Nigerian President Umaru Yar'Adua recently declared the energy crisis a national emergency, but aid groups say he should also declare a state of emergency in the health service.
"So far there is no evidence the government will act quickly to bring succour to the poor," said Osita Ezechukwu, a volunteer at the anti-poverty group Social Rights Initiative.
In his inauguration speech on 29 May Yar'Adua included in his seven-point agenda a goal to alleviate widespread poverty. Yet four months on, details of how he will do this remain sketchy.
Civil society groups are calling for President Yar'Adua to make commitments to provide basic services.
Focus on oil
Yar’Adua told a delegation of Nigerian political leaders on 19 September: "We are very concerned about how other Nigerians live and will try very hard to evolve and implement policies and programmes to solve the problems of unemployment, poverty and disease.”
But he has also made it clear that rehabilitating the transport and electricity sectors is a priority, saying that the sectors’ current state of decay has “resulted in [a] lower quality of life for the majority of our population”.
Yar’Adua has frequently said he will make Nigeria one of the world's 20 biggest economies through better management of energy resources, improved security, reform of land laws and rule of law, and a resolution of the Niger Delta unrest.
On 17 August Yar'Adua declared the country's power crisis a national emergency. To deal with chronic shortages he said he would go ahead with the initiative of his predecessor, Olusegun Obasanjo, to break up the old power monopoly and bring in private investors to boost power generation.
Yar'Adua also announced the formation of a National Energy Council under his direct control and the breaking up of the Petroleum Ministry into departments for power, oil and gas, each headed by a cabinet-rank official who will report to him directly.
Health project ditched
But he has had far less to say about how he will provide basic services to the poor. Despite Nigeria’s being a top oil producer with huge mineral wealth, around two-thirds of the country’s 140 million people live below the poverty line. Life expectancy at birth is just 44 years and one in five children does not live beyond the age of five.
Aid workers were shocked when Yar’Adua recently announced he would suspend a project initiated by President Obasanjo to construct a modern health centre in each of the country's 774 local council districts. Obasanjo had called it an emergency response to the lack of access to health facilities in rural communities.
The government determined that the health centres project was unconstitutional because it would have federal government taking funds allocated to local councils. But health officials have criticised Yar’Adua’s decision, saying that he fails to recognise that the healthcare system is in crisis.
"Our maternal mortality is one of the highest in the world; our infant mortality and life expectancy [are] embarrassing," said Daniel Gana, president of the Nigerian Medical Association. "But surprisingly our president has not declared a health emergency and is not intending to do so."