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These Are The 24 Reasonsnigerian Doctors Are Onstrike by Trusall22: 4:20pm On Aug 18, 2014
The Nigerian Medical
Association, NMA, an
association of all medical
doctors in Nigeria on July 1
embarked on a nationwide
strike.
With the NMA strike, doctors
working in government-
owned hospitals have
boycotted work, leaving
majority of sick Nigerians
stranded.
In an open letter to the
Secretary to the Government
of the Federation, Pius
Anyim, on June 11, the
association listed a 24
‘minimum point’ demand
which it expected
government to meet before
its members would return to
work.
The letter was titled “Facing
the Challenges in the Health
Sector”.
However on Thursday,
President Goodluck Jonathan
ordered the sack of all
resident doctors in Nigeria.
Mr. Jonathan directed the
suspension of all Residency
Training Programme and the
hiring of part-time medical
officers to replace the
doctors.
The inadequate funding of
the Residency Training
Programme is one of the
reasons the NMA is
aggrieved.
Below is a list of the
challenges faced by the
NMA:
1. A demand that seven
Deputy Chairman Medical
Advisory Committee, DCMAC
(four for Teaching Hospitals
and three for Federal Medical
Centers be appointed to
assist the Chairman Medical
Advisory Committee, CMAC.
The association noted that
the CMAC is presently
saddled with statutory
responsibilities that are too
heavy for an individual to
handle. The DCMACs is
expected to have the same
qualifications as the CMACs.
The NMA also argued that
directors in other
government establishments
are supported by deputies
and sees no reason while
that of the CMACs should be
different.
2. The association opposed
the appointment of directors
in hospitals. The position, it
said, distorts the chain of
command and induces
anarchy while exposing
patients to conflicting
treatment and management
directives with mostly
negative consequences.
3. A demand that grade level
12 (CONMESS 2) in the health
sector be skipped for
medical and dental
practitioners.
4. The association also
demand that the title
‘Consultant’ should not be
assigned to non-doctor
personnel. Arguing that
consultant describes the
relationship between a
specialist medical doctor and
his patients, the association
said that giving the title to a
non-doctor personnel will
only lead to anarchy and
chaos in the system.
5. The immediate
implementation of a January
3, 2014 circular and
immediate payment of the
arrears for 22 years during
which members were short-
changed. It also demand an
adjustment of doctor’s salary
to maintain the relativity as
agreed.
6. The acceleration of the
passage of the National
Health Bill and extension of
the Universal Health
Coverage to cover 100 per
cent of Nigerians rather than
30 per cent as currently
prescribed by the National
Health Insurance Scheme,
NHIS.
7. Appointment of a Surgeon
General of the Federation
with immediate effect.
8. A correction of entry point
of a health officer to
CONMESS 1 Step 4 as
originally contained in MSS/
MSSS while the Registrar/
Medical officer is moved to
CONMESS 3 Step 3.
9. Call duty allowance for
Honorary Consultants should
be increased by 90 per cent.
10. An adjustment in the
specialist allowance as
contained in the 2009
collective bargaining
agreement. Also all doctors
on CONMESS 3 and above
must be paid specialist
allowance or its equivalent,
not less than 50 per cent
higher than what is paid to
other health workers.
11. Hazard allowance for
medical doctors must be at
least N100, 000 per month.
The hazard allowance for
medical doctors is said to be
at N5, 000 per month
presently.
12. Immediate release of the
circular on rural posting,
teaching and other
allowances which must
include house officers.
13. An immediate withdrawal
of a circular by the Central
Bank of Nigeria, CBN
authorizing Medical
Laboratory Science Council of
Nigeria, MLSCN to approve
licenses for importation of
In-Vitro Diagnostics, IVDs.
14. Immediate release of the
circular for the retirement
age for medical doctors as
agreed with the Federal
Government.
15. The FG through the
health ministry should
formalize and implement the
report of the interagency
committee on residency
training. The FG is expected
to release the uniform
template on the appointment
of resident doctors in line
with earlier agreements. Also
a concrete funding
framework for residency
training must be established
while the overseas clinical
attachment must be fully
restored and properly
funded in the interest of the
nation.
16. That in the interest of
harmony in the Federal
Medical Centre, Owerri, the
government should pay the
salaries of our members in
the center as agreed on
October 21, 2013.
17. Immediate concrete
steps must be put in place
for the reintegration of our
members back into the IPPIS
platform.
18. All attempts to coerce
house officers not to join
NARD must stop.
19. The orchestrated
intimidation, harassment and
physical assault of our
members in the departments
of pathology (Laboratory
medicine) by laboratory
scientists and tolerated by
the Federal Ministry of Health
must stop.
20. The endless circle of
incomplete salary payment of
our members in many
hospitals in the name of
shortfalls in personnel cost
must stop.
21. Universal applicability of
all establishment circulars on
the renumeration and
conditions of service for
doctors at all levels of
government must be
granted.
22. Government should as a
matter of urgency set up a
health trust fund that will
enhance the upgrading of
hospitals in Nigeria.
23. The position of the Chief
Medical Director/ Medical
Director must continue to be
occupied by a medical doctor
as contained in the Act
establishing the tertiary
hospitals. This position
remains sacrosanct and
untouchable.
24. The NMA henceforth shall
not accept the continued
violation of any of any of the
terms of the 2009 Collective
Bargaining Agreement. This
is exemplified by the
payment of the Medical
Physicist and Optometrist
with OD (who are on
CONHESS) call duty
allowance using CONMESS
circular. Similarly, the phrase,
“Ministries, Departments and
Agencies”, MDAs in the said
agreement should replace
“Federal Ministry of Health
and other Federal Health
Institutions” as contained in
the 2009 CONMESS circular.
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Re: These Are The 24 Reasonsnigerian Doctors Are Onstrike by phantom(m): 4:23pm On Aug 18, 2014
list the controversial ones let me take you up. by the way are you a doctor

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