In Nigeria, the health sector has been significantly affected by poor governance, leading to deteriorating health outcomes for the population. This study investigates how the effects of bad governance are communicated within this vital sector, highlighting key gaps in communication strategies that exacerbate the challenges faced by citizens.Despite the critical role that effective communication plays in public health awareness and policy implementation, various gaps exist. Firstly, there is a lack of clarity in communication from government officials regarding health policies, creating confusion and mistrust among citizens. Secondly, the media’s portrayal of health issues is often sensationalized, focusing on crises rather than ongoing challenges, which fails to generate constructive dialogue about governance accountability. Additionally, grassroots voices and local narratives are frequently overlooked in mainstream health communication. This absence hampers efforts to address specific community needs and experiences, leading to a disconnect between policymakers and the populace. The methodology adopted for this study was qualitative research, utilizing in-depth interviews and focus group discussions to gather insights from health professionals, policymakers, and citizens. This approach allows for a nuanced understanding of the communication landscape and the lived experiences of individuals affected by governance failures in healthcare. By illuminating the intricacies of how the effects of bad governance are articulated, this study aims to propose strategies for improving communication in the health sector, thereby fostering greater accountability and enhancing health outcomes for Nigerians.