the first term concluded in May 2023, the Oyo State Health Insurance Agency (OYSHIA) had reported a total of 173,680 enrollees. While this marked a steady increase in raw numbers, it did not reflect the universal capture of the state's workforce as promised in 2019. 

 

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In the final months of the administration, government communications shifted from a mandatory tone to "encouraging" fresh civil servants to visit registration portals, a clear indication that the process had remained an opt-in system rather than a completed universal mandate. 

 

This was a direct extension of the shortfall recorded in 2021 and 2022, where formal sector enrollment grew to approximately 64,000, yet still excluded significant portions of the estimated 100,000-strong state workforce.

 

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The most significant failure occurred at the start of the second year in May 2020. At this promised deadline, the agency recorded only 30,490 total enrollees, with only 6,863 specifically coming from the formal government sector. This early deficit meant that fewer than 10% of the state's employees were covered by the health insurance scheme at the time the administration had pledged 100% coverage. 

 

Although the agency received national accolades for its progress in enrollment generally, the specific commitment to integrate every single government worker in collaboration with the NHIS was effectively abandoned as an immediate goal, leaving the formal mandate as an unfinished task of the 2019–2023 mandate.