Opinion
Averting Doctors’ Strike
Should no action be taken,
resident doctors all over the country will in the next five days embark on a nationwide strike. This is sequel to some days of warning strike already carried out and a day solidarity strike taking place today.
According to the President, National Association of Resident Doctors (NARD), Dr Muhammadu Askira, the strike became imminent given government’s sloppiness in addressing critical issues confronting members of the association. He said despite all assurances, government failed to meet their demands which include payment of salary arrears of resident doctors working in some states, immediate payment of December salaries of doctors in some federal hospitals, implementation of entry steps for house officers, among others.
It is unfortunate that every now and then, doctors and other workers in the health sector down tools to press for one demand or the other. The most worrisome thing is the level of suffering patients in public hospitals are subjected to whenever the industrial actions take place.
They are usually abandoned to their fate leading to the death of many while others resort to patronising private hospitals where the cost is usually exorbitant and mostly out of the reach of low income earners.
But the question that must be asked is, why must government wait for doctors and other workers to go on protest before carrying out its responsibilities to the workers? Some of the resident doctors, according to NARD President, have not been paid for up to six months, yet they are expected to carry out their functions diligently. How possible is that? Not only are the incentives not there, the state of the facilities and the environment is very appalling.
I am not trying to stand in the gap for the striking doctors, but the truth is that our health sector needs urgent attention. A few days ago, President Muhammadu Buhari travelled to the United Kingdom to rest and seek medical help. In the words of the Special Adviser to the President on Media and Publicity, Femi Adesina, “President Muhammadu Buhari will take 10 days off and travel to London to rest. During the holiday, he will see ear, nose and throat specialist for a persistent ear infection. The President was examined by his personal physician and an ENT specialist in Abuja and was treated. Both Nigerian doctors recommended further evaluation purely as a precaution”.
Expectedly, many people have taken on the president for travelling for “mere ear infection”, saying the case is not beyond medical practitioners in the country. But how many of these critics, if given the opportunity and going by the poor state of our health facilities and poor attitude of the personnel, will not jet out for an ailment as minor as headache.
The problem did not start today. It has become more or less a norm. Almost all past presidents and their wives travelled abroad for medical treatment. Some came back alive while a few died there. Many well-to-do Nigerians travel to various countries of the world daily, seeking medical attention because evidently, our health sector is in shambles.
The equipments for proper diagnosis are hardly there even in most private hospitals in the country. Yes, we may have the best brains, but how often are they trained to update themselves with the latest developments in the field of medicine?
One constant demand of resident doctors is research grant which will help them in carrying out research for the benefit of the health sector, yet government hardly considers this as important.
Some have argued that the fact that the president’s own doctors recommended that he should travel out of the country for proper evaluation says a lot about the state of our health sector. Incidentally, the President’s doctors are not alone, as some of their colleagues sometimes plainly advise their patients to seek medical help abroad because their cases cannot be handled here in the country. Some hospitals even go to the extent of advertising Indian hospitals and you ask yourself when will this whole thing end? Is it that Indians have better brains than us?
On the contrary, Nigerians have proven to be among the best brains in the world. They excel in all fields of endeavour. Many people who have travelled abroad for medical treatment especially in America and Europe have narrated how they were attended to by Nigerian doctors. And when they asked them why they can’t come back to Nigeria to help Nigerians, they said they cannot cope with all the limitations and problems faced by doctors in the country which inhibit their growth.
So, it’s high time government at various levels invested in the health sector. Recently, the Vice President of the West African Region of the Commonwealth Medical Association, Osaho Enabulele, criticized the current administration for not allocating enough funds for the health sector in this year’s budget.
According to him, Buhari in his election campaign, promised to allocate 15% of the national budget to health but has failed to keep to his promise. This, he said, explains why after a year in office, the health sector remains unappreciated.
The truth is that the health sector needs adequate funding. Nothing short of this will save our dying health sector. Nigeria is rich enough to afford world class hospitals and well trained personnel to cater for our health needs. This will definitely reduce the high rate of medical tourism and in turn save money for the country.
Some analysts have posited that with the strategic location of Nigeria, with standard hospitals, people from other West African countries will be trooping to the country to seek medical attention instead of going to India, Europe and America.
It is also important that our government prioritises the welfare of doctors and other health workers. We cannot afford to have our medical facilities shut down every now and then just because one group of the health workers or the other is on strike.
To revive our health sector and bring it to an appreciable standard, government, doctors, heath workers and other stakeholders must play their various roles. Most importantly, we need proper planning and well-articulated federal policy on health.
Calista Ezeaku
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