The Bedside Economist · ideas on health, capital and African markets

Olamide Okulaja

MD  /  MBA  /  HEALTH ECONOMIST  /  LAGOS

Building markets that make health work.

A physician who learned to price health systems. For a decade he has argued, in ministries, development banks and boardrooms, that Africa's health gap is a market-design problem before it is a money problem.

Dr Olamide Okulaja in a navy suit and burgundy tie, hands clasped
Chief Growth Officer, Maisha Meds
Pro bono adviser, Lagos State Ministries of Health and Commerce
The thesis

Money is not empathetic. Money follows value.

Lagos, August 2026 · Nigerian News Direct

Grants end. Budgets shift. What lasts is care that someone can price, insure, finance and buy.

That conviction runs from community health insurance in Ogun State, through 68 revitalised clinics in Lagos and Delta, to pharmacy software that now turns the daily sales of 6,000 drug shops into evidence that lenders, manufacturers and governments can act on.

Six ideas

What he argues, and why.

Health financing

Money follows value

Africa does not only lack health money. It lacks systems that can absorb it. Build the framework first, and capital follows.

"The solution with the Nigerian health sector is not on the financing, but in building frameworks and ecosystem that can absorb such financing."BusinessDay, 2018 →
Sustainability

Health is a business, so it can last

Clinics that cannot price, insurers that cannot pay and factories with no buyers fail the poor first. Commercial discipline is how care becomes permanent.

"If we don't view health as business, we would find out that it will not be sustainable at the end of the day."Vanguard, 2018 →
Medicine self-sufficiency

Demand is the missing collateral

Pharmacies, lenders and local manufacturers have never been wired into one system. Verified demand is the wire.

"The gap is not in resources. It is in the connection between three layers that have never been brought into a single system."Vanguard, 2026 →
Universal health coverage

UHC is a journey

Coverage is built in financed, sequenced steps: mandatory insurance, enrolment, quality standards and private operators, one budget line at a time.

"UHC is a journey, not a destination."LISDEL, 2021 →
Digital health

Technology is the means

Innovators fall in love with the product. The point is the outcome: a correct diagnosis, a stocked shelf, a paid claim.

"A lot of times we look at our innovations as the end to a means meanwhile, it is the means to an end."GDHF Nairobi, 2024 →
Enterprise & the creative economy

Skill before scale

Cheap money without capability is a trap. Pair loans with accelerators, start small, and use the tools already in your hand.

"It's not just about the loan, it's also about the skill for these people to scale."QED.NG, 2026 →
A smiling female health worker with two children outdoors
The test of every idea: does care reach the people it is for?
The evidence behind the ideas

Tested in real markets.

6,000

Pharmacies and drug shops running Maisha Meds' free point-of-sale software.

Nigeria · Kenya · Uganda · Tanzania
68

Health facilities revitalised through access-to-finance models with the Bank of Industry and Medical Credit Fund.

43 Lagos · 25 Delta
16

HMOs in the Lagos Private Health Partnership, priced on a certified actuarial framework.

Lagos State Health Scheme Law
₦10bn

LASMECO MSME matching fund with the Bank of Industry and Sterling Bank.

Lagos, 2026
$60m

African Health Markets for Equity, where he served as interim partnership lead.

Gates Foundation · DFID
20+

Years across clinical practice, development finance, government and enterprise.

Since 2005
Idea in focus · tap a layer

Three layers, one signal.

Three layers joined by verified demand Demand recorded in pharmacies travels up a verified-demand line to lenders and to local manufacturers. III · ProductionLocal manufacturers II · CapitalLenders and funds I · Service deliveryPharmacies and clinics VERIFIED DEMAND
The connection

Verified demand

Demand recorded at the pharmacy counter, verified and organised, is the signal that lets lenders and manufacturers move together.

The gap is not in resources. It is in the connection between three layers that have never been brought into a single system.

Vanguard, 16 April 2026
An unpopular idea, held for eight years

We must begin to look at what we can do with what we have against always advocating for more.

Healthcare Nigeria Conference · Vanguard, 10 July 2018

In 2018 the headline read "Nigeria must see healthcare delivery as business, not social service." He has not walked it back. The argument behind it, that sustainable care needs a working business model, now underpins pharmacy software that turns a drug shop's sales into a lender's evidence.

Where the ideas meet the street

Lagos, Kaduna, Keffi, Nairobi.