News Analysis

This is not to undermine the current strike by the resident doctors in public hospitals to press home their demands from government, but an effort to look at the moral implication on the medical profession and it impact on the ordinary man on the street.

Doctors are trained to save lives first before any other thing going by the Hippocratic Oath they administer on them upon graduation from medical schools.

However, once there is crisis between the doctors and government, human lives are endangered in the course of this war of nerves forgetting that no amount of monetary value fought for can replace the loss of lives at the end.

Public hospitals remain the only health care providers available to the common man in terms of cost implications for the range of services provided by them.

Therefore, the most unfortunate part of the current face-off between the resident doctors and the federal government is that the common man who is the highest beneficiary of the services provided by the doctors in the public hospital is the worst hit.

While the strike last, hospital ward are evacuated of patients, while the affluent can afford to be taken to private hospitals, the common man is cash- strapped and left to die in most cases.

Some of them often resort to quack doctors and other obnoxious alternatives which are death prone.

Facilities at the abandoned hospitals are affected too in one way or the other in terms of deterioration and level of hygiene by the time the doctors are back to work after the strike.

Although, there is remarkable improvement in the traditional health care delivery, there is still a wide gap between the orthodox medicine, and alternative medicine, specifically health conditions that require emergency and prompt management.

Strike as a tool for labour agitation should not be abused, especially by medical doctors who are trained to save lives and give succor to the patients.

How can they feel so unconcerned and unmoved that people are dying every second on each day they stay away from work?

While the threat by the federal government to have the striking doctors replaced because they appear to have lost the feeling of the doctors is counter-productive, there is the need to examine options to manage this type of crisis in the future.

Government at all levels should endeavour to have a pool of volunteer doctors attached to public hospital to manage health crisis occasioned by strike till matters are resolved to avoid unnecessary loss of lives.

The current doctors’ strike across the country is the most insensitive coming at a period of a major pandemic like COVID-19 that has put many lives at risk and it is even more disturbing that the federal government has been unable to resolve the crisis amicably.   .

We cannot have international best practices in the health sector when the major stakeholders embark on strike every now and then.

All contentious issues raised by the striking doctors must be looked at holistically to resolve the impasse as the egoistic posture on both sides of the divide can only make the health sector crisis a recurring decimal.

Tayo Sanni

Health

Resident Doctors at the Federal Medical Centre Owo and UNIMED Akure Annexe in Ondo state have deserted various wards and offices within the facilities in compliance with the directive of the National Association of Resident Doctors NARD, asking its members to proceed on an indefinite strike.

According to the NARD, the strike was necessitated by some critical factors among which are poor working environment in public hospitals, irregular payment of doctor’s salaries and hazard allowances of ₦5000 which was last reviewed in 1991.

The doctors were conspicuously absent at the hospitals yesterday which was the first day of the industrial action.

Speaking with Radio Nigeria, the Chairman of NARD in Ondo state, Dr Tope Olatilu said members would not renege on the strike action until the Federal government implemented the agreements it entered with the union after before suspending the previous strike.

Dr Olatilu said it was disheartening that government was being insensitive to their plights as well as the health of Nigerians.

Bukola Bardi

News

Doctors under the aegis of the National Association of Resident Doctors, NARD, have unanimously agreed to embark on an indefinite strike from Monday, August 2, 2021.

This is coming at a very critical time when the country is currently experiencing a rise in COVID-19 infections; the signal of a third wave of the pandemic.

The doctors reached the decision after their National Executive Council, NEC, meeting by over 50 members across the country.

They noted the Federal Government has failed to honour and implement the Memorandum of Understanding (MoU) it signed with them after over 100 days.

The doctors particularly demanded immediate withdrawal of the circular removing House Officers from the scheme of service, which was not implemented.

President of the NARD, Dr. Uyilawa Okhuaihesuyi, who made these known in a statement, also noted despite efforts by the Speaker of the House of Representatives, Mr. Femi Gbajabiamila to ensure the Medical Residency Training Funds is captured in the supplementary budget, the Federal Government has failed to disburse the funds to its members.

He said: “The NEC noted the suspension of the total indefinite strike action One Hundred and Thirteen (113) days ago due to Government promises as entailed in the Memorandum of Actions (MOA) signed at the instance of the Minister of Labour, Dr. Chris Ngige.”

“The NEC also noted the efforts of the Honourable Speaker of the House of Representatives in ensuring that the Medical Residency Training Funds is captured in the supplementary budget. They however frowned at the delay by the Federal Government in disbursing the funds to our members.”

“They decried the undue hardship our members on GIFMIS platform are facing due to the delays in payment of their salaries ranging from three to seven months.”

“The NEC noted that despite government’s promise to migrate her members from the GIFMIS to the IPPIS platform, they are still stuck on the GIFMIS platform which is laced with payment irregularities.”

“The NEC noted with grievous concerns the circular from the Head of Service of the Federation removing House Officers from the scheme of service and the consequent implementation by the Lagos State Government. They also observed that some House Officers are still being owed 1-2 months’ salaries.”

“The NEC noted that bench fee for outside postings by Resident Doctors has been abolished, however, some Chief Medical Directors have renamed the bench fee as training fee causing hardship on her members.”

“NEC noted that with regards to the non-payment of the National Minimum Wage Consequential Adjustment, the list of affected institutions and personnel strength had since been submitted to the Federal Ministry of Health as directed by the MOA signed with the Federal Government yet nothing has been done.”

Culled from The Nation

Economy

Nigeria in recent times had witnessed pockets of industrial action by unions that are demanding better pay and welfare for their workers.

This incessant strike is capable of threatening the social life and economic recovery of the country

Last month alone, the country witnessed strike in key sectors of the economy including health, judiciary and education   

On the first day of this month, the National Association of Resident Doctors resumed an industrial action, which lasted ten days.

The Judiciary Staff Union of Nigeria embarked on its own strike over service conditions while the Academic Staff Union of Polytechnics declared a nationwide strike.

Earlier in March, the union had given the government a twenty-one day ultimatum for the nationwide implementation of financial autonomy in the Judiciary.

In December last year, the Nigerian Identity Management Commission workers disrupted the National Identity Number registration of Nigerians by declaring a trade dispute over poor welfare and poor working condition.

Also, the Maritime Workers Union of Nigeria gave the Federal Government a seven-day notice to address its grievances or have port operations shut down.

Academic Staff Union of Polytechnics, ASUP, declared strike over non-implementation of a new salary structure for polytechnic lecturers.   

At the state level, teachers and magistrates in Cross River State are locked in a bitter feud with their governments over salary default.

Strike in the country’s fragile education sector is a huge setback, which suffered badly last year from the covid-19 lockdowns, while industrial action in the judiciary, health and education will not augur well for the economy and should be prevented at all costs.

Despite the recession experienced as a result of covid-19 pandemic, several countries have been working hard to minimize the damage to their economies.

For instance, in July 2020, British Prime Minister, Boris Johnson, initiated a thirty billion pounds covid-19 stimulus to save jobs.

 The package included one thousand pounds for firms to take on trainees, and two billion pounds to subsidize placements for sixteen to twenty-four year-olds from lower income families.

At this juncture, it is necessary that government should stop negotiating unrealistic agreements with unions, and invest massively in the health, education, judiciary and social infrastructure.

This is what obtains in Ghana where the government assisted medical practitioners with generous incentives and tax rebates.

Government needs to think along that line by giving resident doctors a decent hazard allowance.

Unions should avoid going on strike at any slight provocation; rather other actions such as ‘go-slows’ or ‘working to rule’ can be employed when dialogue appears not to be yielding any positive result.   

 Government officials should make sacrifices by shunning medical tourism and expensive lifestyles for the development of the country.

There is also the need to review allowances of political office holders downward to meet financial needs of all sectors of the nation.   

It is important that government ought to retool the economy by improving the revenue profile through privatizing of the state-owned enterprises, improving tax collection and plug fiscal leakages.

With this, government will have more income to maintain its workforce and resuscitate the battered economy.

Fawzeeyah Kasheem

Economy

The National Association of Resident Doctors has decried nonpayment of salaries of its members on the GIFMIS payment platform.

This is contained in a communiqué issued after the virtual emergency general meeting of the association.

                                  TEXT

*COMMUNIQUÉ ISSUED AFTER THE VIRTUAL EMERGENCY GENERAL MEETING OF THE ASSOCIATION OF RESIDENT DOCTORS UNIVERSITY COLLEGE HOSPITAL IBADAN WHICH HELD ON 1ST MAY, 2021*

 *Preamble:* 

Distinguished congressmen and women, the Association of Resident Doctors University College Hospital Ibadan held a virtual Emergency General Meeting on 1st May, 2021 to discuss the lingering matter of nonpayment of our members since January, 2021, as well as the delayed enrollment on IPPIS of our members.

 *Observations:*

Our members on the GIFMIS payment platform have not been paid their salaries for four months.

Our members on the GIFMIS payment platform are yet to be enrolled on the IPPIS payment platform.

The above have caused the affected members untold hardship,

The Association of Resident Doctors University College Hospital Ibadan embarked on a warning strike from 15th to 20th March, 2021 on account of this.

The Nigerian Association of Resident Doctors embarked on a strike from 1st to 12th April, 2021 on account of this among other demands.

The Executive Council of the Association of Resident Doctors University College Hospital Ibadan, led by Dr Z. T. Hussain, has been working hard to bring an end to these nagging problems.

 *Resolutions:*

The Association of Resident Doctors shall immediately resume the previously suspended strike action.

That it shall be total and indefinite.

That it shall continue until all salaries of our affected members are paid and they are enrolled on the IPPIS payment platform.

 *Conclusion:*

We appreciate every member of our great association for the support shown during these difficult times. We also appreciate the efforts being made by the hospital management, the Nigerian Association of Resident Doctors, the Speaker of the Federal House of Representatives, and all others helping to resolve this problem.

Dr Z. T. Hussain

President ARD UCH

Dr C. K. A. Ikwu

General Secretary ARD UCH

Health

The University College Hospital, UCH, says claims that 17 doctors have died of Covid-19 related diseases is false.

This is contained in a Statement by the Public Relation Officer of the institution, Toye Akinrinlola.

It describes a news item credited to the President of UCH branch of the National Association of Resident Doctors, NARD, claiming 17 Covid-19 related fatalities among doctors in UCH as fictitious.

                             TEXT

No Doctor has died of COVID 19 in UCH. 

The attention of the management of the University College Hospital, Ibadan has been drawn to a news item credited to the President of the UCH Branch Association of Resident Doctors purportedly claiming that 17 doctors have died of COVID-19 related diseases.

The management has viewed the said publication as complete falsehood and absolutely reckless on the part of the ARD President. Though he has denied that he didn’t grant any press interview in that regard, we see the publication as malicious and it is rejected in all ramifications. 

For the avoidance of doubts, quite a number of members of staff of the Hospital contracted the COVID-19, but it is also proper to state that since the members of staff live within the society, they remain as vulnerable as any member of the society. 

The Hospital has taken very seriously issue of staff welfare, especially the frontline health workers by providing adequate personal protective 

equipments for them, while we also observe all COVID 19 protocols as laid

by the Nigeria, Centre for Disease Control (NCDC) and the World Health Organisation (WHO).”

We hereby state in clear terms that the UCH has not lost any doctor to COVID 19 and , unfortunately, we  lost two member of staff who were not health workers to COVID-19 related diseases.

We sincerely appeal to the members of the Press to properly cross check reports from the relevant sources in the hospital before publishing any reports about us.

Again, we appeal to the public to be patient with the hospital while the renovation of the hospital is ongoing, and that we shall serve the public better after the renovation. 

Toye Akinrinlola UCH PRO

For: the Chief Medical Director.

 

News

Members of the National Association of Resident Doctors (NARD) have  embarked on an indefinite strike.

In a chat with Radio Amuludun FM correspondent, the president NARD, University College Hospital, UCH, Ibadan, Dr zakariyah Hussein explained that the strike came on the heels of the expiration of the 60-day ultimatum given to the Federal Government on January 25 for the payment of arrears of salaries of house officers across the country and the review of hazard allowance, among other demands. 

Dr Hussein said that since the pandemic began in 2020, it has lost 17 doctors, whose families and loved ones were yet to benefit from the Death in Service Insurance Scheme.

Dr Hussein decried the agony the members of the association have been made to pass through for three months without salaries despite uninterrupted service delivery to the nation.

He lamented that despite the three-month window given to the Federal Government to review the hazard allowance of health workers, the hazard allowance had remained a paltry sum of five thousand naira monthly.

Funmi

Health

Following the suspension of the four-day strike of the National Association of Resident Doctors, NARD, hospitals in Ibadan have started witnessing large turnout of patients.

At the University College Hospital, UCH, Ibadan, patients with different ailments were there as early as 8’oclock in the morning.

Our correspondent reports that the resident doctors at UCH Ibadan had fully resumed duties as they were seen attending to patients.

The president NARD, UCH, Dr  Adedayo Williams said after the memorandum of understanding reached between the Federal Government and the association, it is expected that the government live up to their expectation.

Dr williams urged other doctors to continue to abide by the ethics of the profession.

Lilian ibomor

Health

Resident Doctors at the University of Medical Sciences, Ondo have embarked on an indefinite strike.

Announcing their decision in Akure today, Chairman, Media Committee, National Association of Resident Doctors, UNIMED chapter, Dr Taiwo Olagbe, said they had no option than to down tools.

Dr Olagbe explained that the Ondo state government had failed to accede to all their demands despite deploying all manner of strategies, hence their resolve to begin the indefinite strike.

He noted that the resident doctors were tired of having to stage a protest before getting their monthly wage despite their contribution to the state’s health sector.

Dr Olagbe identified some of their agitations to include nonpayment of salary arrears, non-regularization of salaries, non-implementation of Covid-19 allowances and lack of adequate personal protective equipment as some their colleagues were already contracting Coronavirus.

Also speaking, the acting General Secretary of the Association, Dr John Mathew noted that the industrial action was total, noting that the resident doctors would not resume until all their demands were met by government.

The National Association of Resident Doctors in Nigeria ,NARD few days ago suspended a nationwide strike it embarked upon but the UNIMED chapter of NARD said it had some outstanding demands with Ondo state government, hence the resumption of their own industrial action.

Bukola Bardi

Health

Resident doctors at the university of medical Sciences Teaching hospital in Ondo have fully complied with the strike ordered by the National Association of Resident Doctors yesterday.

When Radio Nigeria Visited the tertiary health facility in Ondo and its annexe in Akure, only consultants and medical officers were seeing attending to patients.

They were also being assisted by Nurses and other health workers as no patient was turned back

When contacted, the chairman, media committee of the resident doctors, Unimed chapter, Dr Taiwo Olagbe said their members had no choice than to stay away from work as directed by the national body to press home their demands from both state and federal government.

Click to listen

Dr Olagbe said up till now, the Ondo state government was owing resident doctors salary arrears despite all efforts by major stakeholders.

He appealed to Nigerians to reason with them as their action was also aimed at repositioning the health sector.

Similarly, activities at the Federal Medical Centre, Abeokuta and the State General Hospital Ijaye, the Ogun State capital low key as resident doctors have joined the nationwide industrial action to press home their demands for better condition of service.

Radio Nigeria reporter who visited the centers, reports resident doctors were not at their duties posts while consultants were seen attending to patients at different departments in the hospitals.

Efforts to get the reactions of the resident doctors was not successful as their state officials were said to be attending a regional meeting outside the state capital

The management of the hospitals had however assured members of the general public of adequate services while the industrial action lasts. 

A Consultant Physician at the Federal Medical centre Idi- Aba, Dr. Sola Adebisi, while speaking with newsmen on the situation at the hospital, said the consultants would continue to attend to the patients pending the resolutions of the impasse.

He noted that structure had been put in place to ensure that patients access quality health care while the strike lasted.

Also, in Osun State, visitors to Obafemi Awolowo University Teaching Hospital, Ile Ife who required medical attention retuned back home in disappointment as there were no Doctors on hand to attend to them

No thanks to the ongoing national strike embarked upon by the Association of Residents Doctors in Nigeria.

However, it was not the case at the Ladoke Akintola University Teaching Hospital in Osogbo, where doctors were on hand to attend to their out- patients.

Click to listen

Bukola Bardi/Wale Oluokun/Adenitan Akinola