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The insurgency of Boko Haram in the northeastern Nigeria has overwhelming implication on the various developmental sectors. The incessant attacks launched by the insurgent group is reported to have damaged infrastructures and leads to deaths, destructions and displacement of lives, properties and people. Against this background therefore, this paper examines the specific implications that insurgency has on healthcare service delivery in Borno State. The paper utilises secondary data, with bias on healthcare service reports of Borno State Government, Human Rights Watch, Integrated Regional Information Network and Medicins Sans Frontiers. The paper reveals that governmental efforts in healthcare service delivery in the state has been greatly affected, as well as that of profit making establishments. However, the humanitarian based International Non-Governmental Organisations (INGOs) remain fully functional. The paper therefore concluded that efforts must be made to retain the INGOs as well as improve the governmental and private sector provisions of the healthcare services in order to avoid the total collapse of the sector. As such, the paper recommends strong partnerships by governments with donor agencies and individuals sponsoring healthcare programmes in the state. More funds should also be allocated to healthcare in Borno state subsequent budgets so as to revive the sector.