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Primary Health Workers’ Strike: People React

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Prince Ibinabo Lazarus – Primary Health Worker
We initially demanded the formation of Primary Health Care Management Board because of unfair treatment meted on Primary Health workers by local government councils in terms of salaries and other entitlements due us.
Now that the National Assembly is trying to make local governments autonomous, let’s hope the councils can manage the health workers and health facilities since all money payable to the board must come to an end.
So, our demands have been made known to the state government which includes the implementation of the consolidated salary structure; promotion of senior staff, implementation of last promotion exercise, among others.
And the workers have resolved that we are not going back to work until all our demands are met. Health workers in local governments should be treated like their counterparts in the state. A situation where there is disparities in the salaries of health workers of the same level who are working in the same facility, simply because one is employed by the state government and the other by the local government is unacceptable.
It is my sincere wish that the state government meets our demands so that we can go back to work so as to avoid the devastating effects the strike might have on the state. Already, there is collapse of the free medical system and increased morbidity rate. I want to advice mothers not to go for vaccination at the Primary Healthcare centres because the vaccines are no longer potent.
We are appealing to well meaning citizens of the state to persuade government to grant us our demands. We are merely asking for our rights. And as far as I am concerned, Primary Health Care Service deliveries have collapsed in the state. Clients and beneficiaries should seek for service deliveries in the secondary and tertiary sectors.

Mr  Robert Ibiso – Health worker.
Government knows the conditions we gave. If the conditions are met, we have no excuse whatsoever not to go back to work. We are willing to serve the populace at any time but government should give us our due right and treat us the way we deserve. I know too well that the incumbent governor of Rivers State may not do much about the on-going strike.
For now people are still benefiting from some of our health care service deliveries despite the industrial action. But you cannot compare what is going on there with the services we provide. We were trained for this job. We were trained to carry out some services in our health facilities in order to contain the spread of contagious diseases like cholera, measles and others. Today, go to Pott Johnson, Church Hill and other health centres and you will discover that immunisation and other health service deliveries are bequeathed to our clients even though we are on strike. You can imagine the caliber of quacks used for this.
Perhaps, this is the reason government is dilly-dallying over the implementation of our rightful requests. But this might lead to a big health problem in the state if not handled urgently.
Mrs Veronica – Nurse
The health workers are demanding their right on the grounds that they have not been promoted for the past eight years without a cogent reason. There has been no employment of new technical staff to replace those who have left the service by retirement, resignation or death. Workers are not being paid their due salaries.
Nevertheless, there seems to be confusion among the health workers currently. There are those who feel oppressed by the local government council, for not effecting their demands but at the same time prefer to remain with the local government areas after the Primary Health Care Management Board was mandated to deduct the money from source and take over the payment of their salaries and other demands.
Another set of the health workers is comfortable with the arrangement by which the Primary Health Care Board, takes over the payment of their wages and allowances, though they have other demands.
The beneficiaries of the primary health care service deliveries should braze up for harder days ahead because I don’t see this tussle ending soon. The poor masses are beginning to feel the impact of the strike because immunisation rate had dropped in the state. More people are dying.
I advise that the public should appeal to the government to implement the demands of the striking workers so that they can go back to work. Their services are very essential especially to those in the rural areas who cannot assess secondary and tertiary health institutions and those who cannot afford private hospitals.
However, I will also tell the public to seek for healthcare services from the private hospitals or abroad (for those that can afford it) because the level of our health care systems is now zero.

Grace Moses – Applicant
The industrial Action embarked upon by Primary Health Workers is unfortunate and detrimental. They are punishing the poor masses. The situation could be likened to where two elephants are fighting and the grasses are suffering.
Go to some health centers in the state and see how people are suffering. Antenatal and other bills have been increased unprecedentedly. Mothers are made to pay for things and services they ought not to pay for.  Indeed the strike is causing a great hardship for everyone in our state especially pregnant women, mothers and their babies.
My sister-in-law is pregnant. She has not been going for antenatal care because the workers are not there to attend to them. For some times now, she has been having some pains, but she keeps enduring the pain at home since she can’t not afford health care services in the private sector and that can force her to seek for health care services from traditional birth attendances though she detests it.
So, government should please do something about this strike before people begin to die unnecessarily.
Annonymous – Medical Doctor
The issue is that politicians do not value the services of health workers. Every administration that comes on board treats health workers in the local government as if they are no human beings. Look at my office, I am a medical doctor and a director in the civil service, can you compare this office with that of another director in another department  in this local government or even in the state? The neglect and marginalisation is too much and I don’t know why. Health workers are the last to receive their salaries and allowances. Meanwhile the council chairmen are busy embezzling this money. For more than eight years, there has not been employment  in the primary health sector yet people have retired, some have died, many have resigned. We are grossly understaff. Yet wehen the workers labour to serve the public, they will not be paid, nor will they be promoted along with other workers in the local government.
As a director you cannot sanction an erring staff under you because you have no control over her salaries and allowances. The number of health workers is over bloated by the councils who make  money from the large number of ghost workers.
That is why NULGE and a few health workers who are benefitting from the corrupt system are fighting against the establishment of the Primary Health Management Board. They are jittery that with the board paying workers’ salaries and allowances they will no longer make their millions. The board is there to strengthen the Primary Health Sector in State, cater for the welfare of the health workers and at the same time make sure that the workers sit up and carry out their duties as they should and some enemies of progress are kicking against it. The State government has built over a hundred health centres in different parts of the state. Tell me how can the local governments manage these health institutions? The state government in its wisdom, set up the Primary Health Management Board to take charge of these health centres to make sure that the health centres are alive and active even when Amaechi’s tenure elapses.
So, for me, government should not go back on the promise of transferring health workers salaries from the local government councils to the Primary Healthcare Management Board. It is in the best interest of the generality of the workers and the public.
I will also urge government to attend to other demands of the genuine striking workers vis-à-vis the payment  of CONHESS arrears from March 2011 to June 2014; payment of HAPPS arrears; payment of 38 months unified salary structure arrears for health workers in the 23 local government areas; implementation of the last senior staff promotion among others.
When this is done, the real health workers will go back to work and things will normalise.

Mr Micheal Nnadi- Student
For me I am not feeling the impact of the strike, maybe because I don’t patronize the primary health care services or any government hospital at all. I prefer private clinics, though they are expensive, they give you quality service.
However, I don’t buy this idea of workers down tooling every now and then. Our country is becoming a country of daily strike actions and I don’t think it is good for the image of the country. The health workers should think of other ways of ironing out their differences with the government instead of punishing the poor patients. They should stop being selfish and think of the interest of those who depend on their services.
On the other hand, those in authority should try and be more responsible and reasonable. They should take workers welfare as their priority. How much are these workers even asking for? Is it half of the amount our leaders spend on politics and other frivolous ventures. I am quite  sure that if our leaders do not steal public fund, there will be enough money for all sectors of the economy.
So government and the striking workers should settle their differences and stop making life more miserable for the poor.

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Opinion

Let The Poor Breathe

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In  the history of our nation, only petroleum products have suffered more incessant increments in prices than electricity supply in all public products and services. Unfortunately, those are the two main things that impact mostly on our lives and national economy. While the increment in petroleum products’ prices is always attributed to the price of crude oil at the international market and the need to curb the scarcity by encouraging the supply, the increment in the electricity tariff has never had any justifiable reason and no service improvement afterwards. In fact, the electricity supply has gone far worse now that the tariff has gone up by over 300 percent. One of the underlying reasons for the planned electricity subsidy removal as unconsciously relayed by the Minister of Power on TVC News is the sabotage of the system by those collecting the subsidy money to maintain the assets. He said: “These are assets that we spend the country’s money on, and our brothers deliberately sabotage them. So, you can see that some people are hiding somewhere that do not want this sector to work”.
Just as the petroleum subsidy must go because the government is too impotent to handle the petroleum subsidy racketeers, the electricity subsidy has to also go at the expense of the poor masses and no one has been prosecuted for it.
When the oligarchs rob us blind, the poor masses are made to pay. The only tool that seems to be at the disposal of this government for the combat of economic challenges brought by the corruption of the political elites is to make the poor masses suffer deprivations.
No doubt, stopping the monkeys from the banana plantation is a Herculean task. But those with their thinking caps on will not need to destroy the banana plantation to ward off the monkeys. The Federal Government has taken several decisions in the last one year that are akin to milking the debilitated cow to feed the virile buffalo. The electricity tariff now has to go up to make more money for the oligarchs that sold our collective heritage to themselves and have been taking money from us for next-to-nothing service delivery.In order to win the supports of the poor masses of Nigeria, the tariff was classified and made to seem like it isn’t going to affect the poor, while the poor will invariably be the worse for it. Most of those on Band A electricity tariff, who are to be paying very exorbitantly for electricity are companies producing most of our consumables and utility items. With the high cost of electricity, the production cost will go high and consequently, the cost of the products.  By the time the effects of the new electricity tariffs take full manifestation, almost everything that can make life meaningful will be beyond the purchasing powers of most Nigerians.
I can not help but to wonder what exactly is left for us to benefit as citizens of this country. Nigeria is rapidly moving towards a capitalist nation, where everything is commercialised and profit at the expense of the citizens is the priority. Medicare and even public education are now being run for profit. The government goes about with the shenanigans of education for all, while it is making education unaffordable to most Nigerians. Even the students’ loan, as badly conceived as it is, is also with interest. Those who have been in power since our democratic dispensation belong to that generation of Nigerians that the nation had been very benevolent to. They were educated for free, got paid salaries as students and given jobs on a platter after graduation. This generation of people got everything from Nigeria and unfortunately have refused to give anything back. They have not only been ungrateful to Nigeria; they have also systematically run the country aground. What a waste of investment Nigeria has made in them! While some countries in this same Africa hardly experience power outage in a year, our own B and A category would at best experience four hours of power outage in a day. These are the ruins they have led our country to in 21st century.
The timing and manner that these anti-welfare policies were introduced are indicative of lack of concern for the citizens of this country. A lot of Nigerians have lost their lives in choking circumstances. Please, let the poor breathe! While trying to rebuild Nigeria, the poor masses should not be made to feel like the eggs in the preparation of omelette. It is very obvious that you do not care about how many eggs are broken, so long as you can have the  hen.

Abdulrasheed   Rabana

Rabana, is a public affairs analyst .

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Opinion

The Nigerian Police We Want

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At the maiden edition of the Nigeria Police Awards and Commendations ceremony in  Abuja recently, President Bola Tinubu, declared the first week of April as Police Week and the last day of the week as National Police Day. He stressed the need to engage men and women of the force in training and capacity-building to equip them with the expertise required to carry out the arduous task of modern policing.
These, according to him, are part of his administration’s ongoing bid to transform the Nigeria Police Force (NPF) into a modern, professional and accountable institution.
Over the years, Nigeria has grappled with numerous challenges in various sectors, but perhaps none as glaring and urgent as the need for police reform.
The Nigerian Police Force, tasked with maintaining law and order, has often fallen short of public expectations, marred by allegations of corruption, brutality, and inefficiency.   Corruption within the NPF remains a pervasive issue, undermining public trust and confidence in law enforcement. Cases of bribery, extortion, and abuse of power by police officers are not uncommon, perpetuating a culture of impunity and eroding the legitimacy of the institution.
At the police event mentioned earlier, the Chairman of the Police Service Commission and former IGP, Solomon Arase, advocated an improved welfare package for men and women of the NPF, noting that enhanced wellbeing of the personnel would improve their overall performance in securing lives and property.  He just hit the hammer on the nail.   Police officers in Nigeria often work in challenging and dangerous environments, with long hours and minimal compensation. The poor working and living conditions has been a topic for discussion both in the media and other gatherings for many years.  Low salaries, limited access to healthcare and other welfare benefits have continued to be an issue. Government after government promise to tackle the challenges yet the situation remains unchanged
The NPF suffers from chronic underfunding, which limits its capacity to procure essential equipment, maintain infrastructure, and provide adequate logistical support to officers. As a result, many police stations are poorly equipped, with outdated technology and inadequate resources to respond to emergencies promptly.
What about the issue of inadequate training and capacity building?  Many police officers in the country lack sufficient training and skills to effectively carry out their duties. The quality of training facilities and curriculum is often substandard, leading to deficiencies in areas such as investigative techniques, human rights awareness, and community policing strategies.
The NPF is susceptible to political interference, with politicians exerting influence over appointments, promotions, and operational decisions. This interference undermines the independence and professionalism of the force, compromising its ability to enforce the law impartially.
During a recent visit to the president by members of the Afenifere Cultural group, the former Secretary to the Government of the Federation, Chief Olu Falae, asked President Tinubu to look into the command structure of federal security agencies to ensure equity in the posting and deployment of senior officers, advising that equity should also be reflected in the recruitment of security personnel from the bottom up.
A situation where the NPF and other security agencies seem to be dominated by people from certain parts of the country, certain ethnic groups does not show that Nigeria is committed to the implementation of the federal character as enshrined in the constitution. This no doubt contributes to the low morale and high attrition rates within the force.
Moreover, the legal framework governing the operations of the NPF is outdated and inadequate, leading to ambiguities in police powers and procedures. The lack of effective judicial oversight mechanisms to hold police officers accountable for misconduct and abuse of power is no longer news.
What about the problem of  Security Threats and Insurgency? The NPF is tasked with addressing a wide range of security threats, including terrorism, kidnapping, armed robbery, and communal clashes. Many policemen have lost their lives in the unending insecurity challenges across the country.
These myriads of challenges that hinder the Nigerian Police’s ability to effectively fulfil its mandate of maintaining law and order, protecting lives and property, and upholding the rule of law should be prioritised over setting aside one week of celebration for the police.
To achieve the ambitious goal of transforming the Nigerian Police into “a modern, professional, and accountable institution that mirrors the aspirations and values” of Nigeria, several key areas must be addressed comprehensively.
Professionalisation and training: One of the fundamental pillars of a better police force is the professionalisation of its personnel. This entails rigorous recruitment processes, comprehensive training programmes, and continuous education to equip officers with the necessary skills and knowledge to perform their duties effectively and ethically. Investing in state-of-the-art training facilities and partnering with reputable institutions can elevate the calibre of officers and instil a culture of professionalism and accountability.
Community policing and engagement: Effective policing goes beyond law enforcement; it requires building trust and collaboration within communities. Embracing community policing strategies that involve residents in decision-making processes, problem-solving, and crime prevention efforts can foster a sense of ownership and cooperation. By actively engaging with the people they serve, police officers can gain valuable insights, identify local priorities, and tailor their approach to address specific needs, thereby enhancing public safety and community resilience.
Accountability and transparency: Accountability is the cornerstone of any credible institution, and the Nigerian Police Force is no exception. Implementing robust mechanisms to hold officers accountable for their actions, including misconduct and abuse of power, is essential to restore public confidence and integrity. This involves establishing independent oversight bodies, such as civilian review boards, to investigate complaints impartially and ensure transparency in disciplinary proceedings. Additionally, leveraging technology, such as body cameras and digital records management systems can enhance transparency and facilitate the monitoring of police activities.
Adequate resources and welfare: A better police force requires adequate resources, both human and material, to fulfil its mandate effectively. This includes sufficient funding for equipment, infrastructure, and personnel, as well as competitive salaries and benefits to attract and retain qualified individuals. Moreover, prioritising the welfare of police officers through improved working conditions, access to healthcare and mental health support is crucial for morale and productivity. Investing in the well-being of officers not only enhances their performance but also reflects a commitment to their dignity and rights.
Legal and institutional reforms: Meaningful reform must extend beyond superficial changes to address underlying structural deficiencies and legal frameworks. Enacting comprehensive legislation that codifies police powers, procedures, and oversight mechanisms can clarify roles and responsibilities while safeguarding citizens’ rights. Additionally, restructuring police institutions to promote meritocracy, decentralisation, and specialisation can enhance efficiency and responsiveness to evolving challenges. Collaborating with legal experts, civil society organisations, and international partners can facilitate the development and implementation of evidence-based reforms tailored to Nigeria’s context.
Building a better Nigerian Police Force is not an overnight endeavour; it requires sustained commitment, cooperation, and perseverance from all stakeholders – government, law enforcement agencies, civil society, and citizens. By embracing the principles of professionalism, community engagement, accountability, resource allocation, and legal reform and sincere tackling of the insecurity problems in the country,  Nigeria can embark on a transformative journey towards a renaissance in policing – one that honours the dignity of every citizen and upholds the rule of law.
Tinubu has assured that: “Our idea of a modern police force goes beyond superficial changes like repainting office buildings and residences or simply procuring firearms. True reform of our security doctrine and its architecture necessitates recognising the importance of administering justice and adhering to our ethical values to foster stability and order in the nation.
“The transformation we seek must transcend mere policy and infrastructure; it requires a fundamental overhaul of our institutional mentality and memory.”
Nigerians await the actualisation of these words.. Let us seize this opportunity to build a better future for all Nigerians, one where the police are not just enforcers of the law but  custodians of justice and equality.

Calista Ezeaku

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Opinion

Cautious Optimism As Naira Rebounds

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It has been good news since the past three weeks as our national currency, the Naira, continues to regain its lost value. The recovery follows frantic efforts by a government whose ill-advised, inaugural policies had set the legal tender, and the whole economy, tumbling.
The naira took an unprecedented plunge from last June and hit bottoms by the middle of March, 2024, following a hasty decision by President Ahmed Tinubu’s administration, to let it float freely on the market forces of demand and supply, in addition to removing petroleum subsidy, in disregard of the handicap of Nigeria’s import-dependence.
Without provisions to boost productions that satisfy domestic demands, or prime export capacities to balance import pressures on the local currency, a floating naira depreciated by 25 per cent in a single day in June, 2023, dropping to N1,950 per dollar in March, 2024, from about N750 per dollar earlier in May, 2023, while the price of petrol jumped overnight to 295 per cent, from N189 to N557. By December, 2023 overall inflation, according to official estimates, reached 28.92 per cent and food inflation shot beyond 33.33 per cent.
According to a World Bank report, whereas about 24 million Nigerians crossed the poverty line during the first half of 2023, in the twilight of the Buhari administration, situations got worse by the end of 2023, when accelerating inflations ushered-in by Tinubu’s hasty policies, pushed 63 per cent of Nigerians (about 133 million) into multi-dimensional poverty.
By the first quarter of 2024 hardships drove restive youths to near-uprising, which forced government into another haste – a concoction of palliatives – ironically, a form of subsidy, which it had earlier denounced as government wastefulness.
With the naira regaining its losses, it appears a panicky government has finally groped unto a solution. But if Mr President’s men are remorseful for the havoc done to Nigerians, they should be more sober this time in their computations to avoid distressing the country further.
The Federal Government has resorted to offloading dollar raised from sovereign bonds (in essence, loans), petroleum export proceeds and drawdowns from the external reserves, into the economy to reduce Foreign Exchange (FX) supply pressures, and to help it buy time in the hope of finding solutions to the wider unfavourable economic fundamentals bedevilling the economy.
On the dollar demand side, government has freed-up official restrictions that it believes created artificial scarcities that favour the black market. The Central Bank of Nigeria (CBN) has also cleared-off a backlog of FX obligations to assure investors, lifted the ban on sale of dollar to Bureau De Change Operators (BDCs), clamped down on currency speculators, closed down Binance, a crypto platform government accused of opaque dealings with money launderers, and borrowed dollar through short-term, sovereign bonds to ‘defend’ the naira.
Ever since, the CBN has offloaded dollar to BDCs at progressively reduced rates in the hope of prompting currency hoarders to cut losses and release supposed stockpiles. But in a clime where looted funds are desperately exchanged and exported, not much may be squeezed from hoarders, if surveillance is not stepped up. However, as at April 8, 2024, the CBN has offloaded a second tranche of $10,000 per BDC operator at N1,101 per dollar with a charge not to sell above 1.5 per cent margin. Many predict the CBN would offer the dollar below N1,000 in the coming weeks.
But for how long can the CBN go on with its bonanza to ‘defend the Naira’?  And what has been the cost of that defence? While the impact of strengthening naira is yet to reflect on commodity prices in Nigeria, the nation’s foreign reserve has dropped within 18 days by $0.95billion, down from $34.45billion on March 18, 2024, to N33.50billion on April 3, which represents a daily average depletion rate of $52.78 million. This is despite the $3billion loan from the AFREXIMBANK and petro-dollar revenues also thrown into the fray. To sustain its strengths, reports say the federal government plans to take stabilisation loans by June, 2024, speculated at a tune of $15billion, through the issuance of domestic bonds denominated in foreign currency. FG seeks the loans within the window of short-term, volatile Foreign Portfolio Investment (FPI) bonds which may disappoint the country in times of crises, as against Foreign Direct Investments which are more reliable. According to Bloomberg reports, FG has contacted investment banks, JPMorgan Chase & Co, Goldman Sachs and Citibank NA, for advice on Eurobonds, but Nigeria’s Debt Management Office denies Federal Executive Council’s approvals for such.
Certainly, a stronger currency is beneficial to an import-dependent nation like Nigeria, but without strengthening national productivity to generate surpluses for trade-balancing exports, the pursuit of merely high currency valuation becomes a vain strategy. While the naira strengthens, the reality of the adverse economic fundamentals that erode its worth remain unchanged, implying that its buoyancy rides merely on costly FX floods being pumped by the CBN. It is easy to guess the result, should the CBN halt supply.
For years Nigeria relied on its petroleum sector which at present provides about 78 per cent of FX earnings, but constitutes far less than 10 per cent of its real Gross Domestic Product (GDP), implying that to stabilise, Nigeria needs to grow its non-oil sector of over 90 per cent of GDP. Even the petroleum revenue is endangered by sabotage, illegal bunkering, dwindling investments and insecurity.
The FG may have taken the bet that sustaining the naira could buy it time from hard-pressed Nigerians, in the hope that a number of tangible local productions might kick-off. Notable among the expectations is the Dangote Refinery which, with its 650,000 barrels per day refining capacity, is expected to satisfy local demands of petroleum products to ease the huge FX demand in that front, and may hopefully earn FX through exports. Already, Dangote’s recent release of 100 million litres of diesel crashed the price of the product from N1,700 to N1,350, with another batch of 100 million litres expected to crash prices further, while the company plans to supply petrol by next month, but government-owned refineries which have drained so much resources remain dysfunctional. Again, the recent break through against reprocity flight barriers between the UK and Nigeria by Airpeace, reportedly crashed ticket prices to UK by 60 per cent.
FG may also see reliefs in the successful take-off in Aba, of 24-hour power supply by the Geometric Group and the recent commissioning of 700 Megawatt Zungeru hydro-electricity station, a tomatoe processing plant in Nassarawa, and a steel mill in Kaduna. However, agricultural, petroleum and manufacturing sectors remain at  their lowest and beseiged by insecurity, while the financial services sector appears to be strong but has incommensurate impact on industrialisation. If government does not encourage productivity in the real economy, its efforts in buoying the naira would be hopeless, while Nigeria falls deeper in debts. Already, as at December 31, 2023, Nigeria’s total debt stood at $106billion, while the 2024 budget of N28.7 trillion projects a deficit of N9.8 trillion to be debt-financed.
When public debt grows fast ahead of GDP growth rate, mounting debt service costs under-cut funds required for investment. That became the plight of Nigeria from Buhari’s era, when from 2016 to 2022 public debt grew by yearly average of 52.4 per cent, and GDP below 2 per cent. In that fateful 2022, debt service cost exceeded government revenue, which is why we are where we are.
The International Monetary Fund projects that Nigeria’s reserve would plummet to $24billion by end of 2024. Meanwhile, a nation’s FX reserve reflects the country’s balance of payments and its ability to settle international obligations. Severe declines in reserve may erode investor confidence and lead to downgrading of its credit ratings, which further worsens the nation’s borrowing costs.
Therefore the current approach towards buoying the Naira through loans can not be any other thing, but a gamble.

By: Joseph Nwankwo

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