ALH. YAYALE AHMED COMMITTEE REPORT THE CATALYST FOR IMMINENT COLLAPSE OF THE HEALTH SECTOR IN NIGERIA-THE POSITION OF ASSOCIATION OF MEDICAL LABORATORY SCIENTIST DELTA STATE BRANCH NIGERIA


AMLSN Delta State Branch Position on Alh. Yayale Ahmed Committee Report
Posted: 22/Jan/2015
ALH. YAYALE AHMED COMMITTEE REPORT THE CATALYST FOR IMMINENT COLLAPSE OF THE HEALTH SECTOR IN NIGERIA-THE POSITION OF ASSOCIATION OF MEDICAL LABORATORY SCIENTIST DELTA STATE BRANCH NIGERIA
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PREAMBLE
On the 19th of December, 2014 the Alhaji Yayale Ahmed Committee on Inter – Professional Relationship in the Public Health Sector (PCEIPRHS) submitted her report to the President of the Federal Republic of Nigeria Dr. Goodluck Ebele Jonathan (GCFR). The submission of the report was publicly advertised in the various mass media. As stakeholders in the Health Sector and having gone through this report, we use this medium to reject the recommendations of this report, because if the recommendations are carried out, it is going to lead to the imminent collapse of the Health Sector. And create more problems, worse than what we have today in the Health Sector. The Committee did not holistically identify the problems in the Health Sector and her recommendations are prejudicial to other Medical Personnel, who are not Allopathic Doctors. Furthermore, their recommendations are against the Constitution of the Federal Republic of Nigeria, the Public Service Rule, Government approved Scheme of Service ,Extant Laws , Extant Circulars and International Best Ethical Practice.

Below are some of her observations and recommendations which are based on wrong premises.
MLSCN AND MDCN LAWS!
1. The Committee had stated in observation 2.7.5 on page 46. “Some health Professional complained of overlap of functions in the roles and responsibilities of some Regulatory Agencies in the Health Sector. For instance, both the Medical and Dental Council of Nigeria (MDCN), regulate Medical Laboratories in Hospitals, the Medical and Dental Practitioners Act CAP M8 LFN 2004 empower the Medical and Dental Council of Nigeria to regulate and control Laboratory Medicine in Nigeria, thus making regulation for the operation of clinical laboratory practice in the field of pathology which includes, histo – pathology forensic pathology, autopsy and cytology, clinical cytogenetic, haematology, medical microbiology and medical parasitology, chemical pathology, chemical chemistry and medical virology”.

The statement above is forgery which violates the penal code 362(B). It is trite law that you don’t add to organic law. The law quoted above did not state that. The words clinical laboratory practice, regulation of Medical Laboratories and control of Laboratory Medicine was never used in that Act. Rather Medical and Dental Practitioners Act Cap M8, 2004 in section 1 subsection 2e mandates MDCN to make regulations for her members, it states “making regulations for the operation of clinical laboratory practical in the field of pathology which includes Histopathology, Forensic Pathology, Autopsy and Cytology, Clinical Cytogenetics, Haematology, Medical Micro-biology and Medical Parasitology, Chemical Pathology, Clinical Chemistry, Immunology and Medical Virology…..”. The law never said “regulation of Medical Laboratory Services and Practices”. MDCN is to regulate the practicals done by her members while MLSCN Act CAP M25/LFN/2004, in section 4(B) mandates MLSCN to regulate the practice of Medical Laboratory Science in Nigeria. While section 19(D) of the same act mandates MLSCN to make rules for “maintenance of good standard of Medical Laboratory Practice and Services with respect to regulation and control of private practice including statutory inspection, approval and monitoring of all Medical Laboratories including those adjoined to clinics, private and public health institution”. The jobs are distinct and don’t overlap.

2. The Committee had erroneously observed on page 47 in 2.7.9 by saying “the Committee observed that in order to resolve the conflict of overlap of function between MDCN and MLSCN, the latter took the matter to the National Industrial Court for adjudication. In its judgment conveyed via suit No NICN/ABJ/128/2012 23rd October, 2012, the Court found that there is no conflict in the laws establishing the two bodies. It further ruled that Medical Laboratory Science is a distinct Profession under the laws of Nigeria. The Committee further observed that the judgment was in regards to legality by, MLSCN as a distinct body. The Committee was worried that the Court did not delve into the cases of overlap of function. Consequently, irrespective of the judgment by a Court of competent jurisdiction the disharmony in the relationship between the pathologist and Medical Laboratory Scientist has continued to foster”.

The first and the latter part of the statement above by the Committee are false and misleading. The Committee did not verify what she wrote. It was never MLSCN that went to Court, to determine her legality as a Body. It was Association of Medical Laboratory Scientist of Nigeria in conjunction with her members in Federal Medical Centre, Asaba that went to Court. This was as a result of the violation of Extant Laws, Public Service Rule, the Scheme of Service of Medical Laboratory Scientist of Nigeria, and the action of Management of FMC Asaba to undermine MLSCN law, as it affects Medical Laboratory Science Practice in Nigeria. The Court Ruled in favour of Association of Medical Laboratory Scientist and her members that Medical Laboratory Science is a distinct profession, outside Medicine. And that their Scheme of Service that provides for a Department of Medical Laboratory Services, to be headed by the Director of Medical Laboratory Services, who is a Medical Laboratory Scientist should be upheld. The Court ordered the affected defendants, the Attorney General/Minister of Justice, Minister of Health (as at then Prof. Onyebuchi Chukwu) Dr. L.O. Erhumwunsee (M.D FMC Asaba), Mr. A.O. Farombi (Director of Admin FMC Asaba), Dr. T.Y. Oyebadejo, Dr. J.C. Aneke (Representing Consultant Pathologist) to obey the judgment. The Committee went further to make wrong statements in page 48 in 2.7.11, 2.7.12. In 2.7.12. The Committee had falsely noted that MDCN and MLSCN have similar regulatory functions including accreditation of Medical Laboratories, thereby creating duplication of functions in the practice. The statements above is false and misleading, there is no place in the MDCN law that they were given the mandate to regulate and accredit Medical Laboratories, the only agency given such function is MLSCN as provided in Act 11 2003, in section 4h inspect, regulate and accredit Medical Laboratories in Nigeria.


3. The committee on page 49 in 2.7.13 had based her recommendations on the wrong premise elucidated above and as such in 2.7.13 ABCD she wrongfully stated/recommended
A. The amendment of the enabling laws of the affected regulatory agencies with a view to realigning them to remove duplication of mandates and functions that generated conflicts.
B. That Regulatory Agencies should ensure compliance and good practice by the Professionals under their purview.
C. That Government should take another look at the various regulatory agencies and consider establishing one agency for the regulation, including accreditation of science and Medical Laboratories in the Country. The rationalization is necessary because it would not only reduce the number of agencies but also reduce the cost of governance with regards to the administration of the Professional bodies they regulate.
D. That to give effect to (a - c) above the immediate establishment of a National Health Care Commission that will superintend all Tertiary Institutions and Regulatory Agencies in the Public Health Sector……….. We strongly reject this recommendation because it is prejudicial to the Regulatory Bodies in Nigeria and the premise for this recommendation is faulty and misleading. No two Regulatory Body as stated above is given the same function. We reject the constitution of the said National Healthcare Commission, because it is not needed.

4. We reject the recommendation made in page 55 in 2.7.25 (A) the enabling laws of the relevant regulatory agencies should be urgently reviewed to remove areas of overlap and conflict. There is no area of conflict in those laws rather the Ministry of Health with the comity of Allopathic Doctors in Collaboration with NMA, have refused to obey criteria for appointment as stated in the various scheme of Services of different Professional groups.

contd..


JOHESU DEMANDS!
5. We reject the recommendation in 3.2.16 on page 61. Appointment of Professionals into the Board should be by equal representation. All Professional Groups,that have a Directorate should be appointed as representatives of the Professional Services they render in the Board. This will bring about democratic functionality in the Hospital and the Board.

6. The Committees recommendation in 3.2.19 on page 62 is prejudicial to JOHESU members. When issues have been awarded to Allopathic Doctors, the Committee will enjoin the Government to grant them, but on the issue of implementation of the National Industrial Court judgment in favour of JOHESU with the suit NO. NICN/ABJ/238/2012 the Committee could not rightly advice the Government to do the right thing. Thereby showing bias to welfare rights of JOHESU members.

7. The recommendation on page 63 in 3.2.24 that JOHESU members cannot be members of National Council on Health is also seen in bad faith, because this body can be enlarged to accommodate members of JOHESU, who are directors and also experts in Health matters. After all, it is a Council on Health. Presently the body is composed of Virtually Allopathic Doctors, who are not the only Professionals in the Health Sector. And they cannot be all knowing on health matters, as such the Committees report is discriminatory and prejudicial to JOHESU members.

8. The recommendation on page 68 in 3.2.33 did not follow stipulated Scheme of Services for Health Professionals. Hospital Management Committee should be appointed from the Directors of the various functional Service Departments, who are the ones who take charge of the Departments.

9. The recommendation on page 70, in 3.37 for the immediate rationalization and realignment of the under listed regulatory agencies in the Health Sector, is not in the best interest of good health care practice, when all the various Bodies are realigned together.

10. The recommendation on page 79 in 3.5.13 that Allopathic doctors are the leaders of the health team is not founded in any Nigerian statute. The International best Practice is that hospital chief executive can be a non medical personnel, who is an expert on Hospital Administration/Management. The Hospital has many Service teams who work in a Directorate system. The Clinical Service Team, Pharmaceutical Service Team, Nursing Service Team, Medical Laboratory Service Team etc and they are all answerable to the Chief Medical Director. The law setting up the Hospital did not say that the Hospital Chief Executive must be an Allopathic Doctor, rather it stated who is “Medically qualified” and the issue of WHO IS MEDICALLY QUALIFIED IS BEFORE A COURT OF COMPETENT JURISDICTION (FEDERAL HIGH COURT, AWKA) to interpret who is “Medically qualified”. All the different Directors of the Service Departments are “leaders of their team”. So the term Medical Doctor is the leader of the team is a misnomer, for in the Hospital there are many Service Teams who are answerable to the General Service Team Leader, the Chief Executive of the Hospital, who all over the world must not be a Medical Doctor.

11. The recommendation on page 91 in 4.5.6 shows how the Committee was just there to favour Allopathic Doctors, all payments, even the ones they did not rightly deserve were given to them, when it is not a statutory right, but issues as it affects JOHESU were denied them. The Committee did not have the will power to tell Government to obey the rule of law.

12. The recommendation in 4.7.4 on page 94 is prejudicial to other Medical Personnel. It is not only House Officers who are interns that should be paid rural posting and other allowances, when they perform the relevant duties in the rural area. All Health Professionals who render such essential duties should be paid such allowance. As such we reject this recommendation.

13. The recommendation on page 105 in 5.2.8 that

A. The Federal Ministry of Health should as a matter of urgency develop a separate scheme of Service for Professionals in Tertiary Health Institution.

B. The Federal Ministry of Health should … review the issue of Proliferation of Cadres within the Public Healthcare System as well as those with duplicated and overlapping function, with a view to properly realign them and their function.

D The Federal Ministry of Health should direct heads of agencies in the Public Health Sector to fully implement the Scheme of Service without them being appointed HOD is a violation of the various Scheme of Services and the Public Service criteria for appointment in the Civil Service as already stated in the Scheme of Service. As such we reject this recommendation.

14. The Committee in her observation in 5.4.14 on page 111 showed prejudice to the implementation of Court Judgment in favour of JOHESU on movement of JOHESU members from grade level 10 – grade level 12 as stated in the Scheme of Service. The Government has refused to implement this, even though there is no stay on execution on this matter. The Committee could not recommend that the Government should to do the right thing. The same Committee members recommended skipping for Allopathic Doctors in 5.4.17d on page 113. The same Committee and Government that refused to uphold the Scheme of Service for JOHESU members even with Court Judgment in their favour, recommended skipping of COMMESS 2 (Salary Grade Level 12) which is not in their scheme of service for NMA, by stating, the status quo ante should be maintained pending the outcome of the appeal by the Federal Ministry of Health in the National Industrial Court on the matter.

B. On issue of Post Graduate College, for all Medical Personnel the Committee has shown prejudice to JOHESU members, she has only favoured Allopathic Doctors, to be the only one having Post Graduate College as stated in 6.5.2 on page 136

VIOLATION OF RULE OF LAW AND CRITERIA FOR APPOINTMENT INTO THE CIVIL SERVICE OF THE FEDERATION!
15. The recommendation in 7.28 on page 142 that;
A. The Radiologist heads the Radiology Department while the Radiography Scientist does the imaging and submits to the Radiologist for interpretation and further action.
B. The Pathologist who is a physician, head all Pathology laboratories. In this regard the Scientist, including Medical Laboratory Scientists collects and analyses specimens and then forwards the results to the Pathologist for interpretation and further action
C. The ophthalmologist heads the Ophthalmology Department and refers relevant patient to the Optometrist.
D. Despite (a,b & c) above, the Radiologist, Pathologist and Ophthalmologist who are Medical Doctors can also independently conduct or carry out relevant test in the Laboratory and the most Senior Scientist in the Department of Radiology and Pathology shall act as the Technical Head of the Laboratory and be responsible to the Head of Department. The above recommendation is a violation of the various Scheme of Services for Medical Laboratory Scientists, Radiographers, and Optometrists. Again it is a violation of the criteria for appointment as stated in the Public Service Rule 020205 to be eligible for appointment into the Federal Public Service Rule every applicant must 20205e “Possess requisite qualification as provided in the scheme of Service”. No Nigerian Scheme of Service has given Allopathic Doctors such function. The scheme of Service for Medical Laboratory Scientist in section 2.9, 2.9.1 provides that the Director of Medical Laboratory Services shall be in Charge (Head) of the Department of Medical Laboratory Services. This recommendation is an affront to the judgment in favour of Medical Laboratory Scientist in the National Industrial Court conveyed via suit No. NICN/ABJ/128/2013 of 23rd October, 2012. The recommendation above violates section 18 subsections 2, section 22 subsections 2 of MLSCN Act 11 2003. The recommendation violates section 5 subsection 5 of CAP U15 LFN 2004 University Teaching Hospitals (Reconstruction of Boards etc) which is the organic law for Hospital operation & service in Federal Health Institution

JOB EVALUATION AND AMENDMENT OF EXTANT LAWS!
16. The recommendation on page 145 in 7.4.5 is a waste of tax payer’s money. For there have been many job evaluation before now that has not been implemented and the files are just lying there

17. The recommendation on page 149, in 7.5.9 that Government should initiate action on the revision of extant law is purely an NMA agenda Government should be firm in calling NMA and her agents of division in the Ministry of Health to order. The problem in the Nigeria Health Sector is flagrant disregarded of extant laws and Scheme of Services of other Health Professionals by Allopathic Doctors supported by the Ministry of Health and Chief Executives of Hospitals. There is no problem in the extant laws, the Committee failed to call Allopathic Doctors to order on their disregard of statutory laws of other Health-care Professionals. Anybody employed in the Service has an essential service to render and there are criteria for appointment, which Allopathic Doctors have failed to respect.

contd.....


INTERN WELFARE AND RELATIVITY!
18. The recommendation in 8.5.5 on page 172 that interns should be on duty when their supervisor are not working (on strike action) can be detrimental to patients because these students are to be supervised by their Senior Professional Colleagues. So if the supervisors are on strike, how can they be rendering specialized services, when their supervisor and quality control officer, who makes sure that accurate and efficient services are rendered are not around?

19. On the issue of relativity this is not founded in any labour statute in Nigeria as stated in 8.6.4 on page 174. Allopathic Physicians cannot be the one to decide what other Health Professionals should earn.

20. The recommendation in 8.6.16 on page 178 is a waste of tax payer’s money. There has been much job evaluation that has been done in the past and they were never implemented. It is a ploy to deny JOHESU members the Ruling of the NIC in their favour. When Government was negotiating with NMA and granted skipping did she do any job evaluation to have granted skipping of COMMESS 2 which is (Salary Grade 12)?

ATTEMPT TO AMBUSH THE LAW!
21. The recommendation made on page 187 in 9.2.8 for the immediate review of MDP Act CAP M8 LFN 2004 and the MLSCN Act CAP M25 LFN 2004 to remove the conflict in the function of the two agencies is misleading and false as suggested by Association of Pathologist and recommend by the Committee. This issue has been solved by the judgment of the National Industrial Court in favour of Association of Medical Laboratory Scientist that the laws governing MLSCN and MDCN are not in conflict. Again this matter is already before the Appeal Court and Supreme Court. So how can this Committee be sitting on a matter before a Court of Competent Jurisdiction? The Committee in favour of the opinion canvassed by the former Minister of Health Prof. Onyebuchi Chukwu cannot sit in judgment to upturn the Res of a matter before a Court of Competent Jurisdiction. Above all, all that were adopted in this Committee have been canvassed in a Court of Competent Jurisdiction by members of Association of Pathologist/MDCAN and the Former Minister of Health Prof. Onyebuchi Chukwu and they lost. The Committee report is an exercise to ambush the rule of law.
ENACTING ENABLING LAWS FOR FMCS/AMENDMENT OF ACT CAP U15 LFN 2004!
22. The statement and recommendation on page 195 in 9.6.9 that Ministry of Health and Justice should take urgent steps to enact legislation for the Federal Medical Centre and other agencies that do not have enabling laws is false and misleading. The Federal Medical Centres have enabling laws and this has been ruled by the Court. This same statement was canvassed by the Minister and members of NMA in the above mentioned case. Section 19 of the Universal Teaching Hospital (Reconstitution, of boards etc) Act CAP U15 LFN 2004 – provides – “Hospital includes all institutions (However called controlled by the Board”. NIC has ruled that this law governs FMCs and is applicable to any Health Federal Institution. Again section 1 subsection 2, and section1subsection 2(a) of this same law provides –“the President may, from time to time, by order published in the Federal Gazzette.
A. Increase, vary or delete the Hospital specified in the schedule to this act”. We don’t need another law for FMCS.

B. The recommendation for amendment of the above stated law, is a waste of tax payers money to accommodate two Deputy Chairmen Medical Advisory Committee one for medical Service and the other for Clinical Training. What are the functions of the different Directors? The Committee should have mustered courage to condemn the illegalities in our various hospitals where different offices of DCMAC are created illegally till today not backed by law. This recommendation is a ploy to accede to the demand of NMA to destroy the Scheme of Services of other Health care Professionals that have Directorates
MLSCN AND NAFDAC LAWS!
23. The recommendation on page 199 in 9.7.8 is misleading NAFDAC and MLSCN are not given the same job. The work of MLSCN is specific to regulate the production, importation, sales and stocking of diagnostic laboratory reagents and chemicals, while NAFDAC regulates other medical devices. The two laws are not in conflict it is not duplication because it is only medical laboratory diagnostic materials that MLSCN regulates, while NAFDAC regulates, sale and use of food, drugs, cosmetic and other medical devices.
MLSCN AND IVDs REGULATION!
24. The statement made by the former Minister of health Prof. Onyebuchi Chukwu in 9.7.2 on page 196 “that he was intrigued by the fact that MLSCN has powers to regulate laboratory equipment and reagents when they were not trained to do so, and that MLSCN lacks the capacity and competence to perform this function” is false and unfounded with all due respect. Medical Laboratory Scientist all over the world are involved in the standardization of reagents, and equipment they use in working. They are involved in instrumentation and in fabrication of equipment. In fact section 29(a) of MLSCN Act 11 2003, “defines Medical Laboratory Science as the practice involving the analysis of human or animal tissues, body fluids, excretion, production of biologicals, design and fabrication of equipment for the purpose of medical laboratory diagnosis, treatment and research”. The statement credited to the Minister above is not evidence based but prejudice. The most qualified agency to regulate Medical Laboratory Diagnostics is MLSCN she has the capacity, expertise and the statutory mandate by law to do so. The observation made in 9.73 again is false and misleading that MLSCN doesn’t have the mandate to regulate the importation of medical diagnostics. In line with MLSCN act in section 4 e MLSCN is saddled with the responsibilities regulate the production, importation, sales and stocking of diagnostic laboratory reagents and chemicals. The recommendation above will bring about untold hardship to patients because; it is Medical Laboratory Scientist that knows, use and standardizes Medical Laboratory reagents fit for Medical Laboratory Investigations.
DERECOGNITION OF DOCTOR OF OPTOMETRY AND DOCTOR OF PHARMACY!
25. The recommendation for the abrogation and non recognition of Doctor of Optometry, and Pharm D Professional Doctorates in the Civil Service is ill fated. It should be noted, that all along, this has been canvassed by NMA in many fora. The award of Professional Doctorates in the health field is a global phenomenon. All over the world, there is Doctor of Optometry, Doctor of Pharmacy, Doctor of Psychology, Doctor of Nursing Practice, Doctor of Clinical Laboratory Science, Doctor of Natural Medicine, Doctor of Physiotherapy, Doctor of Integrative Medicine, Doctor of Holistic Medicine, Doctor of Ethnomedicine, even there is Doctor of Jurisprudence (Juris D). And Lawyers were the first to use this title Doctor. The title Doctor is not exclusive to medicine, for if it were, you would not have the term – “Medical Doctor”. The Committee’s recommendation is done in bad faith and upholds NMA long held agenda.
AFFRONT ON THE NIGERIAN CONSTITUTION AND NATURAL JUSTICE!
26. It should be noted that in the acknowledgment to this document the Committee, wrote “we also wish to appreciate the contributions of the immediate past Minister of Health, Prof. Onyebuchi Chukwu …… Similarly, the Committee is also appreciative of the response of the other former Ministers of Health for Interaction. These include Dr. Emmanuel Nsan, Prof. Adenike Grange, Air Commodore Dan Suleiman, Hajia Amina Ndalolo, Alh. Suleiman Bello. The Committee benefited a great deal from their view and advice born of their wealth of experience in the Health Sector”. Prof. Onyebuchi Chukwu & his colleagues have always shown prejudice against JOHESU members, especially Association of Medical Laboratory Scientists. All he has canvassed in this report is what he canvassed in the case between Association of Medical Laboratory Scientist and two others VS Attorney General and 5 others. The Minister of Health lost in this case at the National Industrial Court. Again it should be noted that Prof. Ibirionke Akinsete, FAS, who is a member of the Committee is in Court with MLSCN of Nigeria. The observation made by Association of Pathologist of Nigeria which was adopted by this Committee was what her members canvassed in Court and lost. The action of Prof. Onyebuchi Chukwu, Prof. Ibirionke Akinsete and the position of Ministry of Health in this report undermines the second principle of Natural Justice “Nemo Judex Incausa sua” – No body shall be a judge in his own cause or case. In order words when adjudication is intended in a matter which comes before him, he should not participate in the adjudication, if he does, the result will be nullified on the ground of likelihood of bias. The presence of Prof. Ibirionke Akinsete FAS in this Committee is highly prejudicial to MLSCN because she is presently in Court with MLSCN. Above all, the issue raised by Prof. Onyebuchi Chukwu is already before a Court of Competent Jurisdiction. The Committee cannot put herself forward to make recommendations on issues before a Court of competent jurisdiction. Fair Hearing and Natural Justice is an International concept, it has been recognized under article 10 of the United Nation Universal declaration of human rights 1948. What NMA, Prof. Onyebuchi Chukwu and his colleagues could not achieve in Court, in the National Assembly, and in the National Confab, is why they want to ambush the Health Sector through Yayale Ahmed Committee Report, as such we reject this report.

27. It should be noted that the Committee’s recommendation is a violation of section 34(1) (A),(B) and Fifth Schedule Part 1 Code of Conduct for Public Officers as stated in the 2011 Constitution of Nigeria (as amended).
34(1) every individual is entitled to respect for the dignity of his person, and accordingly.
(A) No person shall be subjected to torture or to inhuman or degrading treatment (B) no person shall be held in servitude.
The Fifth Schedule Part 1 Code of – Conduct for Public Officers 1 and 9 states.
(1)A public officer shall not put himself in a position where his personal interest conflicts with his duties and responsibilities
(9) A public officer shall not do or direct to be done, in abuse of his office, any contrary act prejudicial to the rights of any other persons knowing that such act is unlawful or contrary to.
The recommendation of this Committee is prejudicial and contrary to the laws of the Federation.

CONCLUSION
Finally, haven consulted extensively with our members and our Legal Adviser, we firmly believe that this report is a violation of our right to Professional dignity and existence, above all it is an affront on the subsisting Court judgment in favour of Association Medical Laboratory Scientist and all JOHESU members, an affront on the Public Service Rule, Scheme of Services for Health Professionals. It is a report supporting flagrant disregard of Rule of Law. Based on this, we the members of Association of Medical Laboratory Scientist Delta State Branch reject this document in totality and call on the incumbent President Dr. Goodluck Ebele Jonathan(GCFR) not to implement these recommendations, because it will bring about the imminent collapse of the Health Sector in Nigeria. If the President wants a true resolution of conflict in the Health Sector, he should dust Justice Abdulahi Gusau’s report on conflict resolution in the Nigerian Health Sector, because this Committee holistically brought functional recommendations that will bring lasting peace in the Health Sector based on equity, fair play and justice. Government should reflect on the report of Ayida Review Panel 1994 that reported that the Civil Service should revert to the system that is guided by the relevant provisions of the Constitution, the Civil Service Rules, the financial regulation and Circulars. This will stop the flagrant disregard of extant laws, bring about the demilitarization of the Health Sector, and stop frequent bickering, rancor, and impunity in the Health Sector.

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