azaros: Its unfortunate dat tday wit d lots of advancement in health some bdy can stil proudly hold him/her self out before d public to say he/she is more important in a team of professionals as it affect healthcare delivery. As a matter of fact d patient whom is focal point of every staff of healthcare delivery center come to d hosp. for d services renderd in d hospital. And d services needed by any patient dat requires health care comes frm diferent professionals not just one profession. Interms of team leader in service delivery dis depends on d patients problem, if related to physiotherapy=physiotherapist, drug relat=Pharmacist, etc it should b noted dat cross carpetin and jack of all trade principle by any profession connot joblessnes nd i believe if we borrow from d developed world present practice of healthcare all profession in healthcare wil b overwhelmed wit responsibilities and fufilment. For d headship of health care facilities any person with sound managerial skill and profile should serve d purpose.

God bless you...bro dont mind them...this objectionabe, offensive attitude is now the hallmark of the nigerian Health sector entirely...in some Hospitals, you literally find medical personel including physicians in an all-out duel, abandoning the patients to suffer in pains and gnashing of teeth, tears

1. Minister of health is a political appointment. In this country medical lab scientist and health economist(nwosu and lambo respectively) have served as minister of health from 1999 to 2007. During this period was there any improvement in healthcare delivery?no
2. If we are to follow us model, ceo of hospitals and ministers of health should be opened to both health workers and non-health workers. But offices of surgeon-general of the federation and states should be created in line with developed country model. But why is JOHESU is kicking against creation of office of surgeon-general and wants non-doctors to head health institution? That is hypocrisy. U cannot have it all.
3. Doctors can specialize in about 129 areas including physical rehabilitation, sport medicine, pathology, laboratory medicine, clinical pharmacology etc. If u read history pioneers of modern medicine use allied health profession(excluding nursing and pharmacy) to do bulk of word while they handle complex ones and supervise them. Allied health professions want recognition. They should have it. Doctors should agitate for less depedency on allied health workers,let go back to basis.
4. Nearby future pharmacy technicians and laboratory technicians would also liberate themselves fron neoslavery by pharmacists and mls. Chew and cho would be at loggerhead with nurses. Battle of supremacy. Then doctors would be laughing.
5. Why are nigeria pharmacists oppressing bsc pharmacologists? In australia pharmacologists can open pharmacy stores and sell pom? Why are mlscn of nigeria preventing b.sc biochemistry, microbiology and anatomy from working medical lab even doing it? In usa graduates just need to do certification exam or have msc and open their lab? In future they would lobby and get what they want.
6. In usa and uk that ceo heads most hospitals. There is now clamouring for changes. Few hospitals being headed by doctors are better in quality of care. Also obamacare would further militarize us doctor thru unionism cos of mediaid stuff.
8. know that health sector is very complex that is why who introduces five star doctors. Also us need to do more research why nigeria health system is bad. It is not about doctors in helm of affair. In my hospital auditor ,director of adm, head of work and accountant have collaborated to milk the new hospital dry. Corruption, poor work attitude , nepotism etc are bane of our poor health system.
Thank you

I think govt should pass laws that would prevent hospital workers from going on strike expect on issue of non-payment of salary. All other issues should be resolved at industrial courts.

by the time those admin, accountants finish with the health sector, they wake up to their senses

APPOINTMENT OF MINISTER FOR HEALTH AS THE BIRTHRIGHT OF DOCTORS IN NIGERIA.

At the height of the last ministerial nomination and screening, the Nigeria Medical Association (NMA) had taken a parochial and insulting position that one of its own must be appointed at the helm of the Federal Ministry of Health (FMOH) because according to it, this was a global practice. The NMA went further to threaten the then Acting President that it would ground the health sector if its position was not adhered to. This arrogant stance has polarized the health sector which has culminated in the formation of the Assembly of Healthcare Professional Associations and Unions and the setting up of this committee.

Section 147(1) & (2) of the 1999 constitution of the Federal Republic of Nigeria is very clear as to how Ministers are appointed. Section 42 (1) a & b also compels a right to freedom from discrimination on the basis of Community, Ethnic Group, Place of Origin, Sex, Religion, Political Opinion etc.

It is important to state that the headship of the Health Sector is not vested in medical doctors contrary to the claims of the NMA.

The Situation in other Countries

In the United States of America (USA), Kathleen Sebelius was sworn in as the 21st Secretary of Department of Health and Human Services (equivalent to our own Minister of Health) on April 28th, 2009. She is a former Governor of Kansas State, holds a Bachelor Decree of Arts and Masters in Public Administration. Donna Shalala and Tommy Thompson were health ministers in Bill Clinton’s and G.W. Bush’s administrations respectively. They are neither medical doctors nor healthcare professionals.

In the United Kingdom (U.K), the immediate past Secretary of Health was Rt. Honourable Andy Burnham who holds a Master of Arts (MA) Decree in English Language.

In Japan Akira Nagatsuma who was appointed in 2009 as Minister of Health, is not a Medical Doctor. In India the Minister of Health, Mr. Ghulan Azad is not a medical doctor, he holds a M.Sc. Decree in Zoology.

These are countries Nigerians are travelling to, in large numbers, for medical attention while the Nigerian healthcare service has been ranked 192 out of 198 countries by the World Health Organization under the leadership of Medical doctors.

In Africa, Botswana has been rated by the World Health Organization as having the best national healthcare service. The current Minister of Health in Botswana is an Accountant, and he took over from Mrs. Motsumi, a Nurse, who was Health Minister from 2003-2009. Earlier on, Mrs. Phumaphi, a Nurse, was the Minister of Health from 1989-2002. It is noteworthy that since her independence in 1966, no medical doctor has been appointed Health Minister in Botswana.

In Nigeria, the tenure of many non-Medical Doctors at the helm of Federal Ministry of Health witnessed stability and harmony as epitomized by the leadership of late Aminu Kano, Admiral Patrick Koshoni, Admiral Jubril Ayinla, Prince Julius Adelusi-Adeluyi, Prof A. B. C. Nwosu and lately Prof Eyitayo Lambo. Perhaps it is appropriate to also remind this committee that Doctors have, at different times, led other Ministries that are not related to Health. Prof. Jubril Aminu was at different times Education and Petroleum Minister only recently incumbent Ondo State, Governor Dr. Segun Mimiko was Housing Minister in the Obasanjo Government. In these capacities these eminent Doctors enjoyed the support of other core professionals in these different non-health Ministries.

In the immediate past dispensation, the two Ministers in charge of the Federal Ministry of Health were medical doctors in a multidisciplinary set up such as Health, the first in the History of this Nation and yet there was no threat from the other stakeholders in the Health Sector.

The general perception on why doctors want to continue to be Minister of Health is to maintain the hegemony of an unjust entry level in the civil service and discriminatory salary scales which they always get when doctors are Ministers of Health

Laalamed: I think govt should pass laws that would prevent hospital workers from going on strike expect on issue of non-payment of salary. All other issues should be resolved at industrial courts.

Lol, if they make a law like that, dont you think docs will suffer it most? Currently they are on strike in Ebonyi State over thier member that was kidnapped. Yeah the strike will make polictians who are equally beign kidnapped everyday to come to thier rescue or the strike will compel the Nigerian police who are not immune to the onslaught to provide them with security details before they can work!

Is this kind of reasoning not a key clinical sign of Dementia

mintyx:

Lol, if they make a law like that, dont you think docs will suffer it most? Currently they are on strike in Ebonyi State over thier member that was kidnapped. Yeah the strike will make polictians who are equally beign kidnapped everyday to come to thier rescue or the strike will compel the Nigerian police who are not immune to the onslaught to provide them with security details before they can work!

Is this kind of reasoning not a key clinical sign of Dementia

i do not understand u.
they should make the law. we want sanity in health sector. if doctors would suffer let it be. there are alternative way to strike-protests,work to rule, slow down,propaganda. doctors can rock the system without strike action. how can doctors strike cos of kidnapping.

Laalamed:
i do not understand u.
they should make the law. we want sanity in health sector. if doctors would suffer let it be. there are alternative way to strike-protests,work to rule, slow down,propaganda. doctors can rock the system without strike action. how can doctors strike cos of kidnapping.

If you are asking how can doctors strike cos of kidnapping then maybe you are new in this country. This is not the first or second time its happening! Last year in Enugu, they did the same thing cos a member was kidnapped. My point is, nobody is immune to kidnapping in this country. Remember even a ministers mother was kidnapped and she didnt go on strike... But surely doctors get away with grave issues like these but when other health professionals that rarely go on strike embark on one for a genuine reason, then its cos they are looking for cheap recognition or some vague reasons. What an odd world!

Adebowale352: Medicine is under the Health sector...others include dentistry,pharmacy,optometry,nursing,medical lab science....if medicine is now dominating others makes it wrong...the position should be shared equally because Med.docs can't even work independent of other medical professions

b
the assistant CMD of LASUTH is a Consultant Oral and maxilofacial Surgeon(a Dentist), the former CMD of Lasuth is a Consultant Oral and maxilofacial Surgeon, the assistant CMD of UBTH is a Maxilofacial Surgeon(dentist), the formwe NMA chairman Edo state chapter is a Maxilofacial Surgeon(a dentist)...so u see..u are ignorant

Laalamed: 1. Minister of health is a political appointment. In this country medical lab scientist and health economist(nwosu and lambo respectively) have served as minister of health from 1999 to 2007. During this period was there any improvement in healthcare delivery?no
2. If we are to follow us model, ceo of hospitals and ministers of health should be opened to both health workers and non-health workers. But offices of surgeon-general of the federation and states should be created in line with developed country model. But why is JOHESU is kicking against creation of office of surgeon-general and wants non-doctors to head health institution? That is hypocrisy. U cannot have it all.
3. Doctors can specialize in about 129 areas including physical rehabilitation, sport medicine, pathology, laboratory medicine, clinical pharmacology etc. If u read history pioneers of modern medicine use allied health profession(excluding nursing and pharmacy) to do bulk of word while they handle complex ones and supervise them. Allied health professions want recognition. They should have it. Doctors should agitate for less depedency on allied health workers,let go back to basis.
4. Nearby future pharmacy technicians and laboratory technicians would also liberate themselves fron neoslavery by pharmacists and mls. Chew and cho would be at loggerhead with nurses. Battle of supremacy. Then doctors would be laughing.
5. Why are nigeria pharmacists oppressing bsc pharmacologists? In australia pharmacologists can open pharmacy stores and sell pom? Why are mlscn of nigeria preventing b.sc biochemistry, microbiology and anatomy from working medical lab even doing it? In usa graduates just need to do certification exam or have msc and open their lab? In future they would lobby and get what they want.
6. In usa and uk that ceo heads most hospitals. There is now clamouring for changes. Few hospitals being headed by doctors are better in quality of care. Also obamacare would further militarize us doctor thru unionism cos of mediaid stuff.
8. know that health sector is very complex that is why who introduces five star doctors. Also us need to do more research why nigeria health system is bad. It is not about doctors in helm of affair. In my hospital auditor ,director of adm, head of work and accountant have collaborated to milk the new hospital dry. Corruption, poor work attitude , nepotism etc are bane of our poor health system.
Thank you

i just want to ask you few questions
1. the fact that blacks were slaves in western worlds for about 300yrs,does that make it right
2. the fact that notherners has ruled ngr for greater part of our self rule,does that make it right
3.the fact that ghadafi ruled lybia for almost throughout history,does that make it right
4:The fact that mubarak,arap moi,mugabe ruled/rules their country for almost all their existence does that make it right
5. That apatheid government ruled south africa for so many years does not mean it is right
6.the fact that same sex marriage is practiced in developed world does not make it normal
so my dear dokita stop using history and blatant comparison to drive home your point,try other means,drs were first to be in hospital..yes,buh the ppl dey worked with then were merely dispensers,labtechnicians and auxilliary nurses,but now we no longer have dispensers but pharmacists,we no longer have lab technicians buh lab scientists,we are not talking of aux nurses buh professional nurses,your argument might have made sense 20years ago,buh not anymore...just like in egypt,tunisia,iraq,apatheid era etc etc,we need fresh air.

Osahon7:
b
the assistant CMD of LASUTH is a Consultant Oral and maxilofacial Surgeon(a Dentist), the former CMD of Lasuth is a Consultant Oral and maxilofacial Surgeon, the assistant CMD of UBTH is a Maxilofacial Surgeon(dentist), the formwe NMA chairman Edo state chapter is a Maxilofacial Surgeon(a dentist)...so u see..u are ignorant

you are the ignorant one,what he means is that NMA is domianting others,so this ur analysis is dumb

on a good day:


you are the ignorant one,what he means is that NMA is domianting others,so this ur analysis is dumb

read before commentin nonsense..he said Medicine is dorminatin Dentistry..am tryin to tell him dat Medicine and Dentistry ar under NMA and Medical and Dental counil of Nigeria(MDCN) and Also Medical and Dental Consultants Association(MDCA) U cant seperate Medicine frm Dentistry

on a good day:


you are the ignorant one,what he means is that NMA is domianting others,so this ur analysis is dumb

[quote author=on a good day]

read before commentin nonsense..he said Medicine is dorminatin Dentistry..am tryin to tell him dat Medicine and Dentistry ar under NMA and Medical and Dental counil of Nigeria(MDCN) and Also Medical and Dental Consultants Association(MDCA) U cant seperate Medicine frm Dentistry

Cityguy:
My friend, what is wrong with the analogy? Biko, tell me. Futhermore, is running the facilities not part of having a grip on the system to ensure the indices are reduced? Ha!

Administration is not the same as practicing the profession... Because someone is a doctor does not mean s/he knows how to run a hospital or medical facility... This is the same for all other professions... Check out this link... http://en.wikipedia.org/wiki/Health_administration...

Zte