ording to a report, about one million children and women die from preventable diseases annually in Nigeria. That 69% of health spending in Nigerian households is without insurance. That Nigerians are spending one billion US Dollars annually on medical tourism abroad. Official data analyzed shows that the federal and 36 state governments have budgeted a total of 519.8 billion naira for health, representing 4.3% of their total spending of 13.5 trillion naira combined budgets for 2017. The breakdown of the combined budgetary allocations to health at the federal, state and zonal levels is shown on table XXX below: Federal State Government Government Zonal Level Health Budget Health Budget Health budget Top Spenders Zone Budget Health % N46.2bn 2006 107bn Lagos N51.4bn N/W N1.01tr (minus 4.6% Kebbi) N75.4bn (minus 2007 122bn Rivers N27bn S/W N1.47tr 1.1% Ondo & Ekiti) N57.8bn 2008 138bn Kwara N26bn N/E N593bn (minus 3.4% Adamawa) N51.2bn 2009 156bn Bauchi N23bn N/C N781.5bn (minus 4% Benue) N51.1bn (minus 2010 165bn Borno N19.5bn S/S N1.77tr 9% Cross River) N5.9bn (minus 2011 236bn Ogun N15bn S/E N581.2bn 3% Ebonyi & Imo) 2012 283bn Low Spenders 2013 283bn Abia N685m 2014 264bn Osun N894m 2015 260bn Niger N2bn 2016 250bn Enugu N2.5bn Gombe N2.6bn Environmental Factors 84