₦airaland Forum

NMA to go on strike through their NARD proxy come June 2.

MrBigiman:
Fejiro Oliver is a failed journalist, who only comes alive when Johesu displays their intermittent, unwarranted insanity.

And you are sane?

Because you have successfully made is all poor. Ewu

Nigerian criminals eh... Why is that when the police catch people, they get to open their mouth anyhow. Them never hear of the saying "u ave the right to remain silent, whatever you will be used against you in the court of law"?

This yahoo boys wahala these days is just apply to distract us from the impending elections. In as much as the story dey sweet me so, makeweight no forget to get our PVC.

Note: If u are a yahoo boy and need to sale ur cars, pls contact me.

May 28, 2018

It was James Baldwin, a foremost social critic and human rights activist who said; “Not all that is faced can be changed, but nothing can be changed unless it is faced”. Given the gravitas of recent agitations for change and complete overhaul of the healthcare system (both structurally and functionally) in Nigeria; it is now more than ever obvious that such revolutionary change as the type propagated by Baldwin and his likes to fight the racial evils of greed, tyranny and oppression, is permeating through our beloved country and in focus: its healthcare system!

It is no news that the Nigerian health sector has been in crisis, most evidential of which has been the on-going nationwide strike by the ‘Joint Health Sector Unions’ (JOHESU). These aggrieved healthcare professionals viz. Medical Laboratory scientists, Nurses, Pharmacists, Radiographers, Physiotherapists and the like, seek to redress some injustices ingrained in the sector by decades of undue oppression and misuse of authority. Worthy of mention in this expose` is the Nigerian Medical Association, the national body of Medical doctors in the county. JOHESU and NMA form the associations of key stakeholders in the sector, together with the Federal and state Ministries of Health. The arguments and counter-arguments of each body and their role in the current debacle would be brought under focus.

The demands of JOHESU in its on-going industrial action include but are not limited to;

· Harmonization and upward review of salaries.

· Professional autonomy, viz. creation of directorates as provided for in the enabling acts of each professional body.

· Consultancy status and recognition of Specialist training for other professionals in the heath sector.

· Headship of health institutions.

Harmonization and upward review of salaries: It is on record that prior to 1991; Medical doctors (NMA) entered the civil service at GL 09 step 3 while Pharmacists (JOHESU) entered at GL 09 step 2. This was when the ministry maintained only one salary structure for all healthcare professionals. Apparently this allowed for relativity in the salary structure in line with the principle that those officers who spent one more year in training entered the service a step higher than their counterparts who didn’t. The reality now however, is that there are two separate salary scales; one – CONMESS, for the NMA and another – CONHESS, for the JOHESU. Enter the challenge: the CONMESS has enjoyed an upward review of salaries twice now (2014 and 2017), whilst same (though agreed upon) have not been implemented for the CONHESS! Thus the equation has been influenced astronomically in favour of Medical doctors, to the point where the salary differential is now nothing but unjust. Whatever argument the NMA and Ministry of Health have for their collective misinformation of the public to the end that JOHESU is asking for ‘pay parity’ is out rightly fallacious and unjustifiable!

Professional autonomy: It is worthy of mention that the Ministry of Health, is the only one in Nigeria where officers are stagnated from reaching the peak of career ladder in the scheme of service. Most health professionals except medical doctors get stalled at the rank of ‘Chief’ (GL 14) where they would remain for about 12 years till retirement; denying them the right to attain the three other ranks above this, viz.; ‘Assistant Director’ (GL 15), ‘Deputy Director’ (GL 16) and ‘Director’ (GL 17). The refusal of the Ministry of Health to create separate directorates for each profession has further aggravated this issue. Big question: Why would an accountant in the Ministry of Finance progress to the level of ‘Director’ and his counterpart, say a Nurse or Lab. Scientist in the Ministry of Health is stalled at ‘Chief’ cadre?

READ ALSO: Want To Determine Our Salaries –JOHESU
Consultancy status and recognition of Specialist training for other professionals: A consultant may be described as a senior professional with relevant Post-graduate training, who bears responsibility for the design, development, delivery and direction of a particular service. The roles and functions of healthcare professionals viz. Medical Lab. Scientists (MLS), Nurses, Pharmacists et al., are being modified as global healthcare practices move towards a multidisciplinary approach to patient – centered management. Training and recognition for the Consultant Biomedical Scientist (Consultant MLS if you may) has been ongoing for over three decades in the UK NHS system. The same applies for the practice in Iran, Austraila and many other ‘first rate’ medical destinations. Neighboring Ghana and the US are fast moving towards this direction with the advancement of the professional Doctorate of Clinical/Medical Laboratory Science (DCLS), which is set to become the benchmark for advanced practice; just as the Doctor of Nursing practice (DNP) and Clinical Pharmacy (Pharm.D), initiated decades ago. Drivers for this change have been identified to include; the need for a reconsideration of professional barriers to further develop skills necessary for patient benefit and efficient healthcare service; the need to provide advanced career opportunities to help retain experienced and expert practitioners. It is worthy of mention that there are Nurse Clinicians in the US who run outpatient clinics and have a more advanced role in the healthcare continuum. Contrary to what the NMA would have the public know, these and many more form the basis for JOHESU’s clamour for ‘consultancy status and recognition of specialist training’ for its professionals. A position that has been endorsed by the West African Health Organization (WAHO).

Headship of health institutions: Positions of Healthcare administration like those of Chief Medical Directors, Permanent Secretaries, Commissioners and Ministers of Health are nothing but that: Administrative functions! They are not clinical positions/headships! It is worthy of mention, that heads of international medical organizations have not always been Medical doctors. Case in point is the current Director General of the World Health Organisation (WHO): Dr Tedros Adhanom, a Biologist and Public Health researcher, who had also served as Minister of Health for our ‘sister-country’; Ethiopia. It therefore defies logic for the NMA to claim monopoly over leadership of the Ministries of Health, whilst using same to oppress and antagonize other professionals it has deemed not of ‘its kind’. “Ignorance (permit me to add GREED) allied with power is the most ferocious enemy justice can have” – James Baldwin. It is this same greed that has made many (notably most members of the NMA) to misuse their office for professional treachery, instead of pursuing honest, innovative ways of improving availability and accessibility of qualitative healthcare.

In spite of the sumptuous challenges bedeviling the nation’s healthcare system in the form of professional antagonism and high-handedness of government; it is inspiring to note that discerning members of the public, including some key stakeholders in the sector are grasping the nuances of the whole debacle. The Governor of Kwara state, Abdulfatah Ahmed, recently appointed a Nurse as the state’s Commisioner for Health. I am still awaiting the NMA to expectedly, go on a tirade and media rant to misinform the public; that a Nurse and indeed any other health professional whom is not a Medical doctor is not capable of healthcare administration. The Lagos state Governor, Akinwunmi Ambode recently approved career progression to the Consultant cadre for Pharmacists in the state. By these collective actions, they have set the pace for the Federal and other state governments to follow.

The dynamics of healthcare provision globally are changing, and there is empirical evidence for the economic and clinical benefits. If we are to truly develop and guarantee the best level of care for the patients we serve, issues like those raised by the JOHESU must be assessed based on their own merits and not upon biased sentiments and the stammering egos of Nigerian Medical doctors (the NMA), who should know better!

*EMMANUEL O. OMOVIYE, BMLS (Hons.), AMLSCN; is a Medical Laboratory Scientist and Social critic. He writes from Warri, in Delta State, Nigeria

*Culled from Vanguard news Nigeria.

Let me laff... This woman is high on something.

igbodefender:
You are One Who Has Seen Tomorrow, A Noah of Our Times. 2023 is a special year as far as Ndigbo are concerned.

Of what use has he (Buhari) been to his neighbors sef, Igbo presidency is always used to deceive us. Is it when APC has pple like Okorocha. Look I don't care where my president comes from, all I want to know is that he/she is sane, and has the capability of being a good and effective leader.

Politics of ethnicity should be done with in this country, look at how many presidents the north has produced but their people are still poorer than citizens of war ravaged South Sudan.
As for Buhari, he's still loosing by a large margin and this time around it will be 99 vs 2%.

Hi,

Overtime we have all read different stories of 'nurses' who have caused great harm to their patients but most times when you dig deeper, you get to find out that they are not licensed nor trained to be nurses. Let us remind ourselves who a nurse is:

According to International Council of Nurses (ICN),

"A nurse is a person who has undergone the basic training in the profession called nursing,in an authorized/accredited school licensed and authorised by NMC to practice the profession nursing" therefore, you must be licensed by the federal government through the Nursing and Midwifery Council of Nigeria before you can practice here.

So regardless of who trained you, or where you are trained,
what you are trained for,
your level of education or acceptance, who authorized you or licensed you,
if your training fall short of the above, you are definitely a QUACK,
an endangered specie,
practicing what you do not know.
It is greatly illegal and deceitful to dabble into what you are not trained or licensed to practice.

NURSING IS AN INTERNATIONALLY ESTABLISHED PROFESSION.
IT IS NOT A SUBSIDIARY OF MEDICINE, THEY ARE BOTH DISTINCT PROFESSIONS, WITH DIFFERENT ROLES WHICH MAY SOMETIMES BE INTERWOVEN, HENCE WE NEED EACH OTHER IN SOME ASPECTS.

Nursing is not what you think!
It is an art, you must learn it.
It is a science, its application is evidence based.
It is demanding, you need agility
It is interesting, you have to derive joy practicing it
It is incriminating, you have to be licensed.
It is thought provoking, hence, you need intelligence.
It is not so rewarding in Nigeria, hence, you need passion.
It requires your entire life, so you need to be dedicated

Do not dabble into nursing if you have not gone through the training in an accredited training school,
you will only be rendering illegal services to the public which can even land you in jail because you are not licensed to practice the profession.
Do not make yourself a stooge to those looking for cheap labour, you can still go to school and study nursing. Just with determination, you'll get there!!!

Stay within your limits. Stay away completely!!!

To the general public, PLS note:
NOT ALL IN SCRUB OR WHITE ARE NURSES. YOU HAVE A RIGHT TO KNOW, ASK FOR THEIR LICENSE BEFORE SURRENDERING YOURSELF FOR THEIR SERVICES.

On behalf of APGA, I reject this wicked advances from the pit of hell.

Start by running the hospitals as businesses cos that's what they are. Our hospitals generate a lot of money and can pay their staff and still have enough for investments in human and capital endeavors.

Allow all professionals to be 'interdependent' on each other ie by allowing each to have a directorate that forms the management board head by a hospital administrator who can come from any of the professions but must have gone through certification of atleast masters in hospital administration who are now answerable to the hospital board.

There should be one salary structure in the healthcare system and Pay salaries according to the work volume of each professional. A doctor can't earn the same pay as a nurse likewise a general practitioner (MD) should not be earn same pay as a surgeon or critical care nurse earning same pay as a general Nurse same to be applied to the other professions but the disparity should not be unequal or unfair.

Ensure that there are mechanisms put in place that allows all professionals get to the pinnacle of their career.

Ensure that training funds are not one-sided and not only available to one profession.

Invest in the the infrastructure of the healthcare industry.

na Gburugburu dey come hail o. u no see the PDP inscription everywhere?

Thank you but we still voting PDP

Lakeside79:
Smart advertisement
This one is smart to take opportunity to treat the IGP
But the doctor forgot that is symptom is also similar to
Mental buffoonaria illiteratiasis
Same one our president suffered from

Why are you like this na?



Let me go lay down and laff properly.

I laugh in Japanese.

One good term deserves another. As for that nobody actor contesting under APC, pls go and pour ur money in the ocean than waste ur time contesting cos PDP is truly power of the people in Enugu state.

I don't know why the NMA will dictate to govt who is the employer of labour on how to treat other employees. It beats me how a set of people who claim to be highly educated don't know the simple meaning of 'consultant'. Nigerian drs if u can't open ur dictionary, a simple Google Search for the word will suffice.
I have a lot of Dr friends and most time I wonder if they the same as the bunch of no nothing miscreants parading as doctors making noise up and down, disturbing the peace of the healthcare system. When I discuss with these highly accomplished doctors, the usual conclusion is that it is greed that will make a doctor to leave his own field and go poke nose in another's field.

I read where someone called people in other professions rejects, seriously u need help. I chose Nursing as a first choice and am proud of it cos they were the ones that made an impact in my life with all my hospital experience as a little child.

At the end of the day the govt is to blame cos when we don't have enough equipments and instruments that's when a doctor, nurse, lab scientist, pharmacist etc will have time to poke nose in anothers biz.

Our Nigerian trained doctors that are here making stupid noise will get abroad and work in hospitals with nurses, pharmacist or even a hospital administrator as the CEO. If you one, just reject the job offer and come back to Nigeria and be heading dilapidated buildings with nothing but greater embarrassment and shame.

The day our health sector took a turn for the worse was when they started this consolidation and look where it has kept us when it comes to health care.

Nigeria, a country that keeps trying the same failed policies all over and over without learning from the mistakes made. The day peace will come will be when everyone gets to be on the table and decisions are taken together, until then the cat and dog system continues.

kowalsky:
Are all of you mad or there's snake dancing in your head.

Read that write up very well. NMA agreed to Johesu pay increase the major bone of contention is Johesu's systemic orchestration of a power usurping mechanism.

They want to be on the same level in terms of power and authority in the hospital. Imagine a nurse being a consultant. Consultant in what the hell I may ask. They feel it's a political appointment without realizing that consultants earn that rank by going through a strenuous stretch of training and exams. More demanding than medical school itself.

Nurses and the rest of the rejects (yes they're rejects, 99% of them wanted medicine and couldn't get it because their father's were poor or because they lacked the intellect) want to sit in their offices, bang doctors, grow fat and then become consultants.

What nonsense! No where in the world does this kind of fuckery comes up. If the federal government dares to cave in to their requests. Expect a lot of people to die cause no way will a doctor be in the same hospital where a nurse is CMD. It doesn't happen anywhere else in the world and Nigeria will not be the first.

Nonsense!

Elueme:
I wish u could digest the NMA position before posting this crap..
NMA is not against pay rise for anybody but ask that relativity be sacrosanct according to international best practice.. A doctor with several academic battering and fellowship struggle cannot be on same salary scale with a nurse or pharmacist.. forget the age and all, the quality of service isn't same irrespective of how old one has been in service. We must learn to respect professionalism in this country.
Johesu was formed to hang up against the doctors in the health sector because they feel with their strength they can arm twist the government.. Some of it's demands ate briddled with ego, jealousy and desire to reap where one didn't sow. The door is wide open for any who wishes to study medicine. No following short cut, go back to school and be accorded same status.

And u forgot NMA used to be members of johesu until med labs joines

kowalsky:
Are all of you mad or there's snake dancing in your head.

Read that write up very well. NMA agreed to Johesu pay increase the major bone of contention is Johesu's systemic orchestration of a power usurping mechanism.

They want to be on the same level in terms of power and authority in the hospital. Imagine a nurse being a consultant. Consultant in what the hell I may ask. They feel it's a political appointment without realizing that consultants earn that rank by going through a strenuous stretch of training and exams. More demanding than medical school itself.

Nurses and the rest of the rejects (yes they're rejects, 99% of them wanted medicine and couldn't get it because their father's were poor or because they lacked the intellect) want to sit in their offices, bang doctors, grow fat and then become consultants.

What nonsense! No where in the world does this kind of fuckery comes up. If the federal government dares to cave in to their requests. Expect a lot of people to die cause no way will a doctor be in the same hospital where a nurse is CMD. It doesn't happen anywhere else in the world and Nigeria will not be the first.

Nonsense!

Elueme:
I wish u could digest the NMA position before posting this crap..
NMA is not against pay rise for anybody but ask that relativity be sacrosanct according to international best practice.. A doctor with several academic battering and fellowship struggle cannot be on same salary scale with a nurse or pharmacist.. forget the age and all, the quality of service isn't same irrespective of how old one has been in service. We must learn to respect professionalism in this country.
Johesu was formed to hang up against the doctors in the health sector because they feel with their strength they can arm twist the government.. Some of it's demands ate briddled with ego, jealousy and desire to reap where one didn't sow. The door is wide open for any who wishes to study medicine. No following short cut, go back to school and be accorded same status.

And u forgot NMA used to be members of johesu until med lab scientists joined.

Elueme:
I wish u could digest the NMA position before posting this crap..
NMA is not against pay rise for anybody but ask that relativity be sacrosanct according to international best practice.. A doctor with several academic battering and fellowship struggle cannot be on same salary scale with a nurse or pharmacist.. forget the age and all, the quality of service isn't same irrespective of how old one has been in service. We must learn to respect professionalism in this country.
Johesu was formed to hang up against the doctors in the health sector because they feel with their strength they can arm twist the government.. Some of it's demands ate briddled with ego, jealousy and desire to reap where one didn't sow. The door is wide open for any who wishes to study medicine. No following short cut, go back to school and be accorded same status.

And u forgot NMA used to be members of johesu until med labs joines

When u work long hours, understaffed, underpaid and no chance for breaks, that's what happened there.

PDP did not come to play oooo. Apc is aaaa gone

Johesu Is not asking for the same salary pay. OK now imagine where a house officer earns approximately 198k per month and then a nurse, pharmacist, radiographer or MLS who has spent 15 yrs under the employ of govt earning the same pay.
Now where is the justice in this. Sentiments has to be done away with, no one asked for same pay just that there should be fairness, equity and justice in the health system.

Or talk about MD's heading someone else's department like the MLS who have had like worst treatment meted out on them in this country.

Follygunners:
Imagine, dis one na ordinary 9ja nurse and go dey make noise like say she me qualified M.D.

Chai... Just imagine if she be M.D.

Listen and listen good. It took me ~+8yrs of progressive medical school and training (residency included). So, keep mum when real pple dey yan, abeg.

Thanks!

Your reply smacks of ignorance and shows the need for you to go back to school and receive further training.

All I know is that the op has no understanding of what Consultancy means. Basically a consultant cardiologist is a master in that field which is what Nurse consultants, pharmacy consultants etc. are all about.
In the Nigerian medical profession, one group lords it over others and try to slow or inhibit their growth. Which begs the question, since doctors have been lording it and heading every head able position (and creating more for themselves), have the Nigerian health sector improved? We all know how we came to this sorry state in our health sector and we all know how to get out of it.

Someone should please help that young man. He's troubled

[quote author=olusola200 post=66589854]Power of negative thinking, do u have a better candidate?[/quote
Do you?

KenOne:
Are all the things he mentioned above correct or false. Prove him wrong if its false. Me as a person I don't hate unnecessarily because I want to. Any area one has done well man up enough to commend the person even if you don't like the person. A quote this morning from a popular radio analyst in Port Harcourt Emma Ndukwe says ( If you want to see areas where PMB has done well you'll see and if you decide not to see where he's done well even when its done in your backyard you'll not see) I know Buhari has not done well in some areas like Fulani herdsmen killings but tell yourself the truth in terms of roads and projects in South East he has done better than PDP, at least Ekweremadu once commended PMB about some water/roads projects in Enugu.

Most of the roads he mentioned were going on prior to Jonathan handing over so to me personally it's not good enough of a reason as govt ought to be a Continium.

Praaaaaaaaaaise d Lord,
brethren I am here to testify that this trick works, join me in thanking the op.

nrexzy:
I see him handwork for ur English

inasmuch am not well versed in the English language, thank u for ur incoherent correction.

This guy is seriously playing. wasting his money cos so far as Enugu is concerned, APC is dead on arrival.

nrexzy:
Best eastern governor after okoroacha

Amadioha just fried ur thunder. Okorocha is the worst governor in the East followed by the man in Abia. Enugu and Ebonyi tied in the 2nd position.

The same NSCDC that shot someone along that same New market road... Nawa ooo. Don't know why they were given guns