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What are you still doing with us in Nigeria?

xreal:
Do you know the rigours pharmacist go through before being certified? Same goes to medical health records professionals who renew their certificates every year (either employed or not).

Relate with the physiotherapist, Radiologist and you will know how vital their role is in the hospital.

Don't let us mention nurses.

Being a medical doctor is by choice, just as being a medical laboratory scientist is.

Discrimination shouldn't be that obvious in a government established hospital.

Yes, doctors can earn more from call duty allowances, pharmacist also run call, virtually most of these professionals run one of either overtime, call, and so on. The difference can come from there and not salary scale.

Also if I am a Radiologist, let an experienced radiologist head my department and not a medical doctor.

I am sure if JOHESU keeps quiet as they had been, a medical doctor will head the works department ( if that hasn't been happening already).

Brother, radiologists are doctors
You're talking about radiographers

ii) Director of Administration headed by an administrator with divisions that include establishments, account and supply, audit, expenditure, works, nutrition, kitchen, laundry, security, etc.


f) Headship of clinical departments, clinical and training laboratories in the tertiary hospitals for teaching, training and research of undergraduate and postgraduate students. They are all headed by specialist medical doctors/unversity lecturers and in the laboratories they are also called Pathologists with units headed by optometrists, radiographers, medical scientists, technicians etc. 


In my opinion the solutions to the unending crisis in the health sector are mainly,


1. Implementation of the Presidential Committee of Experts on Inter-Professional Relationship in the Public Health Sector report by Yayale Ahmed committee submitted to FG on 19/12/2014.


2. Invitation of "foreign" experts like PricewaterhouseCoopers and Agenda for Change for proper job evaluation and placement.


3. Consideration for law amendments and the movement of all tertiary hospitals under affiliated universities. They also have their issues, but they seem to be relatively more stable. There is high academic loss in the current setting. 


4. Strengthen and make wholistic coverage the National Health Insurance Scheme (NHIS), and then privatise all tertiary hospitals. Both LGA, States and FG shall concentrate in primary and secondary health care services especially the former. In my limited opinion, this is the best long term solution to our low quality health care services in Nigeria. There shall also be active support for purely private investments in health. The investors will decide who heads or leads who, what, which and how. 


5. Positions of leadership in the FMOH, parastatals and its agencies can be tackle by the FG as it deems fit.


You can correct me where I erred. May God forgive my mistakes. 


Aknowledgement: Dr N.L. Orhue, my friends in other climes. 


ibrahim Toli

doctoli@gmail.com

In 2013 the National Industrial Court of Nigeria (NICN) passed a judgement for skipping of GL 12 for health workers on CONHESS ie any other hospital worker except doctors. So the entry point of pharmacists, medical lab scientists (and degree nurses around 2017-2018) becomes GL 13 around 2013-2014. In view of this, the entry point of doctors also shifted to GL 13 between 2016-2017. Other health workers are variously employed at GL 8-9.


Medical doctors can pursue their post graduate studies through Residency Training Program (RTP) or traditional postgraduate degrees of MSc and PhD otherwise they join the public service like any other degree holder. Doctors that join the RTP in tertiary and teaching hospitals are called Resident doctors. They gain entry only after passing an exam with a pass rate of 35-45% and average waiting time of 2-4 years. They are doctors under training to become specialists. They are temporary staffs throughout the training and get promoted only after passing exams, 2-4 years after starting the program in the first stage and 3-5 years in the second stage. This is a privilege enjoyed by 15-25% per exam. The specialist exams are conducted twice a year in Ibadan and Lagos. Other health workers including specialist medical doctors are permanently employed in the hospital. The latter are also University lecturers for teaching, research and supervision of undergraduate and postgraduate students including non doctors. 


Medical doctors with first degree in the University are employed as Lecturer II similar to PhD holders while every other degree holders are  employed as Graduate Assistants, in the military doctors occupy the rank of equivalent of army Lieutenant and 2nd lieutenant in others, DSP and ASP in police, in Custom and Immigration same, SIO1 and SIO2 in DSS respectively.


The other aspect is that of leadership. 


a) At present both the substantive and State ministers are medical doctors (prerogative of Mr President).


b) The following are departments in the Federal Ministry of Health (FMOH), ii, iii and iv are headed by medical doctors http://www.health.gov.ng/index.php/department/84-departments. 


i) Department of Procurement with two divisions; capital and recurrent.

 

ii) Department of Family Health with five divisions; Child Health, Gender adolescent school and elderly care, Health promotion, Nutrition and Reproductive Health.


iii) Department of Health Planning Research and Statistics. 


iv) Department of Public Health with eight divisions; Non-communicable diseases, Neglected Tropical diseases, Occupational health and safety, Port health services, National Tuberclosis and Leprosy Control Programme, National Malaria elimination programme, HIV AIDS and Epidemiology services. 


v) Department of Finance and Accounts.


vi) Department of Human resources.


vii) Department of Food and drug services. 


c) The following are agencies under FMOH http://www.health.gov.ng/index.php/department/79-the-ministry. Agencies i, iii and iv are headed by medical doctors.


i) National Primary Health Care Development Agency (NPHCDA).


ii) National Agency for Food & Drugs Administration and Control (NAFDAC).


iii) National Health Insurance Scheme (NHIS).


iv) National Institute of Medical Research (NIMR).


d) All the chief executives of tertiary hospitals are specialist medical doctors (Act of the National Assembly). There are 13 Federal Specialty Hospitals, 21 Federal Medical Centres and 22 Federal Teaching Hospitals http://www.health.gov.ng/index.php/department/83-parastatals. 


e) The following are directorates in the tertiary hospitals 


i) Director of Clinical Services and Training/Chairman Medical Advisory Committee headed by specialist medical doctor. There are divisions like 2 deputies headed by specialist medical doctors, (deputy) director nursing headed by a nurse, (deputy) director pharmacy headed by a pharmacist.

Never ending health crisis 


GL 1

GL 2.  CONHESS 1

GL 3.  CONHESS 2

GL 4.  CONHESS 3

GL 5   CONHESS 4

GL 6   CONHESS 5

GL 7.  CONHESS 6

GL 8   CONHESS 7 

GL 9   CONHESS 8    

GL10  CONHESS 9    CONMESS 1

GL12  CONHESS 10  CONMESS 2

GL13  CONHESS 11  CONMESS 3

GL14  CONHESS 12  CONMESS 4

GL15  CONHESS 13  CONMESS 5

GL16  CONHESS 14  CONMESS 6

GL17  CONHESS 15  CONMESS 7


For the benefits of those asking us what is really happening currently in the tertiary health sector. The conflict centres around MONEY and LEADERSHIP positions which in turn is link to money. Other confounders are gross indiscipline, ego, lack of job description, failure of supervision and conflict of interest. As a whole, it is a systemic failure needing urgent, radical and wholistic repair to prevent complete collapse. 


There are currently two salary structures in the public tertiary hospitals in Nigeria. They are called CONMESS for medical doctors and CONHESS for all other hospital workers including those in the administration and accounts. CONMESS was born on 29/09/2009 via the circular SWC/S/04/S.410/220 while the CONHESS was born on 08/12/2009 through the circular SWC/S/04/S.410/Vol.II/349 of National Salary Income and Wages Commission (NSIWC) respectively. Both the two salary structures are consolidated and derived from the traditional grade level (GL) system as shown above. Note that there is no GL 11 in the traditional grading system for all civil servants which is taken care of in both CONMESS and CONHESS, hence the APPARENT lack of level skipping in them. 


The States and local government councils are still using the traditional grading system and pay less than the FG. To my knowledge only Yobe State has just started paying health workers exactly as the FG!


I will be using the traditional grade level system for ease of understanding. Very very few people including those in the Accountant General of the Federation's office easily comprehend the interrelationship of the 3 salary scales. 


Between 1998-2013, doctors and any other hospital worker of equivalent level had identical basic salary while between 2009-2013 they had identical basic salary, hazard and teaching allowances. The differences were in call allowances where doctors earned higher and specialist allowance to medical consultants or specialists on GL 15-17 only. Note that doctors on GL 15-17 that are not specialists are not PAYED specialist allowance. In 2014 relativity was restored where the basic salary of doctors became 20-50% higher than equivalent levels of other hospital workers from GL 13-17 only. There had always been differential pay relativity between doctors and other health workers from 1960 to 1998 at various ratios. In the years 1998-2013 that was when relativity was lost. When it was restored in 2014, the conflict resolution compromise was to forgo 25 years of arrears.


After graduation from medical school, a doctor practices for 12 consecutive months under supervision of a specialist or a very senior doctor of no less than GL 15 before given licence to practice independently. These group of doctors are called house officers. Pharmacists, degree nurses and medical lab scientist have similar program and they are called interns. All are now employed at GL 10. It used to be GL 10 for doctors and GL 9 for the other 3 until around 2013-2014 except for degree nurses that started internship around 2016-2017. Both earn salary for one year only because of the services they offered, but they are not regular staff and hence not the entry points in to civil service. 


The entry points (post NYSC) for doctors in to civil service were GL 12, pharmacists GL 10, medical laboratory scientists GL 10, degree nurses GL 9 and non degree nurses GL 8 in the tertiary public hospitals. In contrast entry point for degree holders in other ministries is GL 8.

Someone cannot be sick in peace again?

Someone cannot be sick in peace again?���

Wetin off me na "they took110 of us"
Abeg how the girl wey escape take count the rest, come dey sure say na 110.
Wawu!

donofdons:
Starting salary varies from 150k in some hospitals to 590k for house officers in national hospital abuja and 550k in State house clinic in Aso villa.
Consultants in these hospitals starts earning from 1.9 million a month. But only the best doctors can work there because even connections cannot get you a spot in national hospital

Never heard a lie so BIG

idris4r83:
There are less competitive courses that are also lucrative and marketable just in case you can get a change of course. The courses are
1. Pharmacy
2. Nursing science
3. Medical laboratory science
4. Radiography
5. Physiotherapy
6. Optometry ( but am not sure if BUK is doing it sha)
If u can get any of these course you are good to go.

Radiography us very good

UbanmeUdie:




The young man is simply an opportunistic fellow.

I don't blame him at all.


Na who carry yam give goat to look after I blame.

So this little girl of 4 years is now the yam abi?
Something I wrong with you

I'm impressed!!
Someone has to be the scapegoat, this will deter others

ikp120:
You're a rich man na. Oya gimme just $500

Comman killer
Send your acc num asap

Thamostkorrupt6:
See my account balance is working for all mtn sim

Please enjoy your free MB and leave us alone

ikp120:
Instead of me to buy that thing, I go make my own phone.

That's how poor men think

DrP2000:
Bros, the standard are not the same , you can't compare both though dental is also hard but not as tough as medicine. During second MB exam, the cut off mark for dental are reduced below that of medicine but that of medicine is not reduced rather can even be upgraded if so many people passed ,.so as to reduce the quota or number of people going into the next class. Pls am.speaking in relation to UNN where I graduated from , don't know of other schools or college of medicine. But the funny aspect of all these exam is that if your father is a doctor and a lecturer in the college, it earns you outright pass with little input from you so there is no equity or fair judgement.

It's not true!! Standards are the same, and the dental students still write 2nd BDS while their mates in medicine are busy preparing for 2nd MB