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https://www.facebook.com/mikailanifowose/videos/10200826473220952/

Many patients who visited the University College Hospital, Ibadan, Oyo State on Monday left unattended to as the strike embarked upon by the hospital resident doctors entered its fourth day.

The President of the Association of Resident Doctors in the hospital, Dr. Lukman Ogunjinmi, said casualisation of medical officers and the refusal of the UCH management to honour a circular issued by the Office of the Head of Service of the Federation on the welfare of doctors were issues at the centre of the strike.

The association has about 600 doctors in the hospital.

He said, “The reasons why we are on strike are clear. What we are against is casualisation and we want skipping to be implemented as directed by the Federal Government in circulars issued by the Head of Service of the Federation and that issued by the Federal Ministry of Health.

“The Federal Government in the circular said a particular grade level should be skipped by all health workers. It has been done for all other health workers while some centres have started doing it for doctors. This is backed up. Here in UCH, it has not been done.”

Ogunjinmi however said that the representatives of the association were meeting the hospital management on Monday and that its position would be made known after the parley.

He also said that some of the members were rendering skeletal services to patients.

But the Chief Medical Director of the hospital, Prof. Temitope Alonge, had denied having doctors with casual status in the hospital.

Alonge said that some of the issues raised were internal matters that had been resolved.

He said, “For us, the issue of salaries and wages that are due to workers is not the prerogative of the ministries. It is the prerogative of the National Salary and Wages Commission. So, the issue of employment is resident in the Head of Service.


http://www.punchng.com/news/uch-patients-groan-as-resident-doctors-strike-persists/#disqus_thread

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A justice of the federal high court in Ikoyi, Lagos, C J Aneke, has granted an order of interim injunction restraining Multichoice from enforcing its planned increase in cost of the different classes of viewing of its pay TV, DSTV.

MultiChoice, owners of DStv and GOtv, had announced a 20 percent price increase for all its satellite pay TV bouquets in Nigeria to take effect from April 1, 2015. According to them, the annual price increase, usually in-line with inflation, is necessary for it to continue offering the best in local and international entertainment to its subscribers.

The judge asked parties to maintain status quo in support of the motion ex parte with an affidavit of
urgency sworn to by the plantiff. The order read in part:

“That an order of interim injunction is hereby granted to the parties to maintain the status quo restraining the 1st defendant (Multichoice/DSTV) from giving effect or enforcing its planned increase in cost of the different classes of viewing or programmes bouquet, pending the hearing and determination of the motion on notice.”

“That an order is hereby granted certifying the plaintiffs’ claim as a class action for themselves as individual subscribers, other corporate subscribers, distributors and retailers of the 1st defendants’ services.

“That an order is hereby granted restraining any other person whether individual or corporate from instituting any other action as may be related to the action against the defendant to prevent multiplicity of lawsuits pursuant to the appointment of the plaintiffs in the class action but may instead opt in or out of this action”.

The suit, filed by Adebayo Osasuyi and Oluyinka Oyeniji, DSTV subscribers/customers, at the federal high court registry Ikoyi, Lagos was adjourned to the 16th April 2015 for hearing.

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The Hippocratic oath is not a pledge to eternal slavery...Dagba Maxwell



Who would serve under any condition? Members of the NMA will not be subjected to insulting or untoward conditions of service on account of a distorted view of the Hippocratic oath. Should they work with an employer who refuses to honour agreements? Function in an environment consumed by hostility and unnecessary rivalry? Allow those who have not taken any oaths to create a neo-environment in Nigeria where there is no disparity in the wages of workers, irrespective of training and qualifications? Attempt to 'save lives' in a milieu where multiple 'consultants' of all sorts effect contradictory lines of management on a single human for the same disease condition? To whose benefit? 

The Hippocratic oath is not a pledge to eternal slavery. And if we swore before God to do anything for our patients, we did not also swear to do anything for our employers. Or to accept disrespect from other health professionals and the allied health professions. Saving lives in Nigeria is not only done in the emergency rooms, theatres, clinics and wards of government institutions. As we speak, Nigerian doctors are still saving lives - just not in that environment of madness. They are at work in some Mission Hospitals and Private Hospitals. Are they treating Germans or Vietnamese there? Surely, they are saving Nigerians like you and me.

So the NMA still stands on her words. No amount of cheap blackmail, 'emotional appeals' on the pages of newspapers, or empty government circulars will reverse this resolve. 

I will now propose a permanent solution. Let us put the strike aside for a moment. Whether before or after the NMA strike, the government needs to invite the NMA and her affiliates along with JOHESU and its constituent unions to a round table. This conference, as I will refer to it, should be broadcast live on all major TV and radio stations in the country. Government should also invite experts from at least two countries in each of the six continents of the world to that conference. These experts should include health ministry officials in those countries, as well as Medical Consultants and Specialists (Consultants or otherwise) in other health professions - Pharmacy, Nursing and Medical Laboratory Science. Also present should be representatives of the media, the senate, the house of representatives, the salaries an wages commission, the Ministry of Health, the presidency and representatives of the state governors. These experts should educate Nigerians on the way health systems are run in those countries. Pertinent questions to be asked at that conference will include the following: Who heads a hospital? What is the role of the Surgeon-General in those Countries, if they have? Is there not a Surgeon-General apart from a Health Minister? Who has the ultimate responsibility for patient care? What are the exact roles of non-doctor consultants in a health sector? Do these other 'consultants' have the right to interfere with the management plan of the doctor? is there a difference in wages between health professionals? what is the magnitude of the difference, if any? It will also help if someone from the Civil Service Commission gives a talk on structure of the federal civil service and promotions (especially to Director cadre).

Many other questions should be proposed by the unions, other stakeholders and Nigerians as a whole. 

When we have answered all these questions and the veil of ignorance has been lifted from the faces of all, the government should then sit down and use its brains to come up with a reasonable health sector policy framework which will capture job descriptions, remuneration, and appointment to offices. Needless to say that this framework should be in line with international practices as exposed during the conference. This can then be subjected to scrutiny by the national assembly and given legal backing. From then on, any further arguments about wages, appointments or job description should refer to the said document. Any deviants should be treated as offenders of the law.

Call this the Dagba solution. But without this approach or something similar, I see the hundredth generation after us still embroiled in continuous fracas over these same issues.

God save us

http://udeanthonychukwunonso..com/2014/07/the-hippocratic-oath-is-not-pledge-to.html?m=1

The Complexities of the Doctors Strike

By Goke Akinrogun
17 July, 2014

I must confess the present strike embarked upon by the Nigerian Medical Association (NMA) gives me a gummed-lip on a rather touchy development with all the attendant casualties. What I have resolved is to allow the issues to discuss itself, getting the informed to layout the issues on both sides. As a starter, I am inclined to get across some of the arguments espoused by a popular Lagos NMA activist, Dr. Majolagbe Taofik, posted as “THE NIGERIAN HEALTH SECTOR; JUST BEFORE THE WATERLOO” in www.tques..com . It makes an interesting reading though not necessarily the core-views of this column.
“It is over two weeks now since the Nigerian Medical Association pulled her members away from work. No doubt NMA received the worst bashing from the general public. This situation is so because people lack depth into the issues that have caused the present action of the doctors and of course the fact that they cannot phantom why the doctors would appear callous as to abandon their patients.
“If we must avoid the impending doom, it is imperative that we take a critical impartial analysis of the present issues, so that we can take decisive steps to avoid the worst coming to being. Rather than just always criticise the doctors for withdrawing services, it is better to first understand the issues dispassionately; next we can then query the decision of the doctors to have taken the strike option to pursue their agitation.
“Without prejudice to any of the disputing sides, I make bold to say that health service requires the collaborative efforts of various professionals and other allied workers whose only goal is to come to a positive outcome of patient care. Every part of this whole has its integral role that it plays and one part may not claim superiority over the others.
“However, in any scenario where we have different people coming together to achieve a single goal, there must be direction and this direction must be provided by leadership. The problem in the Nigerian health sector is that leadership has been misconstrued as superiority and as noted earlier, this problem has been on for decades. I also make bold to say that both sides are guilty of this misnomer.
“Much as we try to have a clear understanding of the distinction between leadership and superiority, we must however be clear as to who is the Captain of the ship. It is commonsensical that only one captain is needed to direct this ship, and anything other than that leads to chaos; which is exactly what we must avoid.
“It is also commonsensical that the best person to captain the ship is the most knowledgeable person about the entire process and without doubt that positions falls to the doctor. That the doctor is the one with the most knowledge of the patient is what the other health professionals find discordant to their ears and this has been the bane of the long standing conflict. But no one gets annoyed or argue when the lawyer says that he is the only learned person. Why should this concept be a problem within the health sector.
“What the other health workers are asking for is not just a name, but to use and be accorded what is due to the term consultant. Other than that they also believe that it is their right to also head the health team.
“Let all be clear that the term consultant may refer simply to an advisory role between a professional and its client; within the hospital setting however, this is not so. The term consultant refers to a specific role which describes a relationship between a patient and a physician who has completed his specialisation in a particular part of medicine. It is a position of responsibility as well as authority.
“The implication is that if a doctor does not become a specialist, irrespective of many years of practice or getting to the highest position in service, it still does not confer on him the title consultant. What do we then make of a nurse or pharmacist who wants to attain the same status? It has been believed that because these other health workers now pursue postgraduate degrees up to attaining a PhD it is therefore expected that it is okay for them to receive such status. But pursuing an academic career is completely different from specialisation. Even a medical doctor who decided to attain a PhD does not get the title consultant.
“The implication of having other health workers attain the status and role of consultant is that it provides more than one captain to direct the ship. For instance the consultant pharmacist may believe that he is a specialist in the field of drugs and therefore may decide on what drug a patient may or may not be given. Everyone else including nurses and laboratory scientist may decide on themselves what they want or do not want for the patient. There exists no other word for this other than chaos!
“How would a patient get well with conflicting orders? Indeed who would be ready to get on board a ship with more than one captain? Well I wouldn’t, even if the ride is for free.”





http://udeanthonychukwunonso..com/2014/07/the-complexities-of-doctors-strike.html?m=1

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