Opinion
The Resident Doctors’ Strike
A few days ago, a friend
expressed shock to hear that the nationwide strike action embarked upon by the National Association of Resident Doctors (NARD) nearly two months ago was still on-going.
Yes, for people who hardly make use of government health facilities, particularly Federal Teaching Hospitals, they may not know that only a handful of consultants and a couple of other health personnels had been attending to the health needs of millions of poor Nigerians who troop to the teaching hospitals everyday.
But the truth is that the latest strike action which the resident doctors started since June 3, 2015 to press home their demand is taking a toll on health care delivery in the country. For the past few days, Chief Medical Directors of many teaching hospitals have been in the news, calling on the striking doctors to suspend the industrial action and resume work in the interest of patients. They acknowledged that the trauma being experienced by patients as a result of the industrial disharmony in the health sector is so enormous.
This is a nation faced with the challenge of inadequate number of doctors. Recently, the Medical and Dental Council of Nigeria, disclosed that no fewer than 35,000 medical doctors are presently practicing in the country in spite of its estimated population of over 170 million people. Meanwhile, the World Health Organisation (WHO) recommends that there should be one doctor, at least, to every 600 patients.
So it becomes worrisome when the few available doctors down tools regularly for all kinds of reasons. Just before NARD embarked on strike, several other health professional bodies like the Nigeria Medical Association, The Joint Health Sector Union (JOHESU) and others were also on strike. These industrial actions are no doubt having severe negative impacts on health care delivery in the country.
The questions then are, are the health care professionals getting too demanding? How much do the health care professionals in Nigeria really care for their patients?
The fact is that health care delivery is critical to the well-being of any society. Again, any reasonable doctor ought to place the interest of the patients above any other interests. Incidentally our health workers seem to be ignorant of these as typified in their incessant strike actions for whatever flimsy excuses over the years. For instance the current resident doctors strike is hinged on the failure of the hospitals management to fully implement the consolidated medical salary scale and commencement of payment of the Consolidated Health Salary Scale 2 to members, as directed by the Federal government.
Nobody is saying the doctors shouldn’t demand for better working conditions or improved welfare packages, but there should be other ways of achieving that, other than subjecting patients to unnecessary misery, pain and untimely deaths. Moreso, when there have been arguments both within and outside the health sectors that doctors are perhaps the best treated professionals in government establishments.
It must also be mentioned that the timing of the on-going strike is inappropriate. Coming just a few days after a new administration took over power, one might be asking how NARD intends to achieve its aim that way. Shouldn’t the ideal thing had been to allow the new government to settle down, appoint ministers that would over-see the ministries, who in-turn would have spear-headed the negotiations?
So in as much as one believes the doctors have the right to make their demands, there should be better ways of doing so which will not turn our hospitals to death chambers. May be it is high-time the Resident Doctors listened to well meaning Nigerians including the Dental Council of Nigeria, NMA, and Chief Medical Directors of various teaching hospitals, who have been appealing that they suspend the strike and resume duties.
However, one quite agrees that for us to get the best from our doctors and other workers in the country, their welfare should be given paramount attention. A situation where the workers are paid meagrely while politicians, particularly those at the National Assembly go home every month with bags of money is not encouraging at all.
It is also advisable that the current, President Muhammadu Buhari’s administration should make upgrading of the decayed and dilapidated health infrastructure across hospitals in the country a top priority. It has been observed by some concerned Nigerians that the shortage of doctors in the country is as a result of massive exodus of medical professionals from Nigeria in search of greener pastures in foreign countries. So something needs to be done urgently to address this so that we have enough professionals working in our hospitals. It will also be in the interest of the country if the search light is beamed on the CMDs and management of various teaching hospitals so as to uncover the alleged corrupt practices going on there and sanitise the entire sector.
Calista Ezeaku
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Empowering Youth Through Agriculture
Quote:”While job seeking youths should continuously acquire skills and explore opportunities within their immediate environment as well as in the global space through the use of digital platforms, government, corporate/ multinational organizations or the organised private sector should generate skills and provide the enabling environment for skills acquisition, through adequate funding and resettlement packages that will provide sustainable economic life for beneficiaries”.
The Governor of Rivers State, Sir Siminalayi Fubara, recently urged youths in the Rivers State to take advantage of the vast opportunities available to become employers of labour and contribute meaningfully to the growth and development of the State. Governor Fubara noted that global trends increasingly favour entrepreneurship and innovation, and said that youths in Rivers State must not be left behind in harnessing these opportunities. The Governor, represented by the Secretary to the State Government, Dr Benibo Anabraba, made this known while declaring open the 2026 Job Fair organised by the Rivers State Government in partnership with the Nigeria Employers’ Consultative Association (NECA) in Port Harcourt. The Governor acknowledged the responsibility of government to create jobs for its teeming youth population but noted that it is unrealistic to absorb all job seekers into the civil service.
“As a government, we recognise our duty to provide employment opportunities for our teeming youths. However, we also understand that not all youths can be accommodated within the civil service. This underscores the need to encourage entrepreneurship across diverse sectors and to partner with other stakeholders, including the youths themselves, so they can transition from being job seekers to employers of labour,” he said. It is necessary to State that Governor Fubara has not only stated the obvious but was committed to drive youth entrepreneurship towards their self-reliance and the economic development of the State It is not news that developed economies of the world are skilled driven economies. The private sector also remains the highest employer of labour in private sector driven or capitalist economy though it is also the responsibility of government to create job opportunities for the teeming unemployed youth population in Nigeria which has the highest youth unemployed population in the subSahara Africa.
The lack of job opportunities, caused partly by the Federal Government’s apathy to job creation, the lack of adequate supervision of job opportunities economic programmes, lack of employable skills by many youths in the country have conspired to heighten the attendant challenges of unemployment. The challenges which include, “Japa” syndrome (travelling abroad for greener pastures), that characterises the labour market and poses threat to the nation’s critical sector, especially the health and medical sector; astronomical increase in the crime rate and a loss of interest in education. While job seeking youths should continuously acquire skills and explore opportunities within their immediate environment as well as in the global space through the use of digital platforms, government, corporate/ multinational organizations or the organised private sector should generate skills and provide the enabling environment for skills acquisition, through adequate funding and resettlement packages that will provide sustainable economic life for beneficiaries.
While commending the Rivers State Government led by the People First Governor, Sir Siminilayi Fubara for initiating “various training and capacity-building programmes in areas such as ICT and artificial intelligence, oil and gas, maritime, and the blue economy, among others”, it is note-worthy that the labour market is dynamic and shaped by industry-specific demands, technological advancements, management practices and other emerging factors. So another sector the Federal, State and Local Governments should encourage youths to explore and harness the abounding potentials, in my considered view, is Agriculture. Agriculture remains a veritable solution to hunger, inflation, and food Insecurity that ravages the country. No doubt, the Nigeria’s arable landmass is grossly under-utilised and under-exploited.
In recent times, Nigerians have voiced their concerns about the persistent challenges of hunger, inflation, and the general increase in prices of goods and commodities. These issues not only affect the livelihoods of individuals and families but also pose significant threats to food security and economic stability in the country. The United Nations estimated that more than 25 million people in Nigeria could face food insecurity this year—a 47% increase from the 17 million people already at risk of going hungry, mainly due to ongoing insecurity, protracted conflicts, and rising food prices. An estimated two million children under five are likely to be pushed into acute malnutrition. (Reliefweb ,2023). In response, Nigeria declared a state of emergency on food insecurity, recognizing the urgent need to tackle food shortages, stabilize rising prices, and protect farmers facing violence from armed groups. However, without addressing the insecurity challenges, farmers will continue to struggle to feed their families and boost food production.
In addition, parts of northwest and northeast Nigeria have experienced changes in rainfall patterns making less water available for crop production. These climate change events have resulted in droughts and land degradations; presenting challenges for local communities and leading to significant impact on food security. In light of these daunting challenges, it is imperative to address the intricate interplay between insecurity and agricultural productivity. Nigeria can work toward ensuring food security, reducing poverty, and fostering sustainable economic growth in its vital agricultural sector. In this article, I suggest solutions that could enhance agricultural production and ensure that every state scales its agricultural production to a level where it can cater to 60% of the population.
This is feasible and achievable if government at all levels are intentional driving the development of the agricultural sector which was the major economic mainstay of the Country before the crude oil was struck in commercial quantity and consequently became the nation’s monolithic revenue source. Government should revive the moribund Graduate Farmers Scheme and the Rivers State School-to-Land agricultural programmes to operate concurrently with other skills acquisition and development programmes. There should be a consideration for investment in mechanized farming and arable land allocation. State and local governments should play a pivotal role in promoting mechanized farming and providing arable land for farming in communities. Additionally, allocating arable land enables small holder farmers to expand their operations and contribute to food security at the grassroots level.
Nigeria can unlock the potential of its agricultural sector to address the pressing needs of its population and achieve sustainable development. Policymakers and stakeholders must heed Akande’s recommendations and take decisive action to ensure a food-secure future for all Nigerians.
By: Igbiki Benibo
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