 Niger's Vice President Professor Yemi Oshibajo says he has neither civil bullets nor perfect approaches to reform the country's health care system. Professor Oshibajo said these are during the opening of a two-day presidential health reform committee retreat in Abuja. He said that delivering an efficient health care system would require a multi-sector approach across different levels of government and the private sector. As we've heard also has been incomplete and non-systemic, sometimes haphazard and it's estimated that will require between four billion per annum, that's US dollars to about four point five billion to be able to achieve universal health coverage. But with a population growth rate, that figure can only go higher, but any reform without the full participation of the states of course will fall short of a national health reform effort. So this is why it's so important.