mansamusa08:


Then go and carry out the doctor's order. I mean to do some massage for stroke patient.
Do not try to outshine your master.

Do you know what stroke is? or you think it is malaria and typhoid fever? You should have done the massage with your hands too?It is better you argue with your keyboard and ask google than displaying ignorance and arrogance here in a shameless manner.

JOHESU is winning the battle for the enthronement of efficiency, effectiveness and quality of care in the health sector that's scourged by decades of NMA maladministration. It may interest you to know that some states like yobe, Lagos, sokoto and kwara have met the demands of JOHESU. Kwara state has appointed a nurse as the substantive commissioner of health. FMOH should have obeyed previous court injunctions in favour of JOHESU and not acting as proxy in the suit.

Beautiful
Kwara state governor is ahead of his peers in appointing a nurse as substantive commissioner of health. Leadership is based on merit and track record and not necessarily MBBS as championed by NMA

JoannaSedley:
If the options of seeing a consultant Nurse which is equivalent to specialist nurses in the US is available here in Nigeria, then why not. After all the US healthcare system we love to quote has Nurse practitioners bridging the gaps. They consult, diagnose, prescribe and perform specialized medical procedures depending on their area of specialty.
After all many Nigerians have been going to their private nurses in their various clinics for treatments and it won't be a bad idea to improve their skills and make laws that will enable them work to improve our global health indices.

Below is an extract from UK where our President always rant to for check up.
[b]UK NMC APPROVED NEW STANDARD FOR NURSES TO ENABLE THEM PRESCRIBE The Nursing and Midwifery Council (NMC) has today launched ‘ambitious’ new standards of skills and knowledge for UK nurses, including allowing graduates to train as prescribers immediately, as opposed to three years postgraduation.
The regulator has also introduced enhanced
education standards to ‘modernise’ the way student nurses are trained.
The new standards have been developed by the NMC alongside nurses, students, educators, healthcare professionals, charities and patient groups from across the UK over the past two years.
Under the new standards, students will now be supported by supervisors and assessors in both practice and academic settings.
The NMC introduced policy earlier this year, which states that all student nurses will be trained in the same set of procedures and communication skills, regardless of their field of practice.
The regulator also removed the cap on the number of hours trainees can spend on simulation activities as opposed to practical training.
The new standards will give nurses a greater understanding across all four fields of practice, the NMC said, as well as greater responsibilities in public health.
Graduate nurses will now be given the option to train as prescribers immediately after qualifying, rather than having to wait three years.
The NMC will also be removing its standards for medicines management and adopting the Royal Pharmaceutical Society (RPS) competency framework for prescribers.
It will also work with the RPS to produce ‘consistent guidance’ for all health and social care professionals.
‘Our new standards represent a huge leap forward. They raise the bar for the next generation of nurses and not only match the demands of the role but the ambition of the profession,' said Jackie Smith, NMC chief executive and registrar.
‘We’ve also overhauled the way universities train nurses and midwives. They’ll be given more flexibility to harness new ways of working and embrace technology so they can equip the nurses and midwives of tomorrow with the skills they need to deliver world class care for years to come.’
Nurses are expected to begin training against the new standards from January 2019.
‘We’re planning to start the approval process for programmes delivering these new standards later this year. From 28 January 2019 all approvals will be made against these new standards,’ the NMC said.
[/b]Google will put more light on this

joyandfaith:
?
If you are sick, meet consultant nurse etcDo Do not meet doctor.

JoannaSedley:
If the options of seeing a consultant Nurse which is equivalent to specialist nurses in the US is available here in Nigeria, then why not. After all the US healthcare system we love to quote has Nurse practitioners bridging the gaps. They consult, diagnose, prescribe and perform specialized medical procedures depending on their area of specialty.
After all many Nigerians have been going to their private nurses in their various clinics for treatments and it won't be a bad idea to improve their skills and make laws that will enable them work to improve our global health indices.

Below is an extract from UK where our President always rant to for check up.
[b]UK NMC APPROVED NEW STANDARD FOR NURSES TO ENABLE THEM PRESCRIBE The Nursing and Midwifery Council (NMC) has today launched ‘ambitious’ new standards of skills and knowledge for UK nurses, including allowing graduates to train as prescribers immediately, as opposed to three years postgraduation.
The regulator has also introduced enhanced
education standards to ‘modernise’ the way student nurses are trained.
The new standards have been developed by the NMC alongside nurses, students, educators, healthcare professionals, charities and patient groups from across the UK over the past two years.
Under the new standards, students will now be supported by supervisors and assessors in both practice and academic settings.
The NMC introduced policy earlier this year, which states that all student nurses will be trained in the same set of procedures and communication skills, regardless of their field of practice.
The regulator also removed the cap on the number of hours trainees can spend on simulation activities as opposed to practical training.
The new standards will give nurses a greater understanding across all four fields of practice, the NMC said, as well as greater responsibilities in public health.
Graduate nurses will now be given the option to train as prescribers immediately after qualifying, rather than having to wait three years.
The NMC will also be removing its standards for medicines management and adopting the Royal Pharmaceutical Society (RPS) competency framework for prescribers.
It will also work with the RPS to produce ‘consistent guidance’ for all health and social care professionals.
‘Our new standards represent a huge leap forward. They raise the bar for the next generation of nurses and not only match the demands of the role but the ambition of the profession,' said Jackie Smith, NMC chief executive and registrar.
‘We’ve also overhauled the way universities train nurses and midwives. They’ll be given more flexibility to harness new ways of working and embrace technology so they can equip the nurses and midwives of tomorrow with the skills they need to deliver world class care for years to come.’
Nurses are expected to begin training against the new standards from January 2019.
‘We’re planning to start the approval process for programmes delivering these new standards later this year. From 28 January 2019 all approvals will be made against these new standards,’ the NMC said.
[/b]Google will put more light on this

I didn't bother replying the rants of Joy & Faith but since you generously did by this enlightening presentation on nursing practice, I hope understanding will not fail her.

boldest:
these are the kind of doctors of johesu nigeria will be seeing ....meningoencepahalitis becoming worse and turns to stroke just like that ....first of all I doubt if you know the possibilities of various dx in HIv and thank God u attest to the fact that the drug makes d patient better ....so he is alive to visit d so called Dr of physiotherapy ...

You just displayed your ignorance here while trying to argue fact. And you ended up saying nothing. For your sake, argue with your keyboard by asking google. Ignorance coupled with arrogance and closed mind is worse than death. I am really tired responding to eNMA charlatan like you.

docadams:


Two characteristics of a JEHUSITES
1. Inferiority complex making them to throw insult,tantrums upandan. Only means of debate is to Insult doctors whom they want parity with.
2. Always wandering in thoughts. They can't put their points across without showing signs of mental fatigue.

Three characteristics of NMA
1. Arrogance and egotism as if they are the master and owners of the entire health sector
2. Sheer ignorance, daft and reactive to positive dawn coming to health sector which has been ravaged by their decades of misrule and retrograde steps to oblivion.
3. Poor human relationship skills when dealing with patients, colleagues and other professions in the team

docadams:


It would also have been more productive for you to find out how a Jehusite came t o be earning N697,02442 at CONHESS 15, a salary level far above that of a Director-General on GL 17 in mainstream civil service. This was made possible because you are attached to doctors.You lots are a bunch of ingrates. Likemany people have posited, all manpower should be outsourced, let's see if your CONHESS 15will earn up to N300,000.

Your height of stupidity and impunity is clearly defined and rated in stammering such blunder that other medical professions in health sector aside physician "earn their wages because they are attached to Dr". The health sector belongs to all citizens, patients group, all health professions and not as arrogantly stated by you. Let the sector be privatize let me know who will pay your big belles consultants nearing a million for doing nothing.

Nigeria absence shines at health ministers meet in Geneva
By Judd-Leonard Okafor, Geneva | Publish Date: May 21 2018 5:12PM

Nigeria lost two spots to speak at the ongoing 71st World Health Assembly in Geneva in two straight days—a loss blamed on the ongoing strike by health workers.
Health minister Isaac Adewole was listed, alongside Sanchia Aranda, president of the Union for International Cancer Control, to co-chair on Saturday a session on cervical cancer as a noncommunicable disease that could be overcome.
The session was to entertain questions around challenges, needs and ideas on comprehensive cervical cancer strategies spanning health promotion; screening for and vaccination against human papilloma virus; treatment of pre-cancerous lesions, access to diagnosis, treatment and palliative care.
The session, in the run-up to the global meeting of health ministers, was also meant to have partner agencies answer questions from health ministries about financial and technical support.
But Adewole was not available to attend, as slated on the bill, and was replaced by Rwandan health minister David Parirenyatua, who’s held the portfolio since 2013, and previously from 2002 to 2009.
On Monday, he was elected president of the 71st World Health Assembly as health ministers met, with Nigeria’s health minister still absent.
A lone delegate from Nigeria attended a Sunday evening event with indication Adewole would be replaced by minister of state for health Osagie Ehanire.
The second missed opportunity came at the launch of a report on sexual and reproductive health and rights by the Lancet and Guttmacher Institute, hours after the World Health Assembly started Monday morning.
Adewole had been billed to speak on providing country perspective on political leadership and priorities for sexual and reproductive health and rights, alongside global health ambassadors from Sweden and France.
He was declared absent and “not in Geneva” and his spot unfilled.
Daily Trust has learnt Adewole was advised to back down last minute from the trip, considering the ongoing strike by Joint Health Sector Unions, which has kept all health workers apart from doctors out of federal hospitals.
As the strike spread to secondary hospitals run by state governments, it was thought the presence of the minister in Geneva would come under criticism as a disregard of the ongoing strike.
Source: https://www.dailytrust.com.ng/nigeria-absence-shines-at-health-ministers-meet-in-geneva-251676.html

Solababa91:


The reason any patient will go to whatever hospital without seeing any other health PROFESSIONAL aside the Doctor is condition specific which you know quite well. Take for instance a patients with musculoskeletal deformities or abnormalities needs to see a Physiotherapists, but because most of Nigeria patients/clients are ignorant, they feel/think you have to see a Medical Doctor for everything, in developed climes, the populace would have made a research about their symptoms, presentation and management before visiting any health professional and that is why in those countries, any instance of mismanagement is known by the patients and can sue or be reported to appropriate authorities because he/she is aware of the management beforehand. So your assertion that all patients or supposed patients comes to the Doctor at first contact basis is due to ignorance and so does not hold water.

Your intelligent response is sufficient enough to quench the sheer ignorance. Physiotherapist is part of UK GP practice team for MSK related complaints.

OgaInnocent:


I agree with :
HOSPITAL MGT
HAZARD ALLOWANCE

I disagree:
With NON MEDICAL CONSULTANTS

Nigeria is a country where a med lab Scientist prefers to be adressed as a doc than who he is. This is not UK where there is law and self worth. In UK a nurse cannot take it from you calling him a doctor. A med lab Scientist cannot allow you call him a doc. They want you to call them who they are, they don't want you doc. The reverse is the case in Nigeria.


I'm telling about a Nigeria where a med lab Scientist who operates a private lab gives admits patients and give in patient care, just because the patient tested positive to malaria Parasite. It is maddening. Then imagine, when you allow these same people who want to be doctors by all means to become CONSULTANTS... my dear, you have killed the system...you will not understand what doctors are preventing until it happens. This is not UK pls. If you claim your family and friends are in Nigeria, and u r wishing for a JOHESUite to be made consultant, then pray they do not fall sick, or be ready for the unthinkable.

Secondly, that the doctor - patient ratio in Nigeria is low should not be a yardstick to convert a non-doctor to a doctor. You should rather root for more medical graduates and more medical schools and more quota. This is where your Hypocrisy came to limelight and puts your being a doctor in doubt. That we do not have enough pilots is not enough reason to convert an air hostess to a pilot. That we do not have enough Rev Fathers is not a necessity to convert a catechist to a rev father.

A word is enough for the wise.

Mr
are you sure you read and digested this intelligent submission by a doctor who has seen light and wanted our failing and backward sector to be rejig to the international best practices. Pls if your comprehension failed you, you should have culled the help of literate person around you to read the article again and then make it plain in the language that you will understand. For your information, many states like Lagos, yobe, sokoto have agreed to the demand of JOHESU with Lagos taking the lead in appointing a consultant pharmacist. You made mention of a professional going beyond his scope but this concern was quietly treated when the fair minded doctor recommended disciplinary measures in case of any professions including physician goes beyond their scope of practice as stated in the law. Just as the great Ikemba once said: "Having a dialogue with my country men is like having a dialogue with the deaf; it requires a great deal of repetition, a great deal of shouting and a great deal of gesticulation. In spite of all these efforts, you still run the risk of being misunderstood". You are simply daft, deaf or arrogant. Be ready to accept this new dawn or better still prepare to hang self.
A word is enough for the wise

Nigeria Society of Physiotherapy # Fowardedasrecieved . Revisiting The NMA Strike -* The Candid Opinion Of A UK-Based Doctor By *Dr. Ijabla Raymond* Although I practise abroad, I should point out that this strike affects me too. My family and friends all live in Nigeria. I feel compelled to write on this subject because of its seriousness and the dearth of objective analyses on our social media. It is an emotive subject for both *NMA* and *JOHESU* members, and I can understand why punches fly around, but both parties must rise above petty and emotional considerations if we are to find a way forward. For clarification purposes, the *NMA* represents medical doctors whilst *JOHESU* is a union of all health workers who are not doctors. The NMA has a list of *24 demands* but I will limit myself to the most contentious ones. At this stage, it is probably best that I introduce myself. _*I am medical doctor of Nigerian heritage practising in the UK.*_ *WHO SHOULD HEAD THE HOSPITAL* There is no contention – the medical doctor is the head of the *clinical team.* He/she leads the ward rounds, clinics, surgical operations, multidisciplinary meetings and so on because the ultimate and final responsibility for patient care rests in his/her hands. The headship of the hospital is a different matter. This is an *administrative* office, which needs not be occupied by a medical doctor. This job is better in the hands of people who have administrative or business management skills. _This is the case in countries like the UK, Canada and the US,_ which heavily influence our health system. Therefore, it is difficult to reason with the NMA why this job should be the exclusive right of medical doctors. *NON-MEDICAL CONSULTANTS* The doctor-patient ratio in Nigeria is _dangerously low._ In my view, the roles of non-medical professionals such as nurses, physiotherapists, pharmacists etc need to expand to cope with the demands on doctors. It is important that this is done in a _safe way_ by providing the appropriate level of training for these individuals. *This is the case in countries such as the UK, Canada and the US where consultant nurses, pharmacists etc have existed for a few decades now.* I do not see any problem with non-medical consultants as long as these individuals are appropriately trained and can practise both competently and safely within an *agreed framework* . These professionals have separate (but complimentary) job descriptions and their roles are not designed to replace or dispense with the services of the doctor. If this arrangement enhances patient care, then where is the problem with it? The NMA needs to demonstrate to the public and to the government how the creation of these non- medical consultant positions will adversely affect patient care, otherwise, its demands will be perceived as obstructing the professional development of JOHESU members, and I don’t think this is helpful to anybody. *HAZARD ALLOWANCE* The types of hazard and the level to which healthcare workers are exposed vary considerably and depend on the type of job they do. For instance, psychiatrists are hardly exposed to body fluids and their risks for contracting diseases like HIV and hepatitis are much less than for a theatre scrub nurse. The risk of physical assault by a patient is higher for a psychiatrist than for a surgeon. And because psychiatric nurses spend more time with patients, their risks of assault are arguably higher than those of consultant psychiatrists. The people who work in radiology departments such as radiologists, radiographers, nurses, porters and so on have greater exposure to radioactive materials than everyone else in the hospital. The current health hazard allowance of N5,000 is unconscionable – it needs to increase. However, I think it is imperative to get an independent risk assessor for impartial advice. *MISCELLANEOUS* I have read far too many emotional arguments on these issues and very little of an objective discourse. It is important that I draw your attention to a few of these. What has become obvious is the lack of understanding of the *concept of teamwork* . There is a pervasive notion among doctors that the other healthcare workers are there to serve them. JOHESU members think that doctors have become too conceited for their own good and are determined to put them in their “places”. *The most important person in the hospital is the patient* – it is *not* the _doctor_ , _nurse_ , _pharmacist_ or _laboratory scientist_ or anyone else. Every team member is important and must be respected, including the people who do the least clinical jobs like cleaning. I don’t imagine that any hospital will remain open for longer than a week if its cleaners went on strike and dirt was allowed to accumulate to the point where it constitutes a health risk. I have heard so many anecdotal accounts of nurses not joining doctors on ward rounds or pharmacists altering prescriptions without first discussing these with the prescribing doctors or laboratory scientist slapping doctors; and these accounts are being given as reasons why doctors must continue to head hospitals. These are *disciplinary matters,* which should be managed according to existing procedures. These excuses are emotional and should not be used to block the professional development of others. The other reason I have heard doctors give for not wanting our non-medical colleagues to bear the "consultant" title is the fear that patients will confuse them or anybody else in a white-coat for a doctor and give such people an excuse for autonomous practice. This reason is *not good enough* because this problem can be solved by wearing names badges and/or colour coded uniforms. Also health professionals should introduce themselves to patients at the start of consultations. But more significantly, this can be an issue of regulation - any one found to be (criminally) practising over and beyond their job description, competence level or professional registration becomes liable to disciplinary procedures. Our health system suffers from poor regulation. This is why anyone can open a chemist and dole out antibiotics indiscriminately. It is the reason doctors are scared that consultant pharmacists, nurses and physiotherapists will steal their patients. But it is also the reason why doctors may recommend an operation to a patient where none is necessary just so they can charge more. This is a problem that is in urgent need of attention. I hope that this something both NMA & JOHESU will flag up in the near future. Another recurrent theme in these debates is the abuse of junior doctors by both medical and non-medical staff, which appears to be endemic. There is a consistent narrative of junior doctors being asked to do other people’s jobs such as collecting blood from blood banks, taking samples to laboratories etc. In extreme cases, these doctors are asked to undertake non-clinical tasks by more senior doctors. This is simply unacceptable! I think it is fair to place the blame for this at the hands of consultants who are supposed to be responsible for junior doctors. But this in itself is not a good argument for blocking JOHESU members from becoming consultants in their specialties or for stopping them from heading hospitals if they have the right qualifications. I am concerned that the NMA is losing public sympathy. Increasingly, I hear people describe doctors as selfish and heartless. This is very sad and rather unfortunate. They say doctors do not have any motivation to end the strike because patients are forced to pay exorbitant fees to them in their private hospitals. Those patients who cannot afford these fees are left to suffer or die. If the NMA has made any efforts to change this public perception, then these do not appear to have been effective. *CONCLUSION* The current strategy (i.e., recurrent strikes) is not working. Over the last decade or two, the NMA and non-medical health workers (more recently represented by JOHESU) have taken turns to go on strikes. Perhaps, it is time for both parties to sit together, talk to each other and resolve these contentious issues once and for all. _It’s pointless for the government to enter into agreements with one party knowing fully well that the other party will ask for a reversal of those agreements._ I think the time has come to incorporate Ethics, Teamwork and Communications into undergraduate curricula. The various online comments I have read from medical and non- medical colleagues show that whilst many easily mouth off "team work", a practical understanding of what this means is lacking. Disciplinary procedures are there for a reason. They must be followed when necessary. Although I practise abroad, I should point out that this strike affects me too. My family and friends all live in Nigeria. And who says I am not planning to come home to practise? Lastly, we must all be mindful of our own mortality. Most of us will be ill someday. And when this happens, the only thing that will matter to us is to be looked after by caring and competent health-workers regardless of their individual specialisation. We can create that environment if we forget our individual egos and work as a team. *Ijabla Raymond,* a medical doctor of Nigerian heritage writes from the UK. Contact: _ijabla.raymond@facebook.com._

JoannaSedley:
See someone that have seen the light, where things work.
They will accuse him of being a JOHESU member.

Laughs
NMA are daft. They can't see this but keep shouting every where "Intl best practices" and turn a deaf ear and blind eye to one real best practice as highlighted by this UK doctor

Nigeria Society of Physiotherapy # Fowardedasrecieved . Revisiting The NMA Strike -* The Candid Opinion Of A UK-Based Doctor By *Dr. Ijabla Raymond* Although I practise abroad, I should point out that this strike affects me too. My family and friends all live in Nigeria. I feel compelled to write on this subject because of its seriousness and the dearth of objective analyses on our social media. It is an emotive subject for both *NMA* and *JOHESU* members, and I can understand why punches fly around, but both parties must rise above petty and emotional considerations if we are to find a way forward. For clarification purposes, the *NMA* represents medical doctors whilst *JOHESU* is a union of all health workers who are not doctors. The NMA has a list of *24 demands* but I will limit myself to the most contentious ones. At this stage, it is probably best that I introduce myself. _*I am medical doctor of Nigerian heritage practising in the UK.*_ *WHO SHOULD HEAD THE HOSPITAL* There is no contention – the medical doctor is the head of the *clinical team.* He/she leads the ward rounds, clinics, surgical operations, multidisciplinary meetings and so on because the ultimate and final responsibility for patient care rests in his/her hands. The headship of the hospital is a different matter. This is an *administrative* office, which needs not be occupied by a medical doctor. This job is better in the hands of people who have administrative or business management skills. _This is the case in countries like the UK, Canada and the US,_ which heavily influence our health system. Therefore, it is difficult to reason with the NMA why this job should be the exclusive right of medical doctors. *NON-MEDICAL CONSULTANTS* The doctor-patient ratio in Nigeria is _dangerously low._ In my view, the roles of non-medical professionals such as nurses, physiotherapists, pharmacists etc need to expand to cope with the demands on doctors. It is important that this is done in a _safe way_ by providing the appropriate level of training for these individuals. *This is the case in countries such as the UK, Canada and the US where consultant nurses, pharmacists etc have existed for a few decades now.* I do not see any problem with non-medical consultants as long as these individuals are appropriately trained and can practise both competently and safely within an *agreed framework* . These professionals have separate (but complimentary) job descriptions and their roles are not designed to replace or dispense with the services of the doctor. If this arrangement enhances patient care, then where is the problem with it? The NMA needs to demonstrate to the public and to the government how the creation of these non- medical consultant positions will adversely affect patient care, otherwise, its demands will be perceived as obstructing the professional development of JOHESU members, and I don’t think this is helpful to anybody. *HAZARD ALLOWANCE* The types of hazard and the level to which healthcare workers are exposed vary considerably and depend on the type of job they do. For instance, psychiatrists are hardly exposed to body fluids and their risks for contracting diseases like HIV and hepatitis are much less than for a theatre scrub nurse. The risk of physical assault by a patient is higher for a psychiatrist than for a surgeon. And because psychiatric nurses spend more time with patients, their risks of assault are arguably higher than those of consultant psychiatrists. The people who work in radiology departments such as radiologists, radiographers, nurses, porters and so on have greater exposure to radioactive materials than everyone else in the hospital. The current health hazard allowance of N5,000 is unconscionable – it needs to increase. However, I think it is imperative to get an independent risk assessor for impartial advice. *MISCELLANEOUS* I have read far too many emotional arguments on these issues and very little of an objective discourse. It is important that I draw your attention to a few of these. What has become obvious is the lack of understanding of the *concept of teamwork* . There is a pervasive notion among doctors that the other healthcare workers are there to serve them. JOHESU members think that doctors have become too conceited for their own good and are determined to put them in their “places”. *The most important person in the hospital is the patient* – it is *not* the _doctor_ , _nurse_ , _pharmacist_ or _laboratory scientist_ or anyone else. Every team member is important and must be respected, including the people who do the least clinical jobs like cleaning. I don’t imagine that any hospital will remain open for longer than a week if its cleaners went on strike and dirt was allowed to accumulate to the point where it constitutes a health risk. I have heard so many anecdotal accounts of nurses not joining doctors on ward rounds or pharmacists altering prescriptions without first discussing these with the prescribing doctors or laboratory scientist slapping doctors; and these accounts are being given as reasons why doctors must continue to head hospitals. These are *disciplinary matters,* which should be managed according to existing procedures. These excuses are emotional and should not be used to block the professional development of others. The other reason I have heard doctors give for not wanting our non-medical colleagues to bear the "consultant" title is the fear that patients will confuse them or anybody else in a white-coat for a doctor and give such people an excuse for autonomous practice. This reason is *not good enough* because this problem can be solved by wearing names badges and/or colour coded uniforms. Also health professionals should introduce themselves to patients at the start of consultations. But more significantly, this can be an issue of regulation - any one found to be (criminally) practising over and beyond their job description, competence level or professional registration becomes liable to disciplinary procedures. Our health system suffers from poor regulation. This is why anyone can open a chemist and dole out antibiotics indiscriminately. It is the reason doctors are scared that consultant pharmacists, nurses and physiotherapists will steal their patients. But it is also the reason why doctors may recommend an operation to a patient where none is necessary just so they can charge more. This is a problem that is in urgent need of attention. I hope that this something both NMA & JOHESU will flag up in the near future. Another recurrent theme in these debates is the abuse of junior doctors by both medical and non-medical staff, which appears to be endemic. There is a consistent narrative of junior doctors being asked to do other people’s jobs such as collecting blood from blood banks, taking samples to laboratories etc. In extreme cases, these doctors are asked to undertake non-clinical tasks by more senior doctors. This is simply unacceptable! I think it is fair to place the blame for this at the hands of consultants who are supposed to be responsible for junior doctors. But this in itself is not a good argument for blocking JOHESU members from becoming consultants in their specialties or for stopping them from heading hospitals if they have the right qualifications. I am concerned that the NMA is losing public sympathy. Increasingly, I hear people describe doctors as selfish and heartless. This is very sad and rather unfortunate. They say doctors do not have any motivation to end the strike because patients are forced to pay exorbitant fees to them in their private hospitals. Those patients who cannot afford these fees are left to suffer or die. If the NMA has made any efforts to change this public perception, then these do not appear to have been effective. *CONCLUSION* The current strategy (i.e., recurrent strikes) is not working. Over the last decade or two, the NMA and non-medical health workers (more recently represented by JOHESU) have taken turns to go on strikes. Perhaps, it is time for both parties to sit together, talk to each other and resolve these contentious issues once and for all. _It’s pointless for the government to enter into agreements with one party knowing fully well that the other party will ask for a reversal of those agreements._ I think the time has come to incorporate Ethics, Teamwork and Communications into undergraduate curricula. The various online comments I have read from medical and non- medical colleagues show that whilst many easily mouth off "team work", a practical understanding of what this means is lacking. Disciplinary procedures are there for a reason. They must be followed when necessary. Although I practise abroad, I should point out that this strike affects me too. My family and friends all live in Nigeria. And who says I am not planning to come home to practise? Lastly, we must all be mindful of our own mortality. Most of us will be ill someday. And when this happens, the only thing that will matter to us is to be looked after by caring and competent health-workers regardless of their individual specialisation. We can create that environment if we forget our individual egos and work as a team. *Ijabla Raymond,* a medical doctor of Nigerian heritage writes from the UK. Contact: _ijabla.raymond@facebook.com._

tsquaure:
a nurse who is also a doctor richard carmona.
robert whitney a vet doctor in acting capacity for 3month until another doctor was appointed
.

You are just repeating the statement of fact I Marshall out while ignoring the salient solution I proffered.
Are we in a HIGH SCHOOL DEBATE?
At this point, I rest my case

tsquaure:
abeg how is this a white lie refer to wikipedia not written by tsquaure
https://en.wikipedia.org/wiki/Sylvia_Trent-Adams

From the link shown, she was not the only non physician to be appointed as surgeon general in US. Even a veterinarian and one other nurse had attained such positions. but can this happen in Nigeria? all the past and current ministers of health and ministers of state of health from 80s till date are all physicians with the resultant decay and rot in the sector. I repeat till Nigeria start appointing capable and competent hands drawn from all stakeholders(- JOHESU and NMA) with rich resume and track records to manage and lead our health sector from primary to tertiary level, we will still be witnessing a gigantic failed health system in the whole wide world.

tsquaure:
by your same argument, she should have retained the job but alas she returned to her original job as deputy once a anesthesiologist was appointed

It is a White lie

Minister of Health, minister of state for health, HODs of depts in FMOH, CMD, CEMAC, deputy CEMAC are all medical doctors but in the top efficient health system in the world, A nurse(Sylvia Trent) was appointed US surgeon general and her name included in the list of US surgeon generals. What's wrong with Nigeria?Just as the great Ikemba once said: "Having a dialogue with my country men is like having a dialogue with the deaf; it requires a great deal of repetition, a great deal of shouting and a great deal of gesticulation. In spite of all these efforts, you still run the risk of being misunderstood" I think late Ojukwu was right after all

tsquaure:
https://en.wikipedia.org/wiki/Sylvia_Trent-Adams
she was in acting capacity ( as she was deputy) until a new surgeon general was appointed.... a doctor

Does it makes any difference. Tell me the difference and why didn't the POTUS make appointment than appointing a nurse which bad belle people here tag NMA will make a noise. she's a nurse, and her name is in the list of US Surgeon General period. Just like Mrs. Virgi Etiaba who is the first female Governor in Nigeria after Obi had issues.

Hairyrapunzel:


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.

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.

Yes
You are right, the current surgeon general of US is an anaesthesiologist by name Jerome Adam.But mind you before Jerome Adam, a Nurse was the US Surgeon General named Sylvia Trent-Adam in 2017. And if this happens in Nigeria, NMA with their large foul mouth and pseudo literacy will shouting every where- best international practices

rottentomatoes:
PRESS CONFERENCE DELIVERED BY THE CHAIRMAN OF NIGERIAN MEDICAL ASSOCIATION (NMA), FCT CHAPTER, DR. CHIEDOZIE JUDE ACHONWA TO STATE THE POSITION OF THE NMA WITH RESPECT TO THE ONGOING STRIKE ACTION BY JOHESU AT THE CONFERENCE HALL OF FEDERAL MEDICAL CENTRE, ABUJA ON TUESDAY,22ND MAY 2018.
Protocol
It is no longer news that JOHESU has been on strike for over a month now over sundry demands which include among others equal pay with medical doctors, headship of our public hospitals. Since the strike commenced, the Nigerian Medical Association (NMA) FCT has been following up on matters arising from it. We would ordinarily have ignored JOHESU as it concerns her ongoing strike but we are at the moment constrained to respond and put the record straight to debunk JOHESU’s deliberate peddling of falsehood, twist of facts, misinformation and manufacture of non-existent figures just to hoodwink and get the sympathy of the innocent and unsuspecting public who may tend to believe their propaganda if we keep quiet. While unionism and activism is encouraged, it must not be carried to the extreme with the delusion that the system can always be brought to its knees for unreasonable, baseless and reckless demands to be acceded to. The NMA wishes to state clearly that the ongoing JOHESU strike is essentially against medical doctors in particular, and the peace-loving Nigerians in general. The unnecessary strike, we must let Nigerians know, is centered on quest for equal pay with Medical doctors as well as leadership (clinical governance) contestation in our hospitals.
Naturally when a sick person visits the Hospital, it is to see a medical doctor to get cured of his/her ailment. In getting the patient cured, several other factors come into play between the doctor and the patient. It is within these factors that the allied healthcare professionals play their supportive roles. It must however, be emphasized that these support staff only act upon the instruction or directive of the doctor. This is the standard practice world over, and is the concept of governance in clinical practice which Nigeria cannot be an exception. Apart from the fact that the training of a medical doctor is all encompassing (it covers all the fields of other healthcare professionals in addition to the core patient care and management), it is the doctor that is held accountable should anything go wrong in the overall management of the patient. Nigerians can therefore, be the judge as to who qualifies to be the leader of the health team.
While NMA appreciates the supporting roles being played by members of allied healthcare professionals and considers them important stakeholders in the health team, it is, however, in the best interest of this country for everyone to stay within their roles as team players. Nigerians need to understand that the Hospital is structured in such a way that every treatment/instruction must be directed from the medical doctor. No patient receives anything in the Hospital unless the doctor says so. The reason is not far-fetched. It is in the best interest of the patient so that he/she is not mishandled. The outcome is better imagined when a doctor gives instruction on patient’s management and the other healthcare workers also give separate and possibly conflicting directives on the same patient. It is akin to the proverb ‘’too many cooks spoil the broth’’. The unwarranted leadership contest in the health sector by JOHESU in recent years has led to several untold hardships on our patients with attendant avoidable loss of lives in some of our public health institutions. Comparison of Nigeria health indices between the remote past and recently shows that we fared better in the former when there was orderliness, strict observance of roles, and obedience of doctors’ command with respect to patient care. Questions must be asked while this unfortunate scenario doesn’t play out in private or public-private Hospitals. The answer is obvious; everybody knows his/her boundary and must conform to laid down rules and organogram.
Concerning the quest by JOHESU to earn equal pay with doctors, it must be reiterated that NMA has never been against any wage or salary increase or adjustment for health workers. Rather, NMA has, in her numerous engagements, severally advocated for wage or salary increase for all Nigerian workers. It must be emphasized that what JOHESU is asking for is not necessarily increment in salary per se, but equal pay as doctors. They want government to pay them exactly the same amount as paid to doctors. Is a court clerk paid the same wage as a judge, or an air hostess as a pilot? The answer is definitely NO. It should be expected, therefore, that NMA will never allow JOHESU to use subterfuge and backdoor approach to become doctors. The universities are out there with clearly spelt-out guidelines for anyone who wishes to study Medicine and Dentistry. We wish to encourage JOHESU to take advantage of that rather than employing this back door approach to become ‘’doctors’’.
The concept of wage relativity is used in wage management to ensure that only equal job of equal value attract equal pay. This was succinctly and clearly stated in the judgement of National Industrial Court of Nigeria in 2006 and affirmed by same in 2013 in matters involving JOHESU. Relativity exists between the salaries of healthcare workers in the hospitals and their counterparts in other agencies and parastatals of government. Engineers, administrators and accountants in hospitals (members of JOHESU) earn between 2 to 3 times the salaries of their counterparts in the core public service. Whether this is deserved is not the question, but for the purpose of this conference, is it not contradictory, deceitful and ironical that the same healthcare workers who on one hand accepted an advantaged salary over their counterparts outside the health sector on same levels and steps will turn around to reject salary difference with the doctor who does a superior and different job from them?
Historical trend of salary award/adjustment and relativity:
Pre-independence to 1974: Practitioners of Medicine and Dentistry (medical and dental practitioners) were grouped in Senior Service Scale A which was the apex for remunerating public officers. The relativity between the salaries of medical doctors and graduates of other health sector was 1:1.58 at the entry point and 1:1.65 at the terminal point
1975: Udoji committee eroded the relativity in the health sector, and the ratio dropped to 1:1.27 at the entry point and 1:1.07 at the terminal. The NMA protested which led to the setting up of the Justice Atanda Fatai-Williams presidential committee to look into the complaints in 1990.
1991: Due to the findings of that committee, circular 1, 1991 containing two separate salary structures in the health sector was released. This was following the approval of the memorandum by the Federal Executive Council at its 11th meeting in 1990. It was an attempt to correct the distorted relativity. These were:
Medical System Scale (MSS) for consultants and below
Medical System Super Scale (MSSS) for consultants Special Grades I and II.
(A and B were contained in a single circular).
Health System Scale (RUSS/HSS) for other health care workers.
The relativity at the entry point was 1:1.28 and 1:1.2521 at the terminal.
1993: The 45% award on salaries for public officers in 1992 was implemented on the 8th of February 1993 for doctors to restore the relativity between MSS/MSSS and other salary structures.
However, on the 9th of February 1993, a 15% award was applied to other salaries through circular CND.26/S.5/Vol.IV/380 without corresponding application to MSS/MSSS. This brought down the relativity at the entry point to 1:1.1 and 1:1.94 at the terminal.
1995: The industrial arbitration panel award of professional allowances eroded the relativity. Consequently, NARD/NMA demanded for the restoration of 1:3.33 ratio prior to the award. In response government did a comparative analysis of salary/wages worldwide and found a relativity range of 1:2 to 1:2.7. Government eventually signed an agreement with NARD on a relativity of 1:2.5
1998: The Federal government carried out harmonization of salaries. The MSS/MSSS were harmonized into HATISS for doctors in tertiary institutions and HAPSS for those in regular public service. The NMA and NARD protested to the Federal Government on what they called ‘’drop in salary’’ for those who were paid HATISS. The Association rejected the HATISS structure and asked government to pay her members with HAPSS pending a possible correction of the error they observed in HATISS. This was approved by government.
NARD complained of a distortion in relativity as a result of the harmonization of salaries. The National Salaries, Income and Wages Commission(NSIWC) did half-hearted correction of the observed errors in the conversion of MSS/MSSS into the HATISS structure. These corrections were rejected citing inadequate address of the relativity problem observed. The relativity at the entry point was 1:1.2, at all other grades it dropped to 1:1
2001: The relativity of 1:2.5 (4:2:1.7) for call duty allowance was sustained.
2006 and 2013: JOHESU went to court to seek pay parity with Doctors at the NICN but that wasn’t granted.
2014: The NMA persistent protest led to the setting up of the Alhaji GoniAji presidential committee to look into her complaints in 2013. Consequently, the Federal government signed an agreement with the NMA on relativity at each grade level with CONHESS as the reference. A circular on the correction was issued on the 3rd of January, 2014. Relativity was 1:1.2 to 1:1.5
In all it dropped from 1.58 to 1.2 for fresh doctors, and from 1.65 to 1.5 for consultant Special Grade 1 and or a Professor of Medicine on full appointment in a Hospital.
We wish to, at this juncture, remind the government that NMA will not accept any attempt to further distort or erode the existing relativity as agreed and signed in the collective bargaining agreement of 2014. It is important to note that this agreement was reached with a lot of comprise and sacrifice already on the part of Nigerian doctors. It is worthy of note that members at the recently held NMA ADM unanimously resolved to utilize every means legitimate to forestall any attempt to disregard or breach the said agreement. It must be placed on record that NMA has put before government issues that border on universal health coverage, improvement of health facilities and equipment as well as issues regarding conditions of service. It is our hope that government, while engaging in dialogue on these matters with a view to making progress, will not precipitate another crisis by bowing and acceding to pressure from JOHESU.
Doctors in the FCT have been going about their legitimate duties in all public health facilities. They have had to go extra miles to cover for the absence of the allied health professionals in order to ensure service delivery to patients. Management of our public health institutions have been visited and encouraged to create an enabling environment for doctors to carry out their duties and we are very much satisfied with their cooperation. We wish to seize this opportunity to call on patients who may have mistakenly fallen for the propaganda of JOHESU that the entire health institutions have been locked down by their strike to visit and access care from our Hospitals.
We urge the allied health professionals to be reasonable in their demands, suspend their strike, return back to work to join the doctors to continue the good work for the benefit of the masses.
Dr. Chiedozie Jude Achonwa Dr. Abdullahi Nasiru
Chairman, NMA-FCT Secretary, NMA-FCT

This article is full of sound and fury signifying nothing. It is only good for the trash can.

#JOHESUStrike2018: Hold FG, Health Minister Responsible for Death of Patients – JOHESU
On 23/May/2018 / In Medical News
As the indefinite strike called by members of Joint Health Sector Union, JOHESU, enters its fifth week, the aggrieved workers have urged Nigerians to hold the Federal Government, particularly, the Minister of Health, Prof Isaac Adewole responsible for deaths recorded during the period of the strike even as they vowed not to return to work until their demands are met.
The workers, who spoke during a consultative meeting/rally in Lagos, also regretted whatever pains patients were passing through due to failure of the government to do the needful with regard to implementing the adjusted Consolidated Health Salary Structure, CONHESS.
Addressing journalists in Lagos, the National Chairman of National Association of Nigeria Nurses and Midwives, (federal health institutions sector), Wale Olatunde insisted that the union had interest of Nigerians at heart but declared that the caregiver also needed care. “Nobody is happy abandoning our patients. The essence of our training is to care for our patients but we also require care.
“These issues we are talking about started in 2009. We had an agreement with the Federal Government in 2014, it was jettisoned. We went on a 10-day strike in September last year where we signed another agreement with the Federal Government.
“But the Minister of Health, Professor Isaac Adewole came out to say there was no agreement between JOHESU and the government until we brought out papers signed by the parties involved. That goes to show the insincerity on the part of government. Stating that the drivers of the health sector were insensitive to health workers’ years of neglect, he said:
“This country is boiling. The health industry is comatose and in disarray. The minister has the effrontery to arrange a jamboree of 40 people to go and spend 350 million naira in Geneva, Switzerland. Does that look reasonable or does he look like somebody that has the interest of the people at heart.? “The Minister of Health does not go to the public hospital for treatment. They should be sympathetic with the common man on the street; that is exactly what we are clamouring for.
“We are telling government to give us what rightly belong to us and we will resume work the next two hours. Olatunde said it was unfortunate that the government had reviewed the salary of some workers in the sector twice in the last few years while that of JOSEHU’s was left unattended to.
“We are not asking for a new salary table but we are saying adjust in line with what you have adjusted for others. But rather for them to face that reality, they begin to tell people that we are asking for equality with doctors. Is level eight the same thing as level 12? If l am able to rise to level 12, l should enjoy the benefits of level 12.
All professors in the university earn the same salary; it doesn’t matter your discipline. “The Wages and Salary Commission that is saddled with the responsibility of salary structure has once confirmed that what we are demanding is reasonable, but the Federal Ministry of Health said it was not satisfied. We are not begging for it because it is what rightly belongs to us.” he said.
He disclosed that the union had for long passed a vote of no confidence in Adewole. He called on Buhari to terminate the appointment of the minister, whom he described as a clog in the wheel of progress in the sector.
By: Chioma Obina Lagos
Vanguard News

Source:https://www.medicalworldnigeria.com/2018/05/johesustrike2018-hold-fg-health-minister-responsible-for-death-of-patients-ndash-johesu

Hairyrapunzel:


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.

So what's the difference between organization and institution? So WHO supervising and pioneering policies of the healthcare systems around the world that even ranked NMA led health sector very low in the whole world-187 out of 190 countries. I see you are daft and there is no need arguing further because your mind is already closed to information. I am a proud physiotherapist and I love what I do. I support JOHESU fully because they are fighting for the enthronement of efficient and effective health sector.

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.

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.

Hairyrapunzel:

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

I am referring to WHO

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

Privatization of the entire sector and health administrators and managers of the sector from primary to tertiary level including Health minister open to competent hands drawn from any profession in the health sector. Let there be parity and equity of wages among all healthcare givers.

PLEASE TAKE A LOOK TO OLD COMESS AND OLD CONHESS:
COMESS 3 (which is the starting point for doctors) #260,865.58
CONHESS 7 (which is the starting point for some health workers like accountant etc) #118,765.
(difference of #142,100.00) 120% difference.
CONHESS 9 (which is another starting point for health workers eg pharmacist etc) #161,670.33.
(difference 99,195.25) 61% difference.
NOW LETS STILL COMPARE THE SALARY OF A NEWLY EMPLOYED DOCTOR ABOVE WITH A HEALTH WORKERS THAT HAVE SPENT 6 TO 9 YEARS IN SERVICE WHICH IS CONHESS 11.
CONHESS 11:#223,345.58 (difference of #37,520.00) 17% difference.
ABOVE IS FOR OLD CONMESS AND OLD CONHESS....
TAKE A LOOK AT THE NEW CONMESS AND PROPOSED CONHESS BY JOHESU, PLS SIR I WILL STILL WANT YOU TO COMPARE THIS NEW CONMESS WITH THE OLD CONHESS THAT JOHESU IS PRESENTLY RECEIVING NOW....
NEW CONMESS 3 :# 312,944.83.
PROPOSED CONHESS 7: #165,541.08
(difference of #147,403.75)
89%difference.
PROPOSED CONHESS 9: #190,227.25 (difference of #122,717.58)
65% difference.
PROPOSED CONHESS 11:
#255,184.83.
(difference of #57,760.00)
23% difference.
I WANT TO ALSO WRITE THAT OF THE ZENITH OF BOTH PROFESSION :
OLD CONMESS 7: #704,209.08
OLD CONHESS 15: #476,855.00
(DIFFERENCE #227,354.08)
48% DIFFERENCE.
NEW CONMESS 7:
#999,698.50
PROPOSED CONHESS 15:
#697,024,42.
(difference of #302,674.08)
43% Difference
now did NMA see the parity they have been singing with
I TOOK OUT MY PRECIOUS TIME TO HIGHLIGHT THIS FIGURES OUT because WHEN I AM TALKING I LIKE WORKING WITH FACT because THE TRUTH CAN'T BE HIDDEN.
Copied

PLEASE TAKE A LOOK TO OLD COMESS AND OLD CONHESS:
COMESS 3 (which is the starting point for doctors) #260,865.58
CONHESS 7 (which is the starting point for some health workers like accountant etc) #118,765.
(difference of #142,100.00) 120% difference.
CONHESS 9 (which is another starting point for health workers eg pharmacist etc) #161,670.33.
(difference 99,195.25) 61% difference.
NOW LETS STILL COMPARE THE SALARY OF A NEWLY EMPLOYED DOCTOR ABOVE WITH A HEALTH WORKERS THAT HAVE SPENT 6 TO 9 YEARS IN SERVICE WHICH IS CONHESS 11.
CONHESS 11:#223,345.58 (difference of #37,520.00) 17% difference.
ABOVE IS FOR OLD CONMESS AND OLD CONHESS....
TAKE A LOOK AT THE NEW CONMESS AND PROPOSED CONHESS BY JOHESU, PLS SIR I WILL STILL WANT YOU TO COMPARE THIS NEW CONMESS WITH THE OLD CONHESS THAT JOHESU IS PRESENTLY RECEIVING NOW....
NEW CONMESS 3 :# 312,944.83.
PROPOSED CONHESS 7: #165,541.08
(difference of #147,403.75)
89%difference.
PROPOSED CONHESS 9: #190,227.25 (difference of #122,717.58)
65% difference.
PROPOSED CONHESS 11:
#255,184.83.
(difference of #57,760.00)
23% difference.
I WANT TO ALSO WRITE THAT OF THE ZENITH OF BOTH PROFESSION :
OLD CONMESS 7: #704,209.08
OLD CONHESS 15: #476,855.00
(DIFFERENCE #227,354.08)
48% DIFFERENCE.
NEW CONMESS 7:
#999,698.50
PROPOSED CONHESS 15:
#697,024,42.
(difference of #302,674.08)
43% Difference
now did NMA see the parity they have been singing with
I TOOK OUT MY PRECIOUS TIME TO HIGHLIGHT THIS FIGURES OUT because WHEN I AM TALKING I LIKE WORKING WITH FACT because THE TRUTH CAN'T BE HIDDEN.
Copied

PLEASE TAKE A LOOK TO OLD COMESS AND OLD CONHESS:
COMESS 3 (which is the starting point for doctors) #260,865.58
CONHESS 7 (which is the starting point for some health workers like accountant etc) #118,765.
(difference of #142,100.00) 120% difference.
CONHESS 9 (which is another starting point for health workers eg pharmacist etc) #161,670.33.
(difference 99,195.25) 61% difference.
NOW LETS STILL COMPARE THE SALARY OF A NEWLY EMPLOYED DOCTOR ABOVE WITH A HEALTH WORKERS THAT HAVE SPENT 6 TO 9 YEARS IN SERVICE WHICH IS CONHESS 11.
CONHESS 11:#223,345.58 (difference of #37,520.00) 17% difference.
ABOVE IS FOR OLD CONMESS AND OLD CONHESS....
TAKE A LOOK AT THE NEW CONMESS AND PROPOSED CONHESS BY JOHESU, PLS SIR I WILL STILL WANT YOU TO COMPARE THIS NEW CONMESS WITH THE OLD CONHESS THAT JOHESU IS PRESENTLY RECEIVING NOW....
NEW CONMESS 3 :# 312,944.83.
PROPOSED CONHESS 7: #165,541.08
(difference of #147,403.75)
89%difference.
PROPOSED CONHESS 9: #190,227.25 (difference of #122,717.58)
65% difference.
PROPOSED CONHESS 11:
#255,184.83.
(difference of #57,760.00)
23% difference.
I WANT TO ALSO WRITE THAT OF THE ZENITH OF BOTH PROFESSION :
OLD CONMESS 7: #704,209.08
OLD CONHESS 15: #476,855.00
(DIFFERENCE #227,354.08)
48% DIFFERENCE.
NEW CONMESS 7:
#999,698.50
PROPOSED CONHESS 15:
#697,024,42.
(difference of #302,674.08)
43% Difference
now did NMA see the parity they have been singing with
I TOOK OUT MY PRECIOUS TIME TO HIGHLIGHT THIS FIGURES OUT because WHEN I AM TALKING I LIKE WORKING WITH FACT because THE TRUTH CAN'T BE HIDDEN.
Copied

desoul2004:
Which kind of country is this?

This country thrives in broad day light injustice. There's no fairness in our system at all.

Joint Health Sector Unions(JOHESU), Statement on Honourable Ministers of Health(Prof. Isaac Adewole) Stand on Health Sectors Salary Structures

On 21/May/2018 / In Medical News
FALSEHOOD ON THE SALARY STRUCTURES IN THE HEALTH SECTOR; A DIVERSIONARY TACTIC AND TRIVIALISATION OF THE CRY FOR JUSTICE BY PROF. ISAAC ADEWOLE HONOURABLE MINISTER Of HEALTH
It is said by one of the holy books that" the truth shall set you free" and it is also common knowledge that falsehood and lies are forever disappearing things, because whenever the truth appears, falsehood and lies disappear. The falsehood and lies being fed the public by the Honourable Minister is not only condemnable but also disappointing and shocking.
The falsehood and lies being paraded about by the Honourable Minister of Health is that other Health Workers under the Umbrella of the Joint Health Sector Unions are asking for the same salary with his colleagues 'the Doctors'. While on a Channels Television program: The Honourable Minister said "the only problem with the ongoing strike by the JOHESU is that the group is asking for the same salary with Doctors" in fact this is a white lie and also an instrument of diversionary tactic. It is unfortunate and sad that the Honourable Minister has decided to abandon the subject matter in contention which is better working condition in the Health Sector and the general improvement of facilities, manpower and services in the sector, rather than face these challenges in the health sector, the Honourable Minister is busying himself as the spokesman for the Nigerian Medical Association.
We want to inform the general public that the Honourable Minister of Health should be "for nobody but for everybody" in the Health Sector, but it is evidently clear that Professor Isaac Adewole is the Minister for Doctors and not for all health workers.
The present crisis in the health sector is as a result of the trivialisation of the cry for justice. The general public must know that at no point in time did JOHESU demand for the same salary scale with Doctors. But the failure of the meetings held on (1). Wednesday, 25th April, 2018, (2). Monday, 30th April, 2018, (3). Thursday, 3' May, 2018, (4). Wednesday, 9' May, 2018, (5). Tuesday, 15' May, 2018, (6). Wednesday, 16th May, 2018, left the health workers with no choice but to take the last but most painful option of continuing the ongoing strike which was preventable, but for self-centred reasons. It is not only important but central to let the general public and stakeholders in the health sector know that a fresh doctor in a government employment earns N312,944.83 per month, that is CONMESS 3 (CONHESS 11). Whereas other health workers, would have to soil and toil for three to nine years before getting to CONHESS 11 which has a take home pay of 8255,184.83 with a differential of N57,760.00 which represents 23% difference (if adjusted from the present earning of 223,345.58). So where lies the truth behind the propaganda that Joint Health Sector Unions (JOHESU) is demanding the same salary structure with doctors. (Please see attached earnings in the health sector).
It is obvious that in Nine years that it takes a health worker to climb to CONHESS 11 where he earns N255,184.83, the doctor has pocketed 86,238,080, if stagnated for the period which is impossible. We want the Honourable Minister of Health to tell the world how on earth could a health worker who enters the public service in Nigeria on CONHESS 9 which is the same as GL 10 and earns N161,670.00 with a proposal to increase to N190,000.00 be the same as a fresh doctor who earns 8312,944.83 at the entry point. This is nothing but a master and servant relationship, in fact worse still, graduate Nurses who handle the bulk of patient care in the hospitals are on GL8, which is CONHESS 7 with a meagre monthly take home of between N97,000 and N118,000 which is almost half of the take home for doctors. In this case who is deceiving who?
The truth is that Doctors are usually the first to talk about international best practices; for the information of the Honourable Minister of Health and his co-doctors it is important to state a case study in Britain our colonial masters. In the wages of health professionals in UK Public Service, a perfect example is the fact that a doctor in the U.K at entry point earns £26,000.00, per annum while a radiographer earners, £23,000.00 per annum. This is what relativity in the salary structure in he Nigeria should look like. JOHESU is therefore appealing to the Federal Government of President Muhammadu Buhari, GCFR to restructure the Federal Ministry of Health and the entire health sector A position where the Honourable Minister of Health is a Doctor, the Minister of State for Health is a Doctor, the Director Hospital Services is a Doctor, it and Several other departmental heads in the Federal Ministry of Health s are doctors does not give a clear vision and proper direction for our health system.
Our constant position of allowing professional Health Administrators run our health system is the only solution to the quagmire facing our nation today. We have continued-to do the same thing over the years by allowing doctor to administratively run our health system, and we have continued to have the same result of poor health indices. It is time to make the required change, that change should be now.
Long Live the Federal Republic of Nigeria!
Long Live President Muhamniadu Buhari, GCFR!!
Long Live Joint Health Sector Unions!!

Source: https://www.medicalworldnigeria.com/2018/05/joint-health-sector-unions-johesu-statement-on-honourable-ministers-of-health-prof-isaac-adewole-stand-on-health-sectors-salary-structures