During colonial rule in Nigeria, the British provided formal medical care in government health facilities to Europeans and, eventually, to African employees. The Nigerian citizens were able to obtain healthcare from the non-governmental organizations, usually missionaries, who provided free care throughout the country. Upon achieving independence, Nigeria's health system sought to provide access to healthcare and medical supplies to all of its citizens. In 1997 a coalition of African health ministers introduced the Bamako Initiative to strengthen the primary health care in sub-Saharan Africa.

Discuss the political and economic implications of the Bamako Initiative on Nigerian health system in terms of access, cost, and quality. Cite at least three sources to support your position.