Just three years after the amalgamation of the Northern and Southern Protectorates in 1914 that led to the birth of Nigeria as one Nation by Governor Lord Luggard under the British Colonial Administration, the then Government decided to establish a small Clinic mainly for the treatment of Leprosy cases in the former Bauchi province. That was in 1918. The Clinic functioned in that Capacity as a Leprosarium with expanded services to cater for the general Health needs of the Bauchi Community till 1966 when the facility was upgraded to the status of a General Hospital. The joy of the population in the then Bauchi province knew no bounds as the upgrading was coming just three years into Nigeria’s life as an Independent sovereign nation, free from the clutches of Colonialism. Those who witnessed the setting up of the facility were amazed at the rate of its rapid progress which was actually tied to momentous periods in the history of the Country. The new General Hospital Bauchi was further upgraded to a Specialist Hospital in 1978 barely a year before the return of the Country to Democracy in 1979. From its nascent beginning in 1918 through its expansion in 1966, the Hospital has had four hundred and fifty (450) beds in 1978 when it transformed to a Specialist Hospital. The Hospital had gone through intermediate stages of development in its strides to live up to its new blossomed status. In 1983 the specialist Hospital witnessed a massive expansion to a seven hundred (700) bed capacity. The Hospital offered full complements of services ranging from Medicine, Surgery Pediatrics, Ophthalmology, Psychiatry, Dentistry, Obstetrics and Gynecology, Ear Nose and Throat (ENT) etc. Administratively the Hospital was under the Ministry of Health, but to cut off bureaucratic red tape, the Hospital was given autonomy vide an Edict of September 10th 1995 with an independent board. From then on the Hospital never looked back in its developmental and progressive forward match to greater heights. The creation of Gombe State in 1996 led to the movement of some of the board members to the new State. But that development did not negatively affect the high standard of services the Hospital rendered to its community of ever expanding clientele. Between 1999 and 2003 the facility witnessed yet again a massive renovation and expansion to give it a face lift that prepared it ominously to its pinnacle destination. Following the change in the political leadership of Bauchi Sate in 2007, there was born a new thinking regarding the final destination of the Specialist Hospital in its long historical journey to greatness.

Conversion of The Specialist to University Teaching Hospital
The methodical conversion process of the Hospital to Abubakar Tafawa Balewa University Teaching Hospital actually began as a rumor which snowballed to clear cut solidified reality with the single-mindedness of the then administration of Mallam Isah Yuguda, the third civilian governor of the State and the thirteenth in the chronology of the State administrators. His government vigorously pursued the conversation of the Hospital to a Teaching Hospital which effort paid off on 2nd January 2010. Following a Memorandum of Understanding between the Federal Government and the Bauchi State Government in 2008 and the subsequent ceding to Federal Government of the State Specialist Hospital in 2010 the facility became the 18th Teaching Hospital in the Federation. The then State Governor Mallam Isah Yuguda, symbolically handed over the keys of the Bauchi Specialist Hospital to the then Honorable Minister of Health Professor Babatunde Osotimehin in an impressive ceremony, thus sealing its conversion to Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH) Bauchi. The occasion was not only historic; it was also significant in many ways. It happened in the momentous and joyous year the Country celebrated its golden jubilee as an independent sovereign nation thus proving that the establishment and the subsequent metamorphosis in the life of the Hospital goes in tandem with epochal events in the annals of the Country.
The Establishment of Abubakar Tafawa Balewa University Teaching Hospital
The Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH) Bauchi was established vide UNIVERSITY TEACHING HOSPITALS (RE-CONSTITUTION OF BOARDS, ETC.) ORDER 2009 with commencement date of 19th Day of June, 2009 which amended CAP. U15 LFN and signed by President Umaru Musa Yar’Adua. The official gazetting of the Specialist Hospital takeover was conveyed to the Honorable Minister of Health via a letter Ref Bill 432/TI/16 on 24th July, 2009 by the Attorney General of the Federation. This document effectively amended the UNIVERSITY TEACHING HOSPITAL RE-CONSTITUTION OF BOARDS ETC (ACT CAP V15 LFN 2005) to accommodate the Abubakar Tafawa Balewa University Teaching Hospital ATBUTH Bauchi. On 28th January, 2010 the official handing over ceremony was carried out, as stated elsewhere in this write up, thus heralding the process of the complete takeover of the Hospital. So far the Hospital structures and those of the School of Nursing and Midwifery have been fully taken over by Abubakar Tafawa Balewa University Teaching Hospital, the 18th Teaching Hospital of the Federal Government. With the takeover process in effect, majority of the former staff of the Specialist Hospital were absorbed to form 100% of the take off staff. The absorption of the pioneer staff of the Teaching Hospital from Bauchi State civil service was on secondment basis which to last for a maximum of four years.
The Hospital structures inherited were of three categories. a) The initial colonial facilities, which appear still strong but needing maintenance, b) Fairly new structures built between the early 80’s and 2004 and; c) Projects built between 2008 and 2010, namely; the Renal Centre and the Accident and Emergency Complex. In addition there were many abandoned projects dotting the landscape of the Hospital premises such as the Eye Complex and Intern Quarters. With the new mandate of putting up modern Tertiary healthcare services that include Training and Research, the new Management focused on getting appropriate infrastructures to discharge its responsibilities. So far, many projects have been put on ground to feasibly deliver on the new mandate. These include:
a. A new administrative block, built in two phases,
b. The Radiology Complex,
c. The Pediatrics Complex,
d. The Multipurpose Conference Hall,
e. The new Theatre Complex,
f. The Trauma Centre,
g. Blood Bank,
h. Eye Clinic and
i. Laboratory Complex
Apart from the inherited staff, series of employments were carried out in 2011, 2012 and 2014. As at December 2016, ATBU Teaching Hospital has 1510 as its work force.

The vision of the Hospital is; To provide accessible, efficient and acceptable healthcare services to all

The mission of the hospital is to be; A centre committed to providing Healthcare service delivery with responsiveness, well motivated and dedicated workforce through continuous manpower development research and training towards improving the wellbeing of humanity.

The Hospital remains the major Health facility in the State with a population of 4.6 million people. It also serves patients from neighboring states of Plateau, Jigawa, Gombe, Taraba, Yobe and Kano. The Hospital is the second largest Hospital in the entire northeast geopolitical zone which has a population of about 19 million. It is now seven years exactly since the final transformation of the Hospital to a Teaching Hospital – 2 January 2010 – January 2017. Since its inception a good foundation for the institution has been duly put on the ground for it to stand on a sound footing. This facilitated rapid transformation in the last seven years. Since the formal takeover of the Hospital by the Federal Government in 2010, various activities have been carried out by the administration of the pioneer Chief Medical Director Dr. Mohammed Alkali , who is at present on his second tenure, to upgrade the manpower level and expertise of its staff as well as infrastructure and services. Many lessons have been learnt, challenges confronted, successes achieved while Management continuous to re-strategizes to face head on other unaccomplished targets with a view to attaining the triple mandate of a Hospital of its status. These include:
a) providing health care services,
b) training medical personnel such as doctors, nurses, midwives and other paramedics,
c) Conducting researches to take health care delivery in the country to the highest level possible.