jaychubi:
Other health workers should be obedient to doctors who is their Superiors.

They shld not aspire to be consultants bc it's only for doctors in a hospital setting.

Juhesu shld allow the existing salary ratio bw them and doctors, n stop asking for salary increment as dt means automatic increment for doctors.

Juhesu members shld go and read medicine if they want to be treated as doctors or quit trying.

We all kw dt juhesu members could not score high in jamb n d4 had to settle for their fate, good news is dt they can still go back to school n read medicine.

what rubbish is this one saying. mr man if you know you didn't have anything intelligent to contribute. You could have just shut up instead you wasted that space. This thread is a million times way above your level of thinking

Gliding:



Have you considered how long it takes a pharmacy technician to catch up with a newly employ pharmacist?

Essentially, I think the basis of your argument is flawed. You referred to a newly employed doctor telling a nurse what to do as a demeaning thing. B /The doctor owns the patient/B and he is expected to take charge. Telling someone what you want then to do should not be viewed as demeaning.

Perhaps you expect such decisions to be based on negotiations with the other health workers.

This is nonsense.
Nobody own the patient

DABMarkNig2019:

It's like you've been leaving in the moon...If they didn't educate you well enough in medical school you should have read on your own that there are levels of care and of course they diagnose, prescribe and manage patients at their area of competence. They can recognise when there's danger and when there's a need for referal. You claim international best practices while closing your eyes to independent non medical prescribers in those climes.
The world is changing and we're evolving with it. NMA hasn't seen anything yet cos we're getting to the era where there'll be independent non medical prescribes even in the hospital.
That's our end goal.

When even in developed countries this does not happen. Yet you keep shouting international best practices and you still don't know your work. Illiterate. You claim you are a non medical prescriber but when it comes to lying to the poor masses you say you are in the medical Field.
Anything goes in Nigeria so you are free to continue your killing spree

sogodihno:


This is nonsense.
Nobody own the patient

When it is time to go to court, you will say the doctor owns the patient.

Solababa91:


Are you also are aware Sir that all these other professionals in the health sector counterpart abroad do postgraduate studies but the selfish and what I do not know how to describe attitude of the conglomerate of Medical Doctors are blocking these opportunity in Nigeria? So that these all other health professionals do not get the opportunity to rise to the qualification to head an hospital? Common! you can only pretend not to be aware of this. I am a Physiotherapist if I have my cash today and I establish a Physiotherapy clinic/ hospital. I can establish a clinic and recruit a Medical Doctor, a nurse, a pharmacist or any other health care professional as far as I can pay him/her and he accepts the terms of agreement. I will run my clinic successfully without inviting a specific personnel somewhere because it is an administrative position, I have Medical Doctors as friends while I was in school and after school and there was no part of their curriculum that they were thought on how to run an hospital. Running an hospital is a inbuilt skill (leadership) that any professional in the health sector can do.

Health management is part of every medical students curriculum worldwide Nigeria inclusive.

hmmm

demanding for parity does not sound right me.if i want to earn what an engineer earns by virtue of his role..all i have to do is go to the university and study same engineering course,so that i can be eligible for the allowances attached to being an engineer.
in the US,UK,canada and so many other developed countries....there are marked diiferences between the salary packages of differnent health professions, even between specialist doctors.A family physician doctor does not get same pay as a cardiologist in the US,Uk or even canada,even though they both are doctors and experts in there field,one cannot demand parity with the other..if a family physician specialists wants to earn as much as a cardiologist or an endocrinologist wants to earn like a neurosuregon..then he has to re enrol into the intended specialist training.
its as simple as that.if a nurse wants to get same pay as a doctor,let he or she enrol in a medical school
.doctors are not limiting the career profession of anybody as long as its is within their own profession.they just should not encroach in anyway into the responsibility zone of the doctor.infact they cannot even,as they are not trained to do that..
so ...

..

funmisticqueen:
stop embarassing yourself and take simple correction

this jambite. Stop commenting on thread concerning these issues. I have always read your comments on johesu threads, you have never ever made a valid arguement. you only throw insults when you are posed with smart questions. You have never one day argued like an intelligent person. This thread is way above you right now. Stick to your admission seeking first before you argue with those in the labour market. Your mates are not here. Move to the entertainment section. You have nothing valuable to contribute here. All you do is insult those in favour of johesu without making valid objective points. Move away from health section. thank you

xreal:


Adon hear.

you even bother to reply the girl. she is just a jambite seeking admission to study medicine. dont bother next time

Hairyrapunzel:


When even in developed countries this does not happen. Yet you keep shouting international best practices and you still don't know your work. Illiterate. You claim you are a non medical prescriber but when it comes to lying to the poor masses you say you are in the medical Field.
Anything goes in Nigeria so you are free to continue your killing spree

there's a course they teach you people in medical school called lying i believe so you to tell me that there no prescribers other than drs in this countries you're talking about? between you and I who is the liar?
listen, the patient comes to the hospital to get well and every health personnel contribute at different points to get the patient well.

drboy:
hmmm

infact,most people are not even aware of the whole reasons behind the strike,and even the ones that know,are only being fed with grossly distorted information.no fresh doctor gets paid 300k after task..not even a registrar in training in nigeria.fresh doctor gets paid much less that 200k with a difference of about 20-30k to the pay of a pharmacist and a physiotherapist.infact most interns get paid arouns 170 with the ones in state owned hospitals much less and their physiotherapy/pharmacist counterpart gets paid about 20k less.so this information about 50%more and so is infact lie from the devil's bossom.yet people will swallow them hook,line and sinker and publicly displaying their ignorance why saying doctors are arrogant

The leadership tussle btw mls/ lab medicine doctors and radiologist/radiographers can be solved with a joint regulatory body and improved pay especially for radiographers because of the hazard of radiation.i also support an increased hazard allowance for them.

donald197:
A better analysis and solutions to the current crisis by Dr Ibrahim Toli. Enjoy it.
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. They are employed at 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. 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) still remains GL 10 with skipping of GL 12 around 2013-2014. In view of this, the entry point of doctors now 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.

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

Some of these things you wrote na lie. Government must stop sponsoring the resident programs of doctor. Doctors should sponsor their education and leave government alone. These doctors have been deceivin Nigerians.

DABMarkNig2019:

there's a course they teach you people in medical school called lying i believe so you to tell me that there no prescribers other than drs in this countries you're talking about? between you and I who is the liar?
listen, the patient comes to the hospital to get well and every health personnel contribute at different points to get the patient well.

Is prescribing now a job description? For a prescription to be given a diagnosis has to be made. That is an individual is confirmed to have an illness therefore, a treatment plan is laid down. Only the doctor does this.
Pharmacists don't do this, lab scientists don't do this, nurses don't do this, physiotherapists don't do this, radiographers don't only doctors. Try prescribing for an individual that has no prescription from a doctor in developed countries and see if they will not jail you. Are we saying you don't contribute to patient care? It's obvious you guys like twisting things. The doctor makes the decision in managing a patient. He names the disease and lays out the treatment plan. Abi you want to start managing disease you don't know jack about? You make me laugh.
Wanting to do a job that's not your own because you want people to see you as something you are not. Mtcheww. Prescriber of the universe.

Disparity in salary is why crisis in health sector cannot be resolved —JOHESU Chairman

The Chairman of the Joint Health Sector Unions (JOHESU) and National President of the Medical and Health Workers Union of Nigeria (MHWUN), Comrade Joy Josiah Biobelemoye, speaks with SOJI-EZE FAGBEMI, on the perennial crisis in health sector, the on-going nationwide strike by the workers and why the crisis cannot be resolved except President Buhari intervenes.

There is a court injunction calling on your members to end the strike and go back to work while you continue negotiation. What is your reaction to this development?

I don’t know of any court injunction. I have not received one, neither my legal department has reported to me that they had a notice and so they are going to court. So, I am not aware.

What if it happened and you got the notice, how will you handle it, bearing the fact that there are many court judgements in favour of JOHESU against the government which have not been implemented?

That is one of the reasons I doubt if any court will even give such a reward to the Federal Ministry of Health, Federal Ministry of Labour or their proxies; because this very courts have given their rulings; between eight to nine rulings they have disrespected. So, I am not too sure they have the moral right to even go to court to approach the court, but if they have gone through the proxy, I believe the court would not even grant it because they have disobeyed the same court.

There is this issues generating argument between the NMA and JOHESU, that if your member as a graduate get into service like say on grade level eight, and he spent seven to eight years to get to level 12, and a fresh medical graduate enters same service directly at level 12, the NMA is still insisting that the basic salary of a fresh graduate Doctor who enters at grade level 12 must be higher than your member who has spent seven years gathering experience to get to that grade level. Is this the fact and can that be justified?

Certainly it cannot be justified. Service wide, people of equal grades in any sector earn equal basic value. What makes the difference is the peculiar allowances. For instance, if someone enters as a clerical officer, passes his promotion and confirmation exams and gets moving until he has additional qualifications, moves to executive cadre and gets to grade level 12, his own basic will be the same as any others who enters at grade level 12. Or like Architects, engineers and lawyers, if that man gets to level nine, no separate basic is provided or produced for them because a junior cadre person has grown to level nine.

Now, if that is not possible, we are talking of graduates, two groups of graduates where some are trained for eight years, the doctors are trained for eight years, and the others are trained for between six and eight years under JOHESU. Nurses are trained for seven years, which is post NYSC. They are trained five years academic, one year internship and one year youth service. Doctors are trained six years academic, one year houseman-ship and one year youth service. Optometric within JOHESU are trained for eight years too, six years academic, like doctors, one year internship and one year youth service.

Even these ones that are trained for equal years with the doctors are still not entering service at grade level 12. They are entering at grade level 10 which is CONHESS 9 and their salary is not equal to that of Doctor who just enters service even after they get promoted to level 12 after three years in service. For Nurses who enter at level eight, after nine years they get promoted to level 12, their salary is still lower than a fresh doctor who is employed today.

So, we begin to ask, what is the parity, giving this explanation in terms of figures. Let us take the upper limit, a doctor who is on CONMESS 7, which is the apex of their service progression goes home with N704,000 before the adjustment; whereas on our own side, someone on CONHESS 15 which is the apex was going home with N476, 000. Is there any parity there? No. Now, on their own part, when they have adjusted, they are taking about N1million and they are saying we should still remain at N476,000. Even with our own adjustment, ours will take N670, 000.

The Optometric who was trained for eight years will take close to N700,000. So, the doctors and these other officers have difference of about N300,000. Is that parity? That is not parity. If an architect, a lawyer who enters service at grade level 9; and executive officers who gets promoted after eight years to grade level nine are placed on the same basic salary, do you call that parity? Salary differential is not measured by basic salary only. It is measured by allowances, total emoluments. So, if you are taking total emolument of N500,000, and I am taking total emolument of N300,000, that makes our difference. In civil service, differential is determined by the next highest N1.

So, if you get promoted to the next grade, you are earning N100,000 and if the step above where you are earning the N100,000 is N101,000, that is your benefit; not to talk of a situation where you have above N100,000, N200,000 and N300,000 above and you are still claiming of parity. There is no parity. It is designed to mislead Nigerians so that Nigerians will say our struggle is not justified, and so turn the strike action against JOHESU, mislead Nigerians that the strike is not legitimate and not for genuine reasons. So, they will use that to boost their quest.

It is simply to arm-twist the President to approve privatization of public health institutions. That is the main thing. Again, they know that when they create this avoidable situation of strike action, they believe that they have nothing to lose. When they force us, like we endure six months before we embarked on this strike now, after given them 66 days to avert the strike that they refused; and we went into this strike, their moribund private clinics will now thrive. So, it is a way of creating a situation to boost the business of their colleagues, because people would be forced to go there. That is why we have always been mindful. This thing started 2014, we signed an agreement last year, 30 September, and within the same month doctors signed the agreement with the government. Within 16 days, they implemented for doctors, coming to our own, they have not implemented, saying that there is no money.
The same people that says there is no money are now providing huge sums of money, over billions, about N2 billion to implement skipping illegally. The court clearly said it was ruled for us, the Salaries, Income and Wages Commission clearly said that skipping is for us only, doctors were not part of it. But the Federal Ministry of Health is owned by the doctors. The Minister is a doctor, Minister of State a doctor and in the recent past, the permanent secretary was a medical doctor. They decide to do everything the way they want, whether it is right or wrong. If it is for the doctors there would be money, if is for the other health workers and professionals, the money will not be there. It is a deliberate way of creating chaos in the system to support their call for privatisation so that they can enslave Nigerians.

A government agency, came up with a circular that the skipping is not meant for the doctors, why is the ministry paying the doctors, why those who went to court and got the judgement were not paid?

That is what we are saying until the ministry is properly manned. If the minister is a doctor, at least the minister of state should be from the other group that makes 95 per cent of the health delivery system. Also we are saying that we should revert back to the success days of Nigeria health system where West African countries were coming to Nigeria.

The health tourism was inward in those days. What happened was because hospitals were not headed by the medical doctors, but by hospital administrators. Doctors also come to do their professional things, the nurses and others. Everybody concentrated on what to do. But giving hospitals into the hands of people that do not have the capacity to manage health services, people that are full of pride, ego to manage hospitals, that is why from then, when Late Olikoye Ransome Kuti made that mistake, the indices of health started nose-diving. We headed South until when a non-Doctor, Eyitayo Lambo was appointed minister of health, that period, the indices started traveling North again. But has he left and the doctors took over, they have started heading deep-deep South until perhaps the depth will be so much that we will not be able to salvage ourselves.

How do you think this perennial crisis can be resolved?

The strike issue, the major problem behind non resolution of this issue is that the people who are there to conciliate are all interested parties. The minister of health is a doctor; the minister of Labour is a medical doctor too. Between the two, one is fair but then, when they get back to the house, it must be the doctors’ family again. So, the only way we can really get justice is if President Muhammadu Buhari intervenes himself. I say this with all seriousness because history is about to repeat itself.
The same way in 2014, President Jonathan was not well briefed by the then minister and he was told different things. But close to the elections, he was touched to come in and he came in to the matter. It was when he intervened he got to know the truth of the matter. But then, it was too late to assuage the hanger, he pleaded because of the elections please, and that after the elections he will treat the matter; but it was too late to assuage the hanger of the health workers.
The JOHESU family is a big family, we are not insignificant. JOHESU family is over one million membership, the five registered trade unions and the professional health care associations; the Assembly of Health Care Professionals. We are over a million, and only with our spouses take us to two millions, with our children, you can imagine. So, I hope the President will not let it to go too late.

Are you in support of independent people or body, beside those in the ministries of health and Labour, to come in and resolve this issue?

Fine, if the President comes in and constitutes a body, like the other time, the Secretary to the Government of the Federation was involved. If the President can come into the matter, first he should speak with the JOHESU family, so that he will hear things first hand. After that, that will guide him properly to appoint those people and give the appropriate terms of reference to quickly resolve the issue.

This issue would have been resolved, we provided all the factors, simplified factors to resolve this issue, to avert the strike, but because of their interest, they wanted the strike to go on, hence, they refused to take to our advice. For instance, we told them the Salary, Incomes and Wages Commission has calculated N22 billion. This is per annum, breaking it into 12, it is N1.8 billion per month. N1.8 billion can easily be gotten, source like two months of it, pay it into our members account, then we can have time so that the ultimatum will be suspended and we can have time may be you need two, three months to find way of including it in the budget. They refused. We also asked them, 12 days to the 66 days ultimatum we have given; please can you bring the structure. You cannot get a financial implication without a structure, give us that structure you used, give it to us, let us take it to our members and see if it will assuage their hanger, they refused to give to us. That would have been a resource to also avert the strike action. We went to the National Assembly when we gave the first 21 days to see how National Assembly can intervene to find early solution; the same doctors wrote to National Assembly that they should not attend to us.
The Senate President, after approving a meeting with us, the morning of the meeting, the House of Reps said the Speaker can no longer meet with us. To be fair to him, he set up the House Committee on Health to meet with us. But for the Senate, that day we were meeting with House of Reps was the day we got the cancellation letter that the Senate President is not going to meet with us. So, we made the efforts to avert this strike action, but they did not. To show that there was a serious insincerity at ensuring averting this strike action, the minister sent a memo requesting that for harmony of the health sector, I recommend N22 billion, and they gave us that document which we used in showing to our members to remain calm for the long period. That memo was raised in December, but it will surprise you to know that the minister went to defend the budget of the ministry in February but did not include that N22 billion. So, can you see that there was deceit, dishonesty in finding solution to this problem?

Do you mean that it is the salary, wages and income commission that came up with that amount in the first place?

The N22 billion yes.

Hairyrapunzel:

When it is time to go to court, you will say the doctor owns the patient.

Can you please me respond to your mail please

capitalzero:
1.Privatization of tertiary hospitals is a way forward. BUTH, ABUTH, Eko hospital etc are owned by private individuals but no strike or agitation.
2.Compulsory health insurance or subsidy for healthcare services.
3. Adopt healthcare model of a developing nation with good health care indices

I sent you a mail, please respond

Hairyrapunzel:

Health management is part of every medical students curriculum worldwide Nigeria inclusive.

Yes and the leadership of the health sector should be open to competent hands drawn from all stakeholders- JOHESU and NMA. NMA should not monopolize it as if it is their birthright or inheritance. The head of the most powerful international health institution (WHO) in the globe is a BIOLOGIST and not even a physician, physiotherapist, pharmacist or nurses. It is clear that NMA management of our health sector for decades is abysmally poor and thus the status quo should not continue

The blood of all innocents that has and are still losing their lives because of these selfish humans will be on their head. Their are other better ways this can be done. The so called government officials dont use your services, they go abroad.

May Gods justice prevail on these doctors that swore an oath to save lives but for selfish gain has seen lots of life lost for minor causes.

I am already affect....its quite painful.....

Deltayankeeboi:
what rubbish is this one saying. mr man if you know you didn't have anything intelligent to contribute. You could have just shut up instead you wasted that space. This thread is a million times way above your level of thinking

Doctors will always be your bosses deal with dt or go n re take the jamb u failed, foolish juhesu.

If u are intelligent enough u could have gotten admission to read medicine n save urself all these stress but ur low IQ failed u olodo.

Doctors are like army generals even at entry point n any juhesu idiot must obey him even if u have 50 yrs experience

georgebruno:

Stop deceiving the people. The figures in the column for doctors are for specialists and not entry level doctors. Entry level doctors earn just a little higher than what is obtainable for other health professions. I'm beginning to wonder if part of the training in medical school involves a special course in telling of lies.

on the contrary, johesu members are specialists in lies.

DABMarkNig2019:

It's like you've been leaving in the moon...If they didn't educate you well enough in medical school you should have read on your own that there are levels of care and of course they diagnose, prescribe and manage patients at their area of competence. They can recognise when there's danger and when there's a need for referal. You claim international best practices while closing your eyes to independent non medical prescribers in those climes.
The world is changing and we're evolving with it. NMA hasn't seen anything yet cos we're getting to the era where there'll be independent non medical prescribes even in the hospital.
That's our end goal.

biko no carry your frustration come my door step . I am not a doctor . But i pray they soon start arresting quack and wanna be like u . I repeat too many people are dying.

Thanks18:


Yes and the leadership of the health sector should be open to competent hands drawn from all stakeholders- JOHESU and NMA. NMA should not monopolize it as if it is their birthright or inheritance. The head of the most powerful international health institution in the globe is a BIOLOGIST and not even a physician, physiotherapist, pharmacist or nurses. It is clear that NMA management of our health sector for decades is abysmally poor and thus the status quo should not continue

Which institution? Name it na? Propaganda. Be lying so as to score cheap points.

Realbutton:
Can you please me respond to your mail please

I can't read your mail

Hairyrapunzel:


Is prescribing now a job description? For a prescription to be given a diagnosis has to be made. That is an individual is confirmed to have an illness therefore, a treatment plan is laid down. Only the doctor does this.
Pharmacists don't do this, lab scientists don't do this, nurses don't do this, physiotherapists don't do this, radiographers don't only doctors. Try prescribing for an individual that has no prescription from a doctor in developed countries and see if they will not jail you. Are we saying you don't contribute to patient care? It's obvious you guys like twisting things. The doctor makes the decision in managing a patient. He names the disease and lays out the treatment plan. Abi you want to start managing disease you don't know jack about? You make me laugh.
Wanting to do a job that's not your own because you want people to see you as something you are not. Mtcheww. Prescriber of the universe.

You are only an Internet fighter who doesn't read or make research. Maybe you are leaving in denial however google can be your friend too. I can't argue with you because i know you people were taught the act of self deception.
If it pleases you, google non medical prescribers and get to know what international best practices is. NMA is afraid of seeing this happening in Nigeria so the name calling. Your insinuation that pxcists knows nothing about diseases and diagnosis can best be left to your imagination.

Hairyrapunzel:

Which institution? Name it na? Propaganda. Be lying so as to score cheap points.

Let me name it for you.
It is the mighty world health organisation. It has a biologist as the head. And also for your information the surgeon general of the United States of America who is in charge of public health and health institutions of the nation is a nurse.
I don't know who gave you people this superior and I know it all mentality.

Hairyrapunzel:

Which institution? Name it na? Propaganda. Be lying so as to score cheap points.

I am referring to WHO

Hairyrapunzel:

Which institution? Name it na? Propaganda. Be lying so as to score cheap points.

I am referring to WHO. You can verify it. Leadership should be given to effective and efficient administrators.

DABMarkNig2019:

Let me name it for you.
It is the mighty world health organisation. It has a biologist as the head. And also for your information the surgeon general of the United States of America who is in charge of public health and health institutions of the nation is a nurse.
I don't know who gave you people this superior and I know it all mentality.

Thank you
I thought we are talking with people who are versatile but we are mistaken.

tsquaure:
biko no carry your frustration come my door step . I am not a doctor . But i pray they soon start arresting quack and wanna be like u . I repeat too many people are dying.

In place of the arrest you're praying for, you'll be shocked to see an act of the national assembly recognising independent prescribes who are not medical drs.
They exist in other climes already. only last year Saudi Arabia recognised and expanded the scope of pharmacy practice to include prescribing in the hospitals. imagine Saudi, a conservative Islamic nation giving that authority to the pharmacist's who the medical gang hate the most in Nigeria. It's not all about throwing gravels and name calling but facing the facts. no amount of lies no matter how long it has been peddled can ever defeat the truth.

DABMarkNig2019:

Let me name it for you.
It is the mighty world health organisation. It has a biologist as the head. And also for your information the surgeon general of the United States of America who is in charge of public health and health institutions of the nation is a nurse.
I don't know who gave you people this superior and I know it all mentality.

The current head of WHO is a biologist na what difference does it make. WHO is an organization not an institution. WHO is concerned about international public health and not hospital leadership in countries
This man self will not even be qualified to be a johesu member in Nigeria. He can't even work in Nigerian Hospitals thanks to johesu branch of medical lab scientists.
The surgeon general is an anaesthesiologist and is a medical doctor. No dey lie. Propagandist.
You don't even know what the WHO is and you say you want to lead the health team. Quack doctor.