In Nigeria, primary healthcare is to be provided by Local Governments, secondary health care by State Governments and tertiary health care by the Federal Government. In operationalizing this policy, the Federal Government decided to establish at least one tertiary health institution in each State of the Nigerian Federation. Federal Medical Centres (FMCs), were established nationwide in states that do not have Federal University Teaching Hospitals present. The exception to this rule is Lagos State, which has one such centre in addition to a Teaching Hospital.