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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

Other Sides In Junior Pope’s Death

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The tragic boat mishap of Wednesday, April 10, 2024, which claimed the lives of popular Nollywood actor, Mr John Paul Obumneme Odonwodo, popularly known as Junior Pope, and four others, has sent shock-waves across the Nigerian movie industry, and set the social media buzzing with reactions.
A contingent of 12 movie crew members had set out for a boat journey from the River Niger Cable point, a waterside jetty at Asaba in Delta State, to cross to the other side of River Niger, into Anam, a riverine community in Anambra State, for the shooting of a movie set titled ‘Another side of Life’ produced by Adanma Luke. Unfortunately, a series of avoidable events culminated the journey into an ill-fated expedition that sent fives lives to ‘the other side of life.’ The incident made the movie’s eventual ban a nullity, having played-out its symbolic meanings in real life while in the making, rather than on envisaged screens.
An avoidable incident, it exposed our society’s casual attitudes towards marine and general safety, as well as our endemic superstitions, while telling, on several flaps, other side tales of reality in the accounts of what transpired during the production, or rather, play of Adanma’s ‘Another side of Life.’
While veteran actor and Senior Adviser on Military Relations to the President of Actors’ Guild of Nigeria, Mr Steve Eboh, claimed he missed joining the ill-fated boat because he arrived too early before the crew, and had to go back, the producer, Adanma Luke, claimed she missed it because she came too late.
A journey’s jolly take-off from Asaba, Delta state, which ended tragically in its return from the other side in Anambra State, proved to be a rascally journey that showed the other side of rascality, even as T. C. Okoye claimed that pre-performing of obeisance to some marine spirits saved his life. But it was T. C. Okoye who had to hang unto a boat’s anchor in the face of death, rather than rely on the powers of the spirits he had appeased with Fanta, to await rescue from mortal men – sensible men, whose advise that one needs wear life jack during marine journeys – he had forsook, yet gave glory to his rituals after rescue.
Conversely, one may flip the flap to consider the other side of T. C. Okoye’s rituals to ruminate on other possibilities. Could the ringing of bells, spraying of money and snacks, and pouring of Fanta, have evoked the anger of the ‘marine spirits’ as rumoured, or distracted the boat driver, to the point of accident? And as reported by The Punch, what’s the significance of T. C. Okoye ‘dashing’ ritual money to innocent children whom circumstance made to be by the riverside?
Also, the argument by Mr Steve Eboh, that “If the star actors in that boat had wanted to wear life jackets, they would have been given the jackets” holds no ground, because the guild, as well as all the marine transport stakeholders, should have enforced strict safety compliance by all voyagers. It is therefore commendable that the Anambra State Commissioner of Police, Aderemi Adeoye, has ordered exhaustive investigations into the matter to determine criminal liability of all persons involved.
However, in the melee of pandemonium that accompanied rescue efforts, Nollywood celebrities, our society’s supposed role models, prioritized superstitious rescusitation over sure medical practice, rushing victims between spiritualists and hospitals, until a ‘pope’ whose work and journey had bound with the superstitious, died amidst superstition. Indeed, it’s during crises, when people care less about ‘packaging,’ that truth and the real personality of humans stand bare and naked.
While medical personnel who got their chance late had certified Jnr Pope dead, our star-persons held unto their spiritual advisers who claimed his spirit coming back to life, up until reality finally dawned that pope’s spirit has permanently crossed to the other side of life.
Regrettably, the reality has not fully dawned, otherwise three corpses shouldn’t have been buried by the riverside as dictated by spiritualists, and Jnr Pope’s family shouldn’t be worried about what would happen, as rumoured threatened of his three children, if his corpse is not buried by the riverside. However, it appears that having encountered the influence of a frontline celebrity, the spirits have turned capricious by bending divinely demands to accepting two cows, as rumoured, in exchange for Jnr Pope’s corpse being buried elsewhere.
According to the Anambra State Police Public Relations Officer, SP Tochukwu Ikenga, a team of rescuers comprising men of the Anambra State Marine Police Command, the National Inland Waterways Authority (NIWA) and the Maritime Workers Union of Nigeria, with the aid of fisher men, rescued seven persons alive to the Anambra side, while two retrieved corpses were sent across the other side, to the Delta State Marine Police Command jetty where Nollywood officials stood waiting. Of other three victims, two corpses were rescued next day, while a third was thrown out by river tides, all of whom; Abigail Fredrick (Vice Chairman of Costumer Designers Guild of Nigeria, and Akwa-Ibom State-born make-up artist), Precious Oforum (Sound engineer) and Joseph Anointing (Gaffer), have since been buried by the riverside, according to local belief.
However, what the police PRO’s statement didn’t reveal is if Jnr Pope’s corpse was sent to the other side in Delta after all the back and forth between spiritualists and medical personnel within Anambra, or if it was sent straight upon rescue to Delta state, but mysteriously found its way back to Anam, on the Anambra side.
It’s unfortunate that Nollywood which set out in its early days to expose superstitious beliefs and practices in our societies, in the hopes of enlightening the minds of the masses, and to curb the manace, has made many believe it’s rather reinforcing superstition in the ways it condicts the movie industry business.
Members of the showbiz in general, now appear to be key protagonists of superstition to the point that, being perceived as role models, so many youths have been drawn to lives of unrealistic dreams and materialism, which often get pursued through ritualism, with its attendant crimes.
Joseph Nwankwo
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Opinion

The Value Of Books And Reading

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The quality, quantity and diversity of books produced by a society are important indicators of that society’s level of development. . . .”–Valdehusa (1985).
April 23 of every year is marked around the world as ‘World Book and Copyright Day.’ Also known as ‘International Day of The Book,’ it is a Day set aside by the United Nations Educational, Scientific and Cultural Organisation (UNESCO), to promote reading, publishing and copyright. The Day aims to change lives through a love of books and shared reading.  The theme for the 2024 ‘World Book Day’ is: “Read Your Way.” This year’s theme calls on everyone to let go of pressure and expectations, giving children a choice – and a chance to enjoy reading.
According to Audrey Azoulay, Director-General of UNESCO: “Books have the unique ability to entertain and to teach. They are at once a means of exploring realms beyond our personal experience through exposure to different authors, universes and cultures, and a means of accessing the deepest recesses of our inner selves.”  Therefore, the power of books should be leveraged to combat isolation, reinforce ties between people, and expand our horizons, while stimulating our minds and creativity. It is critical to take the time to read on our own, or with our children.
Did you know that The Bible stands out as the most widely translated and distributed book worldwide? Yes, the Bible is by far the most widely translated and distributed book! Its wisdom has reached and helped more people than any other book or publication. 96.5 percent of the world’s population has access to the Bible. The Bible is available (in whole or in part) in over 3,300 languages, and the estimated number of copies of the Bible produced is 5billion, far more than any other book in history.  Which other book(s) do you enjoy or have you enjoyed reading? As for me, one book I am currently enjoying reading is a 400 – 500 page healthcare handbook titled, Where there is no doctor, authored by David Werner. It is a very valuable healthcare handbook that I have found to be very very beneficial! In fact, this healthcare handbook has been fondly described by some as “the ‘Bible’ of health education,” and I strongly recommend that every family should have a copy of this book at home. Apart from this book, I also enjoy reading for pleasure children’s books, such as those I have found on booksmart.worldreader.org and www.africanstorybook.org. What about you? What books have you enjoyed or do you enjoy reading? Do you know about the book industry? There are three major sectors of the book industry. They are: publishers, booksellers and libraries.
Book publishing is channelled towards promoting learning and expanding knowledge.  In a strict sense, book publishing starts from the point of conceptualisation of the ideas for the book by the author, and ends at the very last stage – the end-user (the reader). The history of book publishing in Nigeria can be traced to the establishment of the very first publishing press in Calabar, in 1846, by Rev. Hope Waddel of the Presbyterian Church of Scotland Mission. The press was used to print Bible lessons and later arithmetic books for schools.
In 1854, another Missionary based in Abeokuta, Rev. Henry Townsend of the Church Missionary Society (CMS), established a Press. Five years later (1859), he used it to print the very first newspaper in Nigeria – ‘Iwe Irohin.’ Thereafter, notable Nigerians like Herbert Macaulay established the first indigenous newspaper in 1926, called Lagos Daily News. Also, in the same year, Daily Times made its debut.  In 1949, Oxford University Press (OUP) floated a sales outlet in Nigeria. This action attracted many foreign-based publishing firms to Nigeria, such as Macmillan, Longman and others. The first published book in Nigeria by OUP was released in 1963, when its local branch published ‘Ijala Ere Ode’, a Yoruba poetry genre by Oladiipo Yemitan. Aside from the foreign companies, many other home-based publishing houses were architected by indigenous entrepreneurs. The book publishing industry in Nigeria has continued to enjoy drastic growth ever since.
However, in the last few decades, the Nigerian indigenous book publishing industry has experienced a downturn due to numerous challenges facing the industry, including: book piracy, proliferation of unqualified author -.publishers, lack of capital, and inability to provide adequate numbers of high-quality books.
Other challenges include: poor reading culture, infrastructural decay, dearth of expertise, incessant rancour among the major stakeholders, and so forth.
Therefore, here are some suggestions for developing our book publishing industry in Nigeria: Stakeholders such as government, publishers, authors, regulators, booksellers, libraries, and readers should cooperate among themselves and contribute their quota immensely towards the development of a virile book publishing industry.  Private investors such as banks, finance houses and influential individuals should participate, especially in terms of massive capital injection.
Ighakpe writes in from FESTAC Town, Lagos.
 Daniel Ighakpe
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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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