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Beyond NMA Strike …Brewing Discontent In Healthcare Sector

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Once again, medical practitioners under the aegis of the Nigeria Medical Association, NMA, have withdrawn their services to public health institutions, over favours done to support unions and alleged non-implementation of agreements reached with the Federal Government. And since July 1, this year, patients in hospitals across the nation have their lives hung on a cliff. And many dead.
Among the doctors’ demands are increase in their hazard allowance from N50,000 to N100,000 and restoration of the post of Deputy Chairman, Medical Advisory Committee in Teaching Hospitals. They also faulted the appointment of directors other than doctors, in hospitals, saying such appointments could distort the chain of command in health institutions and also lead to management of patients.
Other demands include skipping of grade level 12 (COMMESS 2) for medical and dental practitioners and the reversal of the title of Consultants for other professionals in the health care system apart from doctors. The NMA also urged the Federal Government to resolve issues related to appointment of Chief Medical Directors and other federal appointments in the health sector.
Addressing Journalists June 15, this year Chairman of the Lagos NMA, Dr. Francis Faduyile had argued: “The position of the Chief Medical Director or Medical Director must continue to be occupied by a medical doctor as contained in the Act establishing tertiary hospitals. This position remains sacrosanct and untouchable.
“Why did they not ask that the post of Vice Chancellor be open to everyone in the University since members of the Academic Senior Staff Union of Universities and the Senior Staff Association of Nigerian Universities are graduates.
“Can you be a Judge of the High Court or Court of Appeal if you are not a lawyer?  Why do they think the hospitals where, lives are saved everyday should sacrifice the established leadership, the position of a chief medical director?
Curiously, most of these issues form part of suit number: NICN/ABJ/177/2014 before the National Industrial Court (NIC) which stopped the Federal Government from implementing the agreement it reached with the Joint Health Sector Union (JOHESU). The Medical and Dental Consultants’ Association of Nieria secured an interim injunction in the suit which joined the Federal Ministry of Health, Federal Ministry of Labour and Attorney General of the federation as defendants.
In granting the interim injunction on June 27, 2014, the presiding Judge, Justice M.M. Esowe restrained the defendants, ‘from implementing, executing, carrying out or giving effect to the decisions, resolutions and agreements that were reached at a meeting, which was held in the Federal Capital Territory (FCT) Abuja between the Joint Health Sector Unions (JOHESU) and Healthcare Professionals Associations (AHPA) on the one part and Secretary to the Government of the Federation (SGF); Minister of Health, Chairman, Salaries, Income and Wages Commission, Head of Service of the Federation, and other top government functionaries of the other part, on June 5, 2014.
The injunction further ordered that “no party shall proceed to do any act in furtherance of any agreement  reached by the parties, which arguments form the kernel or subject matter of this motion before the court.
The same court also barred the Medical Doctors’ Consultant  Association of Nigeria (MDCAN) from embarking on any strike in protest against the said agreement, stating that ‘nobody or party in the case shall embark on any strike until the motion on notice, which is already filed in the court, is heard and determined. The Judge then ruled that the matter be adjourned to July 10, 2014 for hearing and determination of the motion on notice.
President of MDCAN, Dr. Steven Oluwole had deposed to an affidavit challenging the agreement reached between JOHESU and the Federal Government.
MDCAN went to court to challenge the implementation of a circular recently released by government following the agitation of JOHESU, which among others, provides for the approval of consultancy positions for support staff, abolition of Deputy Chairman, Medical Advisory Committee position and appointment of support staff as directors.
Other aspects of the agreement include referral following the Yayale Ahmed Committee; elimination of medical teachers from eligibility for headship of teaching hospitals, and re-interpretation of “medically qualified”, which is a key phrase in the university teaching Hospital Act.
From the fore-going, it is clear that what the medical doctors are striking for is already before a court of competent jurisdiction. Secondly, most of what NMA is asking for have to do with checking privileges of other professionals in the practice and few additions to theirs.
Infact, there is a growing bad blood between medical doctors and other healthcare practitioners, which if not checked would cause an even greater danger to the sector. This is because each of the unions has employed the same weapon-industrial action. If demands of JOHESU are met by government, NMA would go on strike, as it has. And if NMA’s demand for increase in hazard allowance is met, JOHESU would demand same and go on strike.
The irony is that both groups need each other to function properly. Infact, the days are far gone when the patient was the doctor’s sole responsibility. The Pharmacists, Laboratory  Scientists, Nurses, Midwives among others complement the doctor’s practice.
So while the medical doctor continues to insist on total control and supremacy of the hospital environment the support staff have grown both professionally and in practice and are now asking for their due. It was in acceptance of some of such demands that government issued the recent circular, the subject of the litigation before the National Industrial Court. So why the NMA strike?
This will indeed not be the last strike even if NMA succeeds in arm-twisting government to do its bidding. Already, another dispute is brewing between the NMA and the Association of Medical Laboratory Scientists of Nigeria (AMLSN) over the Central Bank of Nigeria’s (CBN) circular authorising the Medical Laboratory Science Council of Nigeria (MLSCN) to approve licences for importation of In-Vitro Diagnostics (IVDs).
The new NMA President, Dr. Kayode Obembe, had in an open letter to President Goodluck Jonathan warned that the circular would set a “dangerous trend in the nation’s health sector”.
Describing the CBN circular as dangerous, the NMA said it is completely wrong that one would have to go to the MLSCN to get approval in order to import medical laboratory equipment, arguing, “already, importation of medical products is being regulated by the National Agency for Food, Drug Administration and Control (NAFDAC) and the Standards Organisation of Nigeria (SON).
In a swift reaction to the NMA position, the AMSLN also challenged the doctors’ body to go to court rather than threaten the apex bank to withdraw the circular. President of AMSLN, Godswill Okara told newsmen in Abuja, June 29, 2014, “If NMA feels very strongly about the circular, it should go to court, contest it and see the way it will be floored.”
He too warned that if the CBN should succumb to the NMA pressure and withdraw the circular, his association would challenge the withdrawal in court.
Okara urged the NMA to respect the rule of law, jettison ego-tripping and embrace laudable objectives that would improve the health sector.
“The dog-in-the manager attitude would not help the health sector, neither will the first-born mentality often displayed by the NMA and its members.
Modern healthcare practice is multi-disciplinary and multi-professional in dimension and scope” Okara stated.
“The quest to demand for what it wants and also turn around to dictate what others should be given is to say the least reprehensible and nihilistic” and then said “NMA does not have the exclusive preserve to strike action”.
“The CBN circular, unlike the chauvinistic undertone of everything done by the NMA, is not about the MLSCN or any other professional group, but about the citizens of this country, who spend whopping $1.7 billion annually seeking quality diagnosis and treatment abroad, and who have continued to clamour for reliable medical diagnosis”, Okara explained.
Ordinarily, this issue should not generate any controversy, if not for the bad blood that flows in the veins of the NMA and other support bodies and for which the general society remains victims. In fact, what the CBN did is based on law.
Sections 4e and 19d of the Medical Laboratory Science Council Law Act II, 2003 (Cap M25, LFN 2014) specifically mandates the MLSCN to regulate the production, importation, sales and stocking of diagnostic reagents and chemicals and make rules for the maintenance of good standard of medical laboratory practice and services. This is “with respect to regulation and control of private, including statutory inspection, approval and monitoring of all medical laboratories, including those adjoined to clinics, private and public health institutions”.
This means importation of clinical needs by medical doctors would be subject to approval by the AMLSN and with the existing ‘warfare’ that would not be healthy. That is the crux of the matter.
Doctors must realise that the frequent recourse to strikes negates the wording of the Hippocratic oath they took, just as their constant disruption of services in public health institutions in preference for their private clinics, a disservice to the nation.
My agony is that each time doctors go on strike over issues with rival unions in the health sector; it is not the warring factions that feel the pinch. It is the ordinary patient and indeed society, while they feed fat on the desperation of the helpless with outrageous medical bills for services, sometimes not properly rendered.

 

Soye Wilson

Pius Anyim Pius, SSF and Prof. Chukwu, Minister of Health

Pius Anyim Pius, SSF and Prof. Chukwu, Minister of Health

Jamabo

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Our Policies Are Geared Towards Protecting Rivers Interest -Fubara

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Rivers State Governor, Sir Siminalayi Fubara, has declared that all the policies and programmes of his administration are tailored towards the protection of interest of Rivers people, especially the youths.
This, he said, is borne out of the importance his administration attaches to youths’ development and empowerment as leaders of tomorrow.
Fubara, according to a statement by his Chief Press Secretary, Nelson Chukwudi, disclosed this when he received the youths of Emohua Local Government Area under the auspices of “Emohua Youths For SIM” on solidarity visit to Government House, Port Harcourt, last Friday.
He said that his administration has put in place modalities that will boost the livelihoods and well-being of Rivers citizens, which youths of Emohua will also benefit when they materialise.
The governor, who spoke through the Rivers State Head of Service, Dr. George Nwaeke, pointed out that the recently awarded Elele-Omudiaga-Egbeda-Ubimini-Ikiri-Omoku Road, the ongoing Emohua-Kalabari Road, reinstatement of illegally sacked workers of Emohua Local Government Area and the approval for electrification of the area, are part of deliberate measures to open up the area to make life conducive and more meaningful for the people.
According to him, “Everything about the governor is putting the interest of Rivers State first. He is looking at and taking action on those things that we need to do to restart the wheels of progress in Rivers State.
“There are many things the governor has planned and is already doing that will boost the life and welfare of every citizen of Rivers State, but most importantly the youths.
“Growing up, I learnt that Egbeda is one of the biggest communities in the whole of Ikwerre, and it’s predominantly an agrarian community. They have food in Egbeda, they have food in Ubimini, they have food in Omudiaga and other natural resources. The whole world is tilting to agriculture, and this is the way to go.
“The Elele-Umudioga-Egbeda-Ubimini-Omoku road, when completed, will open up the area for real development. Your food and everything you produce there will now have value, they will no longer be thrown away. In all these, you the youths are going to be the utmost beneficiaries.”
He added, “Same will be applicable to the Emohua-Kalabari Road which will also, trigger development in the area, and you will be the greatest beneficiaries. When the LGA is also electrified, you will be having 24 or 20 hours of electricity, and those things the youths can do with electricity, you can stay at home and create wealth for yourself and children.
“All the totality of what the governor is doing, when they are completed, or even as some are completed now, the youths are going to be utmost beneficiaries.”
While acknowledging that youths are the true leaders of tomorrow and any government that fails to carry them along in the scheme of things is doomed to fail, the governor assured them of his administration’s commitment to always address issues concerning youths and ensure that they are part of his government.
He commended the youths for toeing the path of truth by identifying with his administration, urging them to sustain the tempo and shun evil, as his government will ensure that the trend whereby politicians turn youths to beggars are over.
He said, “Youths are, indeed, the leaders of tomorrow. The time of youth is a very important time. It a time that your parents or whoever is your leader at that time have to make the greatest investment in you. And any Government that decides to only carry the elderly, chiefs aling and abandon the youths is bound to fail,” he asserted.
“But I am happy that Governor Fubara has concentrated his energy on everything that will benefit the society, especially the youths.
“And based on these, I want to thank you for recognising what is good and calling it good, for shunning what is evil, for saying the Governor is standing for you.
“Let me tell you, you are on the right direction. Let me tell you again, Rivers State is the bride of Nigeria. The whole Nigeria is looking at what will happen here. As they look here and see you standing on the path of truth, this is a very important step that you have taken to right all the wrongs of the past, to make Rivers State stand on the tripod of justice, peace and security. That is what we are going to gain through the governor, taking all the wise actions that he has already initiated.
“The projects the governor is embarking on are meant to prepare nets for the youths to fish and put food on their table, hence you should continue to follow him.
“The SIMplified Movement brought upon by the governor will ensure that Rivers youths stop the habit of going to bow down before politicians, pledging loyalty before they can eat.”
Earlier, spokesman for the Emohua Youths for SIM, Comrade Ovamale O. Ovamale, had said that the visit by youths from the 14 political wards in Emohua Local Government Area was to thank the governor for the award of the Elele-Omudiaga-Egbeda-Ubimini-Ikiri-Omoku road, the approval for electrification of the area and reinstatement of sacked workers of Emohua Local Government Council, of which the youths were mostly affected.
According to him, “Siminalayi Fubara of recent has given Emohua Local Government road that links Elele to Omoku, which comprises over four communities in the local government.”
“Emohua Local Government has also been in darkness for eight years. No community in the local government that has light. But, of recent, because of the passion and love the governor has for the people of Emohua, he has approved the electrification of the local government.
“Also, the illegal sack of Emohua Local Government workers, for which the youths were mostly affected and without the approval of the Local Government Service Commission, the governor, in his compassionate nature, has reinstated them, and that is why we said we must come and thank His Excellency”, he said.

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Our Legacy’ll Leave Lasting Impression On Rivers People -Fubara

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Rivers State Governor, Sir Siminalayi Fubara, has assured that his administration will collaborate and continue to consult widely in delivering a liberated State experiencing enduring peace.
Fubara said, in doing so, he would not operate as a dictator but as a member of a team that has the best interest of the State at heart and determined to leave a lasting legacy that can be celebrated.
The governor spoke during the formal presentation of Certificate of Recognition and Staff of Office to the Amanyanabo of Okochiri Kingdom, King Ateke Michael Tom, as first class tradition ruler, at Government House in Port Harcourt, yesterday.
Fubara stated that, during the Sixth State Executive Council meeting, N80.8billion was approved with 50 percent contract value paid already as the Government awarded the construction of the Elele-Egbeda-Omoku Road.
He said the project will be funded from the savings from Internally Generated Revenue (IGR) to underscore his administration’s prudence without also borrowing to complete the project.
“We are at a crossroad in our State where we all need to stand for what is right. It happens once in a life time. So, for now, be one of those people that will be in the course to liberate and free our dear State.
“And I know strongly that having the support of a peace-loving Amanyanabo of Okochiri Kingdom, having the support of the wonderful Council of Chiefs, having the support of the great people of Rivers State, we will bring peace in our State. We will do those things that are right to develop our State.
“We will continue to consult. We will not act as dictators. We will act as people who know that one day, we will leave, and when we leave, the way we have acted will speak for us. We will not force people to talk good about us. Our legacy will be a signature for how we led”, the governor said.
Fubara explained that he acted within the ambit of the law to upgrade the traditional stool upon which King Ateke Tom sits in recognition of his efforts in promoting peace in Okrika, and indeed, the State, and urged him to continue to do justice to everyone.
In his speech, Commissioner for Chieftaincy and Community Affairs, Hon Charles Amadi, congratulated King Ateke Tom for being formally presented with the Certificate of Recognition and Staff of Office as first class traditional ruler.
Also speaking, former Transport Minister, Chief Abiye Sekibo, thanked the governor for fulfilling his promise of upgrading the traditional stool of Okochiri Kingdom, and pledged the support of Kirike Se people to his administration.

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We’re Determined To Leave Legacy Of Quality Education -Fubara

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Rivers State Governor, Sir Siminalayi Fubara, has promised to give the best attention to the education sector so that standard and quality learning will never be compromised in the State.
The governor emphasised that in achieving such legacy, schools in the State will be driven with a curriculum that will equip school-aged children to become competitive, innovative and self-reliant.
Governor Fubara made the assertion while inaugurating the Governing Council of Rivers State University at Government House in Port Harcourt on Wednesday.
He said: “There is a lot of noise everywhere: people asking what we are doing; that we are not focused, and that we don’t have direction.
”But I want to tell the world that we are focused and aware that we cannot grow if our energies are not channeled to education. Not just education, but purposeful education.
”Education that is creative. Education that gives you independence. We have left the era in the world when you speak too much grammar. We are in such times when it is what you can do with your hands.
”Our purpose for education is that we should bring back our academic programmes to where, at the end of your studies, you don’t need a job but you create jobs. When one creates a job, you automatically employ others. That is what I want this council to see as their task.”
Governor Fubara noted the non-existence of public secondary schools for the male child in the Diobu axis of Port Harcourt.
He said such negligence leaves children in that area who have completed primary education, and whose parents cannot afford sending them to far away secondary schools, to roam the streets, and therefore becoming willing tools for criminality.
Governor Fubara assured that such fundamental problem will be addressed by his administration as a measure to curb the negative impression associated with Diobu axis of Port Harcourt.
The governor said he trusts in the capacity of the members of the Governing Council of Rivers State University to bring about positive change in the institution while also contributing their quota to improving the general education standard in the State.
”I charge you, not just in terms of administering the affairs of the university, but let us add something different from the normal things that we already have to see new things.”
In her response, on behalf of the other members, the Pro-Chancellor of the Governing Council of Rivers State University, Justice Mary Odili (rtd), thanked the governor for finding them worthy to serve in such capacity.
Justice Odili assured they will work assiduously as a team to solve the problems that agitate the mind of the governor and ensure their contributions form part of the legacy that will be bequeathed by his administration.
The members included Justice Mary Odili (rtd) as the Pro-Chancellor and Chairman of the Governing Council with Barrister Mela Oforibika and Chukwuma Chinwo, Esq.
Others were Adata Bio-Briggs, Esq., Dr. Jonathan Nimi Hart, Ngo Martins-Yellowe, Dr. Nancy Nwankwo, Dr. Igoni William-Park, and Mr. Ogbugbu Barisua.

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