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Health / Pay Parity Among Healthcare Professionals: The UK Vs. Nigeria Example by Thanks18(m): 12:18pm On May 21, 2018
>> Pay Parity, Equity and Equality Among Healthcare Professionals: The UK vs. Nigeria Example By Daniel Okpla Onaji
Pay Parity, Equity and Equality Among Healthcare Professionals: The UK vs. Nigeria Example By Daniel Okpla Onaji
0 On 21/May/2018 / In Articles
Twines of conscience twines me like a meandering snake when I ruminate on the senseless debacle that has engulfed the Nigerian health sector for years now. Historically, the Nigerian medical doctors use the Nigerian Medical association (NMA) or the National Association of Resident Doctors (NARD) and other affiliates to persuade the government to either increase their wages or prevent the government from honouring agreement with other healthcare workers. Hardly has the NMA gone on strike to press for improved infrastructure or the alarming state of decay in the health sector.
To define the terms above;
- Pay Parity can be defined as the state or condition of receiving equal income, allowances and/attaining equal socio-economic status.
- Equity is defined as the quality or state of being fair and impartial to all concerned.
- Equality is defined as the state of being equal, especially in status, rights, or opportunities without discriminating against others.
Everyone has the right to chose the profession they deem best for themselves. It is ones' choice to be a medical doctor, and another to be a nurse, radiographer, laboratory scientist or physiotherapist, all working to deliver best of care to the patient.
In the UK, the health sector is seen as a multi-disciplinary sector where team work is enshrined in healthcare delivery for the overall benefit of the patient. In Nigeria, the salary of most other health professional is less than 40% that of the doctors at entry point and most will need to work for about 15 years to get to the grade level of a newly qualified medical doctor. To earn the same as a newly qualified medical doctor, most healthcare workers will have to work for about 15 years, assuming they receive specialist training and are promptly promoted.
Recently, other healthcare professionals in (the NHS) England got an increment based on negotiations with all their affiliate bodies without a query from the British Medical Association(BMA). When it favours the NMA, they refer to international best practices. A quick comparism of pay parity among doctors and radiographers in the UK visa-vis Nigeria will help, as follows:
In the UK (2018), basic salary for junior doctors/foundation year 1 (FY1) starts at about £26,614 rising to £76,761 (specialist medical consultant) .It takes about 19 years to progress from FY1 to specialist consultant in the UK.
Basic pay for a newly qualified radiographer / (band 5) is £23,023 rising to £62,001 (Band cool specialist or consultant radiographer. As a radiographer, it takes about 15 years to progress from band 5 to band 8.
In the Nigeria (2018), basic salary for junior doctors (CONMESS1/GL12) starts at about N240,000 rising to about N850,000 (COMESS 9/GL 16 (specialist medical consultant). It takes about 10 years to progress from house officer to specialist consultant in Nigeria if you pass your examinations. Basic pay for newly qualified radiographer / (CONHESS 9/GL10) is N140,000 rising to about N500,000 (CONHESS 15) deputy director, radiography. As a radiographer, it takes about 23 years to progress from senior radiographer to deputy director if you achieve professional skills and duly promoted.
The above comparism, although confirms pay parity, but clearly contrast the huge pay gap between a newly qualified medical doctor and a newly qualified radiographer in Nigeria visa-vis their UK counterpart.. Yes, the NMA insists parity is "sarcrosant" but denies that parity has been implemented ab initio entry point for the doctors. In 2009, the federal government approved CONMESS for medical doctors and CONHESS for other professionals and workers in the sector. At the entry point, the pay disparity between the two salary structure fall short of all know international best practices for equity.
This injustice was further entrenched in 2014, against the tenets of the 2009 agreement, the federal government approved an upward adjustment of CONMESS for the doctors without an equivalent upward adjustment of CONHESS for other healthcare workers.
In the UK, pay parity is implemented only at entry point and any further pay negotiation between the NHS and any trade union is implemented without the fury of BMA. Most healthcare professionals or groups can earn as much as they can clock in their hours based on service needs and skills/expertise. So you find a radiographer clock so many hours and may earn more than a specialist registrar whose services are not needed as that of the radiographer. Will Nigerian doctors allow this to happen here?.
NMA is opposed to other healthcare professionals becoming consultants working in the hospital. In the UK, a radiographer can rise to become a specialist /advanced practitioner radiographer (reporting plain x-ray, cathlab, cardiac CT, cardiac MRI, etc) or consultant radiographer ( mammographer, cathlab, ultrasound, etc).
In the UK, a lot of Nigerian radiographers, nurses and midwives carry out ultrasound services but Nigerian doctors do not allow Nigerians radiographers/sonographers including those returning from the UK to practice especially in the teaching hospitals where the doctors hold court.
In the UK, all the managers/heads of departments/units of NHS radiology are radiographers, working side by side doctors/radiologists who are appointed as clinical leads. The same goes for biomedical, physiotherapy, etc including the private hospitals (BUPA, SPIRE, BMI) where even non-medical mangers hold sway.
The NMA is opposed to the appointment of other health care professional as minister of health, minister of state for health, chief medical directors, chairman medical advisory committee, heads of departments and units including department such as radiography, pathology, medical laboratory etc. In the UK ( as well as most parts of europe) , the secretary of health and chief executives of most NHS are non-doctors. Jeremy Hunt is the current secretary of state for health and social care in the UK and holds a degree in philosophy. I recall the uproar when prince Julius Adelusi ( a pharmacist) was appointed minister of health. The NMA fought him to a stand-still because he was "not medically" qualified to be appointed minister of health in Nigeria.
The birth of JOHESU is the greatest hope of liberation of the health sector from the mundane perception that the ministry of health belongs to doctors and doctors alone. JOHESU stands for Justice (not Injustice), Order (not anarchy), Humility (not arrogance), Equity (not inequality), Service (not slavery) and Unity (not disharmony). The NMA needs to imbibe these values in order to move the health sector forward.
The way forward is for Nigerian doctors to put their patients first, understand that the health sector is multi-disciplinary and team work is the only way forward for service delivery in the interest of the patient . At the moment, they pay lip service to team work.
The times have moved on from when every other health worker is seen as part of the doctor's tool. The days are gone when the doctors built schools of nursing, medical laboratory and radiography awarding diplomas while doctors alone got MBBS degree from the universities. Knowledge and technological advances now demystify most skills including healthcare. Knowledge boundaries are getting thinner. Patients now demands more choices, knowledge and rights about their treatment never like before. Artificial Intelligence, telemedicine, virtual reality learning are tools knocking on everyone's door and demands a more open approach to patient treatment.
JOHESU and other healthcare workers must demonstrate that patient is the king and the reason why everyone is in the business of healthcare. The place of the doctor as a clinical lead must be sacrosanct, as is the practice globally.
Also, Doctors do not hold exclusive knowledge in human resource management and other professionals with pre-requisite knowledge and skills must be allowed to manage our health systems. Any agitation for improved condition of service of healthcare workers must have patient interest at the centre.
#thereality

Source: https://www.medicalworldnigeria.com/2018/05/pay-parity-equity-and-equality-among-healthcare-professionals-the-uk-vs-nigeria-example-by-daniel-okpla-onaji

3 Likes 1 Share

Politics / Re: Yusuf Buhari's Rehabilitation: Nigeria Society Of Physiotherapy Reacts by Thanks18(m): 10:58am On May 21, 2018
MistadeRegal:


Yea but he can vacate his office for his people to chase mouse around. They're only good at that.
Anyway, what do you expect from a man who downgraded his own wife at a foreign public event?

Yes, let him return to daura by 2019
Politics / Re: Yusuf Buhari's Rehabilitation: Nigeria Society Of Physiotherapy Reacts by Thanks18(m): 10:51am On May 21, 2018
mansamusa08:


Trained physiotherapists indeed!
Physical therapists who can not rehabilitate common stroke patients those ones are well trained?

As you sure you have ever encountered a qualified and licenced physiotherapist/physical therapist and not quackeries, Traditional bone setters & herbalist who parade as professionals and even usurp the role of orthopedic surgeon and physiotherapist. Even at that, Stroke is a neurological condition thus a long term management and its prognosis is dependent on extent of CVA.

5 Likes

Politics / Re: Yusuf Buhari's Rehabilitation: Nigeria Society Of Physiotherapy Reacts by Thanks18(m): 10:44am On May 21, 2018
Johnrake69:
First class in ass licking. Men who do not stand for anything. How can a bloody professor in charge of of health system make sure an embarrassing statement in a bid to justify the medical tourism embarked upon by the presidency

Indeed our university curriculum is in a mess and should be totally overhauled. Nigeria is still in darkness
Politics / Re: Yusuf Buhari's Rehabilitation: Nigeria Society Of Physiotherapy Reacts by Thanks18(m): 10:39am On May 21, 2018
MistadeRegal:
angry

How do you expect him to hand his son over to you when he considers you all as lazy, uneducated and fantastically corrupt?
Answer me NSP....

The same way, he detested the entire hospitals and centres in Nigeria since 2015 and cannot entrust his delicate health to Nigerian physicians even for a mere ear disease. Thus, he regards all health professionals in Nigeria as inferior when compared to his "superior" British medical personnel.

1 Like

Politics / Re: Yusuf Buhari's Rehabilitation: Nigeria Society Of Physiotherapy Reacts by Thanks18(m): 12:20am On May 21, 2018
Greyworld:
Its indeed a precarious situation.
Yes you are right

2 Likes

Politics / Re: Yusuf Buhari's Rehabilitation: Nigeria Society Of Physiotherapy Reacts by Thanks18(m): 10:51pm On May 20, 2018
Greyworld:

There are qualified personnel for "commoners" not worthy to touch the King's son.


In the same vein, there's no qualified doctors in Nigeria to treat the king who also personally and unofficially made London to be Nigeria capital due to medical tourism. Nigerian physicians are qualified for commoners but not worthy to touch the KING himself

81 Likes 5 Shares

Politics / Re: Yusuf Buhari's Rehabilitation: Nigeria Society Of Physiotherapy Reacts by Thanks18(m): 10:51pm On May 20, 2018
[quote author=Greyworld post=67733517]
There are qualified personnel for "commoners" not worthy to touch the King's son. [/quote

?
Health / Re: PHOTOS: Doctors Treat 19 Striking Health Workers Involved In Motor Accident by Thanks18(m): 10:42pm On May 20, 2018
frank41:




Mtchew tot you have beta thing to say oga...From all indications, u studied physiotherapy.....you beta go and pick jamb form nxt year and apply for medicine rather than waiting for tanker chidiebere....see you see professional exams.....what has keke gat to do with seat belt....physiotherapists indeed.....what is your work as a physiotherapist...physiotherapy is inconsequential bro...the dumping site where med.students that failed out from med. are accommodated and celebrated.Hide you face oooo...Ask polytechnics that went on strike based on having Btech equivalent as certificate,how they ended.If the Fed.does that...we doctors will go on strike too...monkey dey work baboo dey chop!

Laughable
You are daft and responding to you again is a waste of resources. The garbage and riddle you vomited out here shows that you are a liability bent on wasting the resources and energy of your kith and kin in training you in school. So they better give you a corner of your village so that you can practice your herbalism and quackery. I am an enthusiastic Physiotherapist with a singular aim to rub ideas with intelligent fellows in health team and not a complete illiterate like you.
Politics / Yusuf Buhari's Rehabilitation: Nigeria Society Of Physiotherapy Reacts by Thanks18(m): 9:34pm On May 20, 2018
Buhari’s son’s post-operative: ‘Nigeria has over 750 trained specialists to handle such'

Buhari’s son’s post-operative: ‘Nigeria has over 750 trained specialists to handle such'

Nigeria Society of Physiotherapy (NSP) says it has over 250 trained specialist Physiotherapists in Neurophysiotherapy and over 500 specialist trained Orthopaedic Physiotherapists who would have conveniently carried out President Buhari's son's post-operative rehabilitation if they had been invited.
NSP was reacting to a statement credited to the Minister of Health.



"Our attention has been drawn to some misconceptions which have arisen from a recent interview granted by the Hounorable Minister of Health on channels television program hard copy. The minister claimed that the president's son did not go abroad for treatment but for rehabilitation thereby suggesting that rehabilitation was not a form or part of treatment, " NSP said in a statement signed by its National PRO Peggy-joe Odili-Olaseinde.

It asserted:" We consider the Minister's response to the question by the anchor of the programme that Mr President's son had to go for rehabilitation abroad, when he was treated by Nigerian doctors as a tacit validation of allusions that other health professionals do not have the competence required to deliver quality healthcare- a position the NSP has always found ridiculous."

According to NSP, they had been inundated with calls inquiring whether there are no qualified Physiotherapists in Nigeria who could have undertaken the Rehabilitation aspect of the management of the President's son after he was treated by Medical Doctors.

It pointed out that physiotherapists are skilled to provide care in several areas, stressing, "NSP frowns at any deliberate attempt to undermine the contributions of the Physiotherapy profession to a holistic approach to management of health conditions especially orthopaedic and neurological conditions."

According to NSP, "an average physiotherapist's work is most physically demanding, with heavy caseloads (especially as most Nigerian Health Institutions have shortfall of physiotherapists)."


"We encourage the Ministry of Health to provide logistic support for the employment of physiotherapists and give due recognition to the training of specialists in Physiotherapy across board, “it stated.


https://www.dailytrust.com.ng/buhari-s-son-s-post-operative-nigeria-has-over-750-trained-specialists-to-handle-such-251497.html

9 Likes 5 Shares

Health / Re: PHOTOS: Doctors Treat 19 Striking Health Workers Involved In Motor Accident by Thanks18(m): 9:25pm On May 20, 2018
frank41:




Is not legitimate....Don't tell me that as a medical lab. Scientist or a physiotherapist....that you passed thru all the rigors that a medical doctor went thru? How many MBBS exams did you write and how many resit did you had.your works are always on shifts....while doctors are always on calls....what stoped those agitating from studying medicine? Lol

Are you okay at all? Did you actually read my post before mentioning me? Who told that other healthcare professions including physiotherapist did not write professional exam at every stage? how should one year extra in school make physician to be alpha and omega in health sector? if you don't have any valid and objective points to marshal out instead of these petty sentiments and trash, why not keep mute and learn by googling how most developed health system in the world runs with their physicians working as team member with other health care givers in the sector. Do it fast and thank me later
Health / Re: PHOTOS: Doctors Treat 19 Striking Health Workers Involved In Motor Accident by Thanks18(m): 9:22pm On May 20, 2018
frank41:




Is not legitimate....Don't tell me that as a medical lab. Scientist or a physiotherapist....that you passed thru all the rigors that a medical doctor went thru? How many MBBS exams did you write and how many resit did you had.your works are always on shifts....while doctors are always on calls....what stopped those agitating from studying medicine? Lol

Are you okay at all? Did you actually read my post before mentioning me? Who told that other healthcare professions including physiotherapist did not write professional exam at every stage? how should one year extra in school make physician to be alpha and omega in health sector? if you don't have any valid and objective points to marshal out instead of these petty sentiments and trash, why not keep mute and learn by googling how most developed health system in the world runs with their physicians working as team member with other health care givers in the sector. Do it fast and thank me later
Health / Re: No Accident Involving UBTH JOHESU Members. by Thanks18(m): 6:34pm On May 20, 2018
Dear Esteemed JOHESU members, greetings to you ALL.
THE STRIKE IS ONGOING.
Why do they need JOHESU members to return to work by force.
Come to think of it, why is the ministry riding on another horse (NGO) to issues directive to MD's and CMD 'S?
I believed some of the CMD' S are not fools, they have their own hospital barrister who could advise them accordingly because the Minister is desperate right now and he is making mockery of himself at every move he is making contrary to resolving the issues at hand.
The MDs and CMDs cannot deny the FACT that paying JOHESU SABOUTEOUS is not the solution to the issues at hand.
The Minister of Health and the ministry should be bold enough to take JOHESU to court.
Why are they avoiding the same court they flagrantly ignored and disobeyed Nine (9) good times.
Is it not embarrassing, shameful, for the ministry to jump on the line of NGO court arrangement they organized. The plans with NGO as fore runner is not working.
Let THE PRESIDENCY, THE SENATE, OR THE HOUSE OF REPRESENTATIVE take JOHESU to court, but to INTERNATIONAL COURT WHERE NO PARTY COULD DISOBEY and all INTERNATIONAL BEST PRACTICES adhere to.
OPENING OF REGISTER IS NOT NEW, THE SAME REGISTER MAY BE VERY USEFUL TO THE UNION TOMORROW.
BE STRONG, FIRM AND RESOLUTE, WHAT EVER THAT HAS A BEGINNING MUST HAVE AN END.
DON'T GIVE UP
VICTORY IS CERTAIN.
Com Fred: No body should be afraid,it was JOHESU leadership that declared the strike ,they are d ones empowered to relax or call members back to work. No one shd write any register for now. Afterall govt has named the JOHESU leaders they are interested in.
Commit our actions n further actions for victory this holy month of Ramadan as we pray n take action.
From NUAHP President
Health / Re: No Accident Involving UBTH JOHESU Members. by Thanks18(m): 4:20pm On May 20, 2018
neonly:
APC nd lies

You are daft. what concerns APC with this post. Or are you still in touch with reality?
Health / No Accident Involving UBTH JOHESU Members. by Thanks18(m): 3:51pm On May 20, 2018
*VERY IMPORTANT*
# Fowardedasrecieved .
# COPIED #
Our attention has been drawn to news making the round that UBTH JOHESU EXCO members were involved in a road traffic accident today 19.05.2018 on their way to Auchi in Edo state.
While there was indeed a road traffic accident:
** the victims are neither UBTH JOHESU EXCO
NOR MEMBERS**
We understand the desperation of the sponsors of this false news to always seek ways to score cheap points but we are saddened by the fact that they could descend so low as seeing the pain and anguish of the accident victims as something to be celebrated to the extent of uploading the pictures of this NIGERIANS IN PAIN to the whole world.
I want to state here again that this news is not correct as no UBTH JOHESU MEMBERS were involved in any kind of accident today and we shall by the GRACE OF GOD NOT BE INVOLVED IN ANY.
We want to advise ARD/NMA members to always check their facts and avoid rushing into conclusions so as not to continue spreading falsehoods to the general public.
They could have asked questions and get correct answers before painting the social media red with this lies.
I advice the NMA to avoid wishing JOHESU MEMBERS evil as evidenced by the way they celebrated this falsehood on the social media.
WE WISH THE VICTIMS OF THIS R.T.A A VERY QUICK RECOVERY.
WE ALSO APPEAL TO THE GENERAL PUBLIC TO PREVAIL ON THE MINISTERS OF HEALTH AND LABOUR TO QUICKLY PUT AN END TO THIS STRIKE BY DOING THE NEEDFUL.
GOD WILL CONTINUE TO PROTECT JOHESU MEMBERS.
OUR DEMANDS ARE LEGITIMATE.
GOD BLESS JOHESU.
OSIGBEME AUGUSTINE
Chairman, NANNM UBTH
Health / Re: PHOTOS: Doctors Treat 19 Striking Health Workers Involved In Motor Accident by Thanks18(m): 3:46pm On May 20, 2018
frank41:


You can say that again bro....their strike has no basis...shame on them...those doctors they are striving with ended up treating them.


*VERY IMPORTANT*
# Fowardedasrecieved .
# COPIED #
Our attention has been drawn to news making the round that UBTH JOHESU EXCO members were involved in a road traffic accident today 19.05.2018 on their way to Auchi in Edo state.
While there was indeed a road traffic accident:
** the victims are neither UBTH JOHESU EXCO
NOR MEMBERS**
We understand the desperation of the sponsors of this false news to always seek ways to score cheap points but we are saddened by the fact that they could descend so low as seeing the pain and anguish of the accident victims as something to be celebrated to the extent of uploading the pictures of this NIGERIANS IN PAIN to the whole world.
I want to state here again that this news is not correct as no UBTH JOHESU MEMBERS were involved in any kind of accident today and we shall by the GRACE OF GOD NOT BE INVOLVED IN ANY.
We want to advise ARD/NMA members to always check their facts and avoid rushing into conclusions so as not to continue spreading falsehoods to the general public.
They could have asked questions and get correct answers before painting the social media red with this lies.
I advice the NMA to avoid wishing JOHESU MEMBERS evil as evidenced by the way they celebrated this falsehood on the social media.
WE WISH THE VICTIMS OF THIS R.T.A A VERY QUICK RECOVERY.
WE ALSO APPEAL TO THE GENERAL PUBLIC TO PREVAIL ON THE MINISTERS OF HEALTH AND LABOUR TO QUICKLY PUT AN END TO THIS STRIKE BY DOING THE NEEDFUL.
GOD WILL CONTINUE TO PROTECT JOHESU MEMBERS.
OUR DEMANDS ARE LEGITIMATE.
GOD BLESS JOHESU.
OSIGBEME AUGUSTINE
Chairman, NANNM UBTH
Health / Re: PHOTOS: Doctors Treat 19 Striking Health Workers Involved In Motor Accident by Thanks18(m): 3:44pm On May 20, 2018
CeoNewshelm:
At least 19 members of the Joint Health Sector Union (JOHESU) sustained injuries in an accident along the Benin-Auchi Road on Saturday.

The workers are said to be staff of the University of Benin Teaching Hospital (UBTH) chapter of the union.

According to Channels, 40 of the health workers were on their way to a function in Auchi when the accident occurred.

The injured victims were subsequently rushed to the Otibho Okhai Hospital in Irrua, Edo state, where they were being treated by doctors and consultants on duty.


Esteem Tagar, president of the association of resident doctors at Irrua Specialist Teaching Hospital, who confirmed the incident, said no life was lost in the accident. The union has been on strike since April 17.

Part of the health workers’ demands include upward review of their salaries to be at same level with the doctors, a request both the federal government and the doctors kicked against.

Others are improved facilities, employment of additional health professionals, implementation of court judgments, upward review of retirement age from 60 to 65 years, and harmonisation of salaries of all healthcare workers in the country.


The National Industrial Court in Abuja, on Thursday, ordered the health workers to resume work within 24 hours but JOHESU asked its members to continue with the strike.

The union has “relaxed” its strike in Lagos, Kano, Yobe and Niger states, but called on President Muhammadu Buhari to sack Isaac Adewole, minister of health, for allegedly taking sides with doctors in the ongoing strike.

http://newshelm.ng/photos-doctors-treat-19-striking-health-workers-involved-in-motor-accident/

cc lalasticlala mynd44






*VERY IMPORTANT*
# Fowardedasrecieved .
# COPIED #
Our attention has been drawn to news making the round that UBTH JOHESU EXCO members were involved in a road traffic accident today 19.05.2018 on their way to Auchi in Edo state.
While there was indeed a road traffic accident:
** the victims are neither UBTH JOHESU EXCO
NOR MEMBERS**
We understand the desperation of the sponsors of this false news to always seek ways to score cheap points but we are saddened by the fact that they could descend so low as seeing the pain and anguish of the accident victims as something to be celebrated to the extent of uploading the pictures of this NIGERIANS IN PAIN to the whole world.
I want to state here again that this news is not correct as no UBTH JOHESU MEMBERS were involved in any kind of accident today and we shall by the GRACE OF GOD NOT BE INVOLVED IN ANY.
We want to advise ARD/NMA members to always check their facts and avoid rushing into conclusions so as not to continue spreading falsehoods to the general public.
They could have asked questions and get correct answers before painting the social media red with this lies.
I advice the NMA to avoid wishing JOHESU MEMBERS evil as evidenced by the way they celebrated this falsehood on the social media.
WE WISH THE VICTIMS OF THIS R.T.A A VERY QUICK RECOVERY.
WE ALSO APPEAL TO THE GENERAL PUBLIC TO PREVAIL ON THE MINISTERS OF HEALTH AND LABOUR TO QUICKLY PUT AN END TO THIS STRIKE BY DOING THE NEEDFUL.
GOD WILL CONTINUE TO PROTECT JOHESU MEMBERS.
OUR DEMANDS ARE LEGITIMATE.
GOD BLESS JOHESU.
OSIGBEME AUGUSTINE
Chairman, NANNM UBTH
Health / Re: Doctors At ISTH Irrua Respond To Mass Casualty Involving UBTH JOHESU by Thanks18(m): 7:14am On May 20, 2018
*VERY IMPORTANT*
# Fowardedasrecieved .
# COPIED #
Our attention has been drawn to news making the round that UBTH JOHESU EXCO members were involved in a road traffic accident today 19.05.2018 on their way to Auchi in Edo state.
While there was indeed a road traffic accident:
** the victims are neither UBTH JOHESU EXCO
NOR MEMBERS**
We understand the desperation of the sponsors of this false news to always seek ways to score cheap points but we are saddened by the fact that they could descend so low as seeing the pain and anguish of the accident victims as something to be celebrated to the extent of uploading the pictures of this NIGERIANS IN PAIN to the whole world.
I want to state here again that this news is not correct as no UBTH JOHESU MEMBERS were involved in any kind of accident today and we shall by the GRACE OF GOD NOT BE INVOLVED IN ANY.
We want to advise ARD/NMA members to always check their facts and avoid rushing into conclusions so as not to continue spreading falsehoods to the general public.
They could have asked questions and get correct answers before painting the social media red with this lies.
I advice the NMA to avoid wishing JOHESU MEMBERS evil as evidenced by the way they celebrated this falsehood on the social media.
WE WISH THE VICTIMS OF THIS R.T.A A VERY QUICK RECOVERY.
WE ALSO APPEAL TO THE GENERAL PUBLIC TO PREVAIL ON THE MINISTERS OF HEALTH AND LABOUR TO QUICKLY PUT AN END TO THIS STRIKE BY DOING THE NEEDFUL.
GOD WILL CONTINUE TO PROTECT JOHESU MEMBERS.
OUR DEMANDS ARE LEGITIMATE.
GOD BLESS JOHESU.
OSIGBEME AUGUSTINE
Chairman, NANNM UBTH
Health / Re: Federal Health Workers Under The Umbrella Of JOHESU Embark On Indefinite Trike by Thanks18(m): 7:10am On May 20, 2018
*VERY IMPORTANT*
# Fowardedasrecieved .
# COPIED #
Our attention has been drawn to news making the round that UBTH JOHESU EXCO members were involved in a road traffic accident today 19.05.2018 on their way to Auchi in Edo state.
While there was indeed a road traffic accident:
** the victims are neither UBTH JOHESU EXCO
NOR MEMBERS**
We understand the desperation of the sponsors of this false news to always seek ways to score cheap points but we are saddened by the fact that they could descend so low as seeing the pain and anguish of the accident victims as something to be celebrated to the extent of uploading the pictures of this NIGERIANS IN PAIN to the whole world.
I want to state here again that this news is not correct as no UBTH JOHESU MEMBERS were involved in any kind of accident today and we shall by the GRACE OF GOD NOT BE INVOLVED IN ANY.
We want to advise ARD/NMA members to always check their facts and avoid rushing into conclusions so as not to continue spreading falsehoods to the general public.
They could have asked questions and get correct answers before painting the social media red with this lies.
I advice the NMA to avoid wishing JOHESU MEMBERS evil as evidenced by the way they celebrated this falsehood on the social media.
WE WISH THE VICTIMS OF THIS R.T.A A VERY QUICK RECOVERY.
WE ALSO APPEAL TO THE GENERAL PUBLIC TO PREVAIL ON THE MINISTERS OF HEALTH AND LABOUR TO QUICKLY PUT AN END TO THIS STRIKE BY DOING THE NEEDFUL.
GOD WILL CONTINUE TO PROTECT JOHESU MEMBERS.
OUR DEMANDS ARE LEGITIMATE.
GOD BLESS JOHESU.
OSIGBEME AUGUSTINE
Chairman, NANNM UBTH

1 Like

Health / Re: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Thanks18(m): 7:08am On May 20, 2018
*VERY IMPORTANT*
# Fowardedasrecieved .
# COPIED #
Our attention has been drawn to news making the round that UBTH JOHESU EXCO members were involved in a road traffic accident today 19.05.2018 on their way to Auchi in Edo state.
While there was indeed a road traffic accident:
** the victims are neither UBTH JOHESU EXCO
NOR MEMBERS**
We understand the desperation of the sponsors of this false news to always seek ways to score cheap points but we are saddened by the fact that they could descend so low as seeing the pain and anguish of the accident victims as something to be celebrated to the extent of uploading the pictures of this NIGERIANS IN PAIN to the whole world.
I want to state here again that this news is not correct as no UBTH JOHESU MEMBERS were involved in any kind of accident today and we shall by the GRACE OF GOD NOT BE INVOLVED IN ANY.
We want to advise ARD/NMA members to always check their facts and avoid rushing into conclusions so as not to continue spreading falsehoods to the general public.
They could have asked questions and get correct answers before painting the social media red with this lies.
I advice the NMA to avoid wishing JOHESU MEMBERS evil as evidenced by the way they celebrated this falsehood on the social media.
WE WISH THE VICTIMS OF THIS R.T.A A VERY QUICK RECOVERY.
WE ALSO APPEAL TO THE GENERAL PUBLIC TO PREVAIL ON THE MINISTERS OF HEALTH AND LABOUR TO QUICKLY PUT AN END TO THIS STRIKE BY DOING THE NEEDFUL.
GOD WILL CONTINUE TO PROTECT JOHESU MEMBERS.
OUR DEMANDS ARE LEGITIMATE.
GOD BLESS JOHESU.
OSIGBEME AUGUSTINE
Chairman, NANNM UBTH

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Health / Uk Health Council by Thanks18(m): 12:46pm On May 19, 2018
*UK HEALTH COUNCIL*
In united kingdom where our president and other senators often seek medical care, leaving our jeopardized health system being managed by minister of doctors over the years without meaningful development, but rather what we are experiencing are anarchy, morbid egocentric mentality, industrial disharmony, superiority complexes, and strong desire to head all departments. They have termed other health care professionals such as Physiotherapists, Nurses, Medical Laboratory Scientists, Pharmacists, Optometrists, Radiographers, Dieticians and Occupational therapists as Non medical Health workers and they are the only medical health workers in Nigeria. With this showmanship of ignorance and acute behaviour of catatonic schizophrenia found among medical doctors in Nigeria. We wish to explain how the UK HEALTH COUNCIL IS HEADED.
*UK Minister of State For Health- Stephen Barclay* ; - He studied Law at the College of Law, Chester.
*UK Secretary of state for Health and Social care- Jeremy Hunt MP* ;- He studied philosophy, politics and economics at Magdelen College, Oxford.
*UK Minister of State for Care- Caroline Dinenage* ;- She studied Politics and English at Swansea University
*UK Secretary of State for Mental Health and Inequalities- Jackie Dougle* ;- She studied economics at University College, Durham
*UK Secretary of State for Public Health and Primary care- Steve Brina MP* - He studied History from Liverpool Hope University
Is it not laughable that NMA is citing International best practices, I wonder where their own international best practices came from.
Concerned
UGONSITE
JOHESUITE
Health / Re: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Thanks18(m): 12:45pm On May 19, 2018
*UK HEALTH COUNCIL*
In united kingdom where our president and other senators often seek medical care, leaving our jeopardized health system being managed by minister of doctors over the years without meaningful development, but rather what we are experiencing are anarchy, morbid egocentric mentality, industrial disharmony, superiority complexes, and strong desire to head all departments. They have termed other health care professionals such as Physiotherapists, Nurses, Medical Laboratory Scientists, Pharmacists, Optometrists, Radiographers, Dieticians and Occupational therapists as Non medical Health workers and they are the only medical health workers in Nigeria. With this showmanship of ignorance and acute behaviour of catatonic schizophrenia found among medical doctors in Nigeria. We wish to explain how the UK HEALTH COUNCIL IS HEADED.
*UK Minister of State For Health- Stephen Barclay* ; - He studied Law at the College of Law, Chester.
*UK Secretary of state for Health and Social care- Jeremy Hunt MP* ;- He studied philosophy, politics and economics at Magdelen College, Oxford.
*UK Minister of State for Care- Caroline Dinenage* ;- She studied Politics and English at Swansea University
*UK Secretary of State for Mental Health and Inequalities- Jackie Dougle* ;- She studied economics at University College, Durham
*UK Secretary of State for Public Health and Primary care- Steve Brina MP* - He studied History from Liverpool Hope University
Is it not laughable that NMA is citing International best practices, I wonder where their own international best practices came from.
Concerned
UGONSITE
JOHESUITE
Health / Re: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Thanks18(m): 10:00am On May 19, 2018
optm:
in our various trainings, we hv areas dt are given more attention because it is more relevant to our primary job spec. there re areas of pharmacology a pharmacist ll do better dan u as well as areas u wld do better due to d attention given in training based on its relevance to carrying out primary duties. a newly grad pharmacist is nt all grounded in evry areas that's why there re consultancy areas to mk dem authority in their chosen area of interest. i think a clinical pharmacologist shld be able to giv answers to ur questions. we all had diff trainings to enable us carry out our specific duties. it's childish trying to mk comparison in order to find out who is better. let's learn to hv respect fr one anoda.

Bros, you should have ignored him for silence is the best answer to a fool. I just observed he is still a student. Reality has not dawn on him. Let him graduate and come and meet us in the hospital. He will know where he belong.

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Health / Re: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Thanks18(m): 7:39am On May 19, 2018
Jack of all trades. master of none. We are in the modern era for goodness sake. From 19th century till date, after the French revolution and industrial revolution in the west, there became an emphasis on specialization of skills and knowledge for more productivity and usefulness. One day, NMA members will claim to know jurisprudence better than lawyers since they did a bit in school. They may also claim to know A level biology, chemistry and physics better than biologist, chemist and physicist respectively. Sometimes, I wonder why there's rampant increase of impunity in all our sectors and national existence as some derail folks foster a supremacy agenda on others. Fulani herdsmen are fighting a supremacy war on the whole 250 tribes in Nigeria; NMA is fighting a supremacy agenda in our backward health sector; At times, some zealous lawyer also even claimed to be the only learned profession in the country. I am a physiotherapist and there's no other profession in Nigeria can brag that he knows my discipline better. Everybody should know their limit. Physician does not know pharmacology more than pharmacist. They know just a bit of it in order to practice Anyone claiming such should submitted self for examination.

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Health / Re: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Thanks18(m): 3:38pm On May 18, 2018
TempoJames:


I am sure you don't understand why a medical doctor has no license to start a pharmaceutical company and why a pharmacist can't start a hospital.
Your question of why a medical doctor is in better position to head others will only be answered if u do an indept study of course contents of each field. Only then would you know a medical doctor has superior knowledge in all allied-fields as regard patient management. The hospital setting is not concerned about drug production but its use of which doctors have superior knowledge.
The same pharmacology a pharmacist studies for 3yrs(3l to 5l) is what a med doc studied in a year.
In UNN I studied pharmacology for 6months indepth no topic left out with true/false and negative marking and close marking applied with tendency to repeat or fail out if you fail. I exhuasted Tripathi text of pharmacology. Some times Lecturers finished by 9pm and you come back so exhuasted and tired and still have to read against the next day or accumulate work to your detriment.
Medical doctors are trained to carry knowledge in bulk. The same course others spread out and write semester by semester for 3 years is what a med doc exhausts under stress within a year or less and write exams across(not in parts). Those in medlab,medrehab,medradio, nursing will attest to the fact that their semester exams were used as continous assessment for medsurg students. They never wrote Mb. Last time I went to UNTH as visiting pathologist, the above academic regulations still holds true. Go and confirm and check the pass rate of their last 2nd mb and proof me wrong. Last year I heard only 12 out of 60 passed in dentistry others either failed out or repeated. currently they are 150(against 15 qouta) dentistry students and 325 (against 150 quota)medsurg students in YR1 my 2 kid bros are in pharmacy 500L and medsurg 400L UNN. I have first hand info from my colleagues over there too.
I remember in 2nd mb only 141(+resits) out of 335(including dentistry) passed . Abt 102 repeated 3rd yr and 98 failed out. I remember what happened that night the result was pasted around 9pm after 11hr long meeting by faculty boards. Many cried that day. A colleague that failed out even wanted to commit suicide.Tell which other health fields are subject to such truama. Yet you want to be doctors through the backyard without being test/baptized by the fire and ego of MBBS
Idiots!

Pls read this so that you will make objective point. I also have my own tale of the harsh undergraduate era. So don't hype it as if yours is from another planet.


NMA said the reason for coveting these offices is because other health workers are not "medically qualified" even though they all finished from the same college of medicine; took same or similar causes together or as separate departments.
Let's look at the so called international best practices. Lets look at the ministers of health of following countries:
1. France minister of health
Morisol Touraine.
She is not a degree holder. Studied At Ecole Normale Supereure and specialized in Economics and social issues.
2. Germany minister of health
Jens Spahn.
Studied Political science and Law at University of Hagen.
3. Saudi Arabia minister of health.
Dr. Tawfiq Al Ravish.
Obtain bachelor degree in Financial management and Mathematics, then 2 masters in computer science and information science.
4. Israel minister of health.
Yaakov Litzman.
Studied Torah and his first job was principal of Yaakov Girls school and then join politics.
5. Spain minister of health, social, security and Equality.
Dolors Montserrat.
A Lawyer and politician. She specialized in Real Estate and Environmental Law.
6. India minister of health
Jagat Prakash Nadda.
He a graduate of Law at Himachal Prakash.
7. Canada minister of health
Genette Petitpas Taylor.
She has bachelor degree in Social work.
Non of the above ministers study medicine and they are health ministers of their countries. Yet Isaac Adewole and NMA are saying our ministry of health institutions most be headed by medical doctors, ie. the international best practice.
# copied and edited.

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Health / Re: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Thanks18(m): 1:50pm On May 18, 2018
TempoJames:


Yes I'm deaf, daft and illiterate but I will be the one to conduct your autopsy after you might have died from hunger.
Cause of death will be: Hunger secondary to Johesu strike and insurbodination.

Laughable
No valid point made
Health / Re: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Thanks18(m): 11:59am On May 18, 2018
JOHESU AND NIGERIAN GOVERNMENT VS NMA HEALTH BATTLE: THIS IS THE CONCLUSION OF THE MATTER
By Fejiro Oliver
The equal right of all citizens to health, education, work, food, security, culture, science, and wellbeing – that is, the same rights we proclaimed when we began our struggle, in addition to those which emerge from our dreams of justice and equality for all inhabitants of our world – is what I wish for all. Fidel Castro
This is a long write-up for intellectuals who can research and not those who dwell in shallow arguments.
For two years, I purposely stayed away from writing as an individual on issues that bothered about the health sector in Nigeria, to enable me research on the true international best practices and come out with an informed and none bias position. Apart from education and defense, the most important aspect of a country is its health sector. Sadly enough, the sector in Nigeria has been bedeviled by animosity and fierce battle between the two prominent groups, namely; Joint Health Sector Union (JOHESU) and the Nigerian Medical Association (NMA).
JOHESU consists of all workers in the hospitals apart from Physicians and Dentists who make up NMA. I have decided to skip the word ‘doctor’ for a reason, which will be explained later. Nigeria is currently shut down with death toll rising every twenty four hours since JOHESU embarked on their strike last week. Despite the Federal Government refusal to pay them April salaries, they are bent on not going to work, until their demands are met. The argument from both sides is reasonable, depending on the prism through which one views it.
JOHESU is insisting that the FG honors all the agreement it reached with them, especially as it has to do with allowing their members to reach consultancy level, upward review of the CONHESS salary as agreed with FG, retirement age at 65 and few others. NMA on the other hand believes that the increment in salary for JOHESU will place them at par. They have also fought some JOHESU professionals from attaining consultancy status as well as using the prefix ‘Doctor’ before their name.
First of all, who is a Doctor? The word was never a medical word from origin. It is a Latin word from 1300, which means “Church father,” from Old French doctour, from Medieval Latin doctor “religious teacher, adviser, scholar,” in classical Latin “teacher,” agent noun from docere “to show, teach, cause to know,” originally “make to appear right,” causative of decere “be seemly, fitting,” from PIE root dek- “to take, accept”, as defined by etymonline. When the art of healing came into serious practice, the word ‘Doctor’ was used to replace the word ‘leech’, which they were initially called.
It therefore brings us to the argument on those entitled to use the suffix ‘Dr’ before their names in the health sector. First of all, it’s an acceptable fact that no one went to school to study ‘doctoring’. Unlike Engineers who derived their title from their course of study, this is not entirely so in the health sector.
In the school of health or school of medicine, as it’s called in different universities, the courses are Medicine, Pharmacy, Dentistry, Nursing, Medical Rehabilitation or Physical Medicine, Radiography, Medical Laboratory and Optometry. None of these courses is called Doctoring. The word Doctor came to be associated with the art of healing in the medieval period and were initially called Physician and still called so till date. With the advent of Doctor of Philosophy which is the highest level associated with teaching, it later became ascribed to those saddled with the art of healing.
The question now bothers to who is a healer in the health profession and who is a paramedic; a degrading word that has been used many times by Nigerian Physicians to spite other medical workers, who retaliates by calling them Allopathic officers.
In line with international best practices, only the World Health Organisation (WHO) not World Medical Association and International Labor Organisation (ILO) can define the meaning of every profession. In listing structures for each worker, all professionals were listed as ‘Health Professionals’ and not ‘Medical Professionals’. They were divided into two health groups for easy recognition. The first group listed are: Medical Doctors (Generalist Medical Practitioners and Specialist Medical Practitioners), Nursing and Midwifery Professionals, Traditional and Complementary Medicine Professionals, ***Paramedical Practitioners and Veterinarians.
The second group listed Dentists, Pharmacists, Environmental and Occupational Health and Hygiene Professionals, Physiotherapists, Dieticians and Nutritionists, Audiologists and Speech Therapists, Optometrists and Ophthalmic Opticians and Health Professionals Not Elsewhere Classified.
Note that Dentists which is a member of NMA is in the second category and Paramedics in the first category, according to International best practices that we like to flout.
Let us take a look at WHO definition of these core workers in the health sector.
According to WHO, ‘a Generalist medical doctors (including family and primary care doctors) diagnose, TREAT and prevent illness, disease, injury, and other physical and mental impairments and maintain general health in humans through application of the principles and procedures of modern medicine. They plan, supervise and evaluate the implementation of care and treatment plans by other health care providers. They do not limit their practice to certain disease categories or methods of treatment, and may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families and communities’.
Same WHO notes that ‘Nursing professionals provide TREATMENT, support and care services for people who are in need of nursing care due to the effects of ageing, injury, illness or other physical or mental impairment, or potential risks to health, according to the practice and standards of modern nursing. They assume responsibility for the planning and management of the care of patients, including the supervision of other health care workers, working autonomously or in teams with medical doctors and others in the practical application of preventive and curative measures in clinical and community settings’.
Going down to traditional level, WHO was direct when it stated that ‘Traditional and complementary medicine professionals examine patients and prevent and TREAT illness, disease, injury and other physical, mental and psychosocial ailments by applying knowledge, skills and practices acquired through extensive study of the theories and experiences originating in specific cultures. They research, develop and implement treatment plans using applications such as acupuncture, ayurvedic, homoeopathic and herbal medicine’.
For Dentists, the world body noted that ‘Dentists (including dental surgeons and related) diagnose, TREAT and prevent diseases, injuries and abnormalities of the teeth, mouth, jaws and associated tissues by applying the principles and procedures of modern dentistry. They use a broad range of specialized diagnostic, surgical and other techniques to promote and restore oral health’.
According to its supreme definition, ‘Pharmacists store, preserve, compound and dispense medicinal products. They counsel on the proper use and adverse effects of drugs and medicines following prescriptions issued by medical doctors and other health professionals. They contribute to researching, testing, preparing, prescribing and monitoring medicinal therapies for optimizing human health’.
For Physiotherapists, WHO didn’t mince word saying that ‘Physiotherapists assess, plan and implement rehabilitative programs that improve or restore human motor functions, maximize movement ability, relieve pain syndromes, and treat or prevent physical challenges associated with injuries, diseases and other impairments. They apply a broad range of physical therapies and techniques such as movement, ultrasound, heating, laser and other techniques. They may develop and implement programmes for screening and prevention of common physical ailments and disorders. ILO in classifying their job stated that “Physiotherapists and related associate professionals TREAT disorders of bones, muscles and parts of the circulatory or the nervous system by manipulative methods, and ultrasound, heating, laser or similar techniques, or apply physiotherapy and related therapies as part of the treatment for the physically disabled, mentally ill or unbalanced.
For Optometrists, the world body says Optometrists and ophthalmic opticians provide diagnosis, management and TREATMENT services for disorders of the eyes and visual system. They counsel and advise on eye care and safety, and prescribe optical aids or other therapies for visual disturbance.
While this may sound as a thesis, I will leave out what the sacred definition of WHO and ILO gave to the two eyes of medicine, notably Radiography and Medical Laboratory. The reader can Google it up.
By these definitions, five professions TREAT sicknesses and disorders and one provides the drugs or body gel they prescribe, while two gives a clearer picture of the diagnosis through tests and imaging.
They are General Practitioner called Medical Doctor, Traditional or complimentary medicine practitioners/
Homeopathy, Dentists, Nurses, Optometrists and Physiotherapists. Nursing being a unique and distinct profession cannot be called Doctors, but the rest whose primary duties is to diagnose treat and certify fit can be called Doctor if their regulatory body so wish.
On consultancy status, it is criminal for a profession to demand for such almighty position simply because of the years spent in service and not by merit. It’s akin to saying a lecturer can rise to the level of Professorship without studying to get PhD. This is where I disagree with JOHESU. Medical Doctors who are consultants didn’t jump the rope. They went through the rigors of residency training, became fellows and merited it.
Medical practice is not law that is determined by the years of practice which leads to the award of SAN. It is study, quest to break medical grounds and solve the everyday health challenges that the world faces. No amount of experience can totally give clinicians that except devotion to knowledge, which is gained through the appropriate postgraduate school or colleges.
It is however unjust for the current disparity in salaries of the two warring groups. Whoever separated the salary structure into CONMESS and CONHESS is the common enemy that we should be fighting today.
It’s absurd and ridiculous that a House Officer will earn higher than a working class Nurse or any other core medical practitioners, when the difference in study is one year. Only a specialist GP should be allowed to earn more than any other clinician, who refuses to also specialize in his/her own field.
The FG should as a matter of urgency make all health workers one salary structure, and their wages determined by level of qualification and specialty as operated globally. The Ministry of Health should be headed by hospitals administrators and not physicians, just as the hospitals should not also be headed by a Dentist or Nurse.
For heaven sake, it’s a profit making venture and not a professional body that the Medical Doctors heading it have turned it to. Only the Chief Medical Advisory Committee (CMAC) head should be a Physician while the Deputy CMAC should be from other clinical department like Medical Laboratory or Pharmacy.
International best practices that we scream always have proven that the top countries in medical field do not have any health worker as their Minister or Head of health sector. Oh, what about the almighty WHO that defines health, the head is not also a medical doctor, but a biologist. If WHO was a Nigerian union, it’s crystal clear that there would have been strike if a Nurse is appointed the head. What then are we saying?
As for JOHESU, calling off the strike now will forever bring your union to doom. Let the government stop salaries till next year, but do not give in to threats and blackmail. Your requests apart from ‘consultancy by years of service’ are just, and Nigerians are solidly behind you, even though we are the ones that ultimately feel the pain. There’s unity in strength and this is the time to be united. The battle is not against NMA but the Federal Government who reserves the right to implement your demands.
Every profession is independent of each other and this right to decency of work cannot be taken from you, not now, tomorrow or in the future.
To be continued…
These little things matter…
Fejiro Oliver, an Investigative Journalist, Media Consultant and Human Rights Activist is also the Co-Convener of Coalition of Human Rights Defender (CHORD) and can be reached on +2348022050733 (SMS ONLY) or secretsreporters@gmail.com. Engage him on twitter on @fejirooliver86.
Health / Re: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Thanks18(m): 11:58am On May 18, 2018
phemy2kme:
THE HIPPOCRATIC LOATHE – Flicking the switch

“Declare the past, diagnose the present, foretell the future.”
― Hippocrates

When you step into a room and flick a switch, you either create light or you create darkness, in this quagmire of unnecessary dark rancor let us flick the switch and create light.
International best practice is defined as” A program, activity or strategy that has worked within one organization and shows promise during its early stages for becoming a best practice with long-term sustainable impact. A promising practice must have some objective basis for claiming effectiveness and must have the potential for replication among other organizations”, meaning we will adopt an already developed and proven process or strategy and make it our way of life, in short copy and paste, or we set a precedence of chaos and hope others will copy it as international best practice exported from us to them with love.
Internationally, every professional working in the health sector apart from Medical Doctors and Nurses are referred to as “ALLIED HEALTH WORKERS” who are support staff to the aforementioned, locally in Nigeria they are referred to as “JOINT HEALTH SECTOR UNIONS” (JOHESU) that comprises the bulk of the work force save the Medical Doctors.
When you or your loved one goes to seek medical attention from qualified and well-trained personnel’s, a machinery is set in motion around you, which comprises these support staff and the medical personnel. The record staff opens a new case note for you or extract one you used in your previous visit, he passes this case note on to the nurse, who checks your vitals and gets you ready in the consulting/examination room for the Medical Doctor.
The Doctor asks you series of questions, your answers direct his train of thought, with a few differential diagnoses at the back of his mind, he examines you, which helps him to remove from or add to the list of diagnoses, to rule in or rule out options from this list, he orders for tests ranging from Imaging, body fluids examinations to tissue examinations.
These tests are carried out in different locations by medical doctors / JOHESU members, E.g A radiographer in radiology department will shoot the x-ray as he was trained to do, he will then pass the film, after developing it to the medical doctor in radiology department, who is a specialist to interpret the “picture” appropriately as he was trained to do, this radiographer and medical doctor only knows of your radiological report. You then proceed to the laboratory as directed by the medical doctor in the consulting room to chemical pathology laboratory, medical microbiology laboratory and haematology laboratory, different specialist medical doctors and laboratory technicians in these laboratories will run your body fluids and blood samples as they were trained to do, the medical doctors will write the reports and send same to the medical doctor in the consulting room, the doctors and the laboratory technicians are only privy to the reports obtained in their respective laboratories.
After all these, you will go back to the medical doctor in the consulting room with the gamut of reports, which will help the medical doctor to confirm the diagnosis he had on his mind or which will point him in another direction, after marrying your clinical presentation to the laboratory reports, he will make his choice of treatment, you will get an appropriate prescription detailing name of medication (drug), dosage of medication, mode of administration, frequency of usage and duration of usage of the drug. This is passed on to the pharmacist who will dispense the drugs, identify each one for you, explain mode of administration of each to you, often at times you will have to go back to the nurse for the administration of some of the medications, or to the medical doctor and some will be self-administered by you in your house, after which the records officer files your case note appropriately for subsequent usage, at the center of your care is the medical doctor in the consulting room holding all the pieces together and seeing the big picture, he is connecting all the units to give you a diagnosis and ultimately treatment, no one has the right or training to play this role save the medical doctor. Spending donkey years at the medical doctors’ elbow or shadowing him does not confer on anyone by default the right to play this role, unless you go into a university to study medicine as a course and swear the Hippocratic oath.
Doctors are responsible for protecting your personal information and data, hence the parlance, patient doctor confidentiality and not patient health worker confidentiality.
National Medical Association was founded in 1900 in the United States of America, while the counterpart Nigeria Medical Association was formed in 1951.
Following WWII, healthcare needs and demands increased, the Allied health workers was formed in 1967in the United States to support the work of medical doctors which will allow him concentrate more on diagnosing and shedding some weights to the support workers.
In 1976 the medical and health workers union of Nigeria was formed, which is a precursor to the hydra headed unequally yoked body, dubbed JOHESU.
It is very easy to become a medical doctor anywhere in the world, just meet the admission criteria, in Nigeria, you have to beat the JAMB/UTME cut off point, which Is usually steep, at this point no one clamors for “score parity”, “equity not equality”, everyone keeps mute and follows their chosen paths willfully or fatefully, after 1 year of general courses with other departments, the workload of medicine thereafter is something light but it is not for the faint hearted, in 2 years you finish 3 degree courses, that have students studying them independently for 5 years, following which you cross over to the clinicals where you earn 2 more degrees in 3 years, all these makes up the super degree MBBS (actually 4 degrees in 1).
After the 6 official years in school, 1-year internship and 1 year mandatory service to the fatherland, a medical doctor chooses his path, either he works as a medical officer or enroll for postgraduate study/service (residency), this takes another 6 years on the average of intense postgraduate studies, at the same time you are offering your service as a medical doctor (you are a graduate with a super degree, remember?) to the center where you are undergoing training, this chimera confuses the uninitiated who will call you, a student doctor (what a display of paucity of adequate cerebral functioning), following passing the prescribed professional examinations you become a specialist, you have invested on the average 14 years of your life in knowledge seeking and proper education as a medical doctor.
Let us create darkness on the call for “pay parity”, “equity not equality”, which is double standard anyway, with the definition of international best practice still fresh on our minds, let us turn our searchlights to the medical “eldorados” of this planet, to save time and space we will look at UK and USA.
USA is officially divided into 9 regions;
NC – north central, GL – great lakes, NW – north west, SC – south central, SE – south east, NE – north east, SW – south west, W – west, MA – mid Atlantic,
we will compare the pay of medical doctors with that of pharmacists, optometrists and nurses (they are the highest paid JOHESU units) in these regions.

NB: Pay is average per year for the top earners across the states in each region.

MEDICAL DOCTORS
NW – $ 301,000 GL - $ 303,000
W – $ 290,000 SE - $ 297,000
SW - $ 292,000 MA - $ 282,000
NC - $ 317,000 NE - $ 296,000
SC - $ 300,000

PHARMACISTS
NW - $ 125,850 GL - $ 115,160
W - $ 136,730 SE - $ 117,690
SW - $ 118,360 MA - $ 122,230
NC - $ 113,720 NE - $ 125,680
SC - $ 126,460

OPTOMETRISTS
NW - $ 126,200 GL - $ 113,880
W - $ 115,260 SE - $ 107,200
SW - $ 93,340 MA - $ 127,940
NC - $ 107,360 NE - $ 140,880
SC - $ 118,950

NURSES
NW- $ 75,350 GL - $ 64,430
W - $ 94,120 SE - $ 61,780
SW - $ 97,040 MA - $ 58,760
NC - $ 56,350 NE - $ 60,700
SC - $ 66,350

These figures are self-explanatory, we don’t need a PhD in mathematics or accounting to see the obvious, let us move over to the United Kingdom (UK), this country is, made up of Great Britain, Northern Ireland, Scotland and Wales. We will compare the pay of medical doctors with that of pharmacists, physiotherapists and optometrists in these regions.

NB: Pay is average per year for top and lowest earners (medical doctors) and top earners (JOHESU)

GREAT BRITAIN
Medical doctors
Consultants - £ 82,000
Private practice - £ 103,000
Public - £ 60,000
Residents - £ 40,000

Pharmacists (experienced)
All sectors - £ 50,000
Physiotherapists (experienced)
All sectors - £ 19,000
Optometrists (experienced)
All sectors - £ 44,000

NORTHERN IRELAND
Medical doctors
Junior doctors - £ 34,500
Consultants - £ 84,000

Pharmacists (experienced)
All sectors - £ 33,344
Physiotherapists(experienced)
All sectors - £ 38,077
Optometrists (experienced)
All sectors - £ 48,634

SCOTLAND
Medical doctors
Physicians - £ 67,317
Surgeons - £ 89,325

Pharmacists (experienced)
All sectors - £ 38,653
Physiotherapists (experienced)
All sectors - £ 30,000
Optometrists (experienced)
All sectors - £ 36,521

WALES
Medical doctors
Junior doctors - £ 35,000
Consultants - £ 84,641

Pharmacists (experienced)
All sectors - £ 39,417
Physiotherapists (experienced)
All sectors - £ 38,035
Optometrists (experienced)
All sectors - £ 42,147

Looking at what is being done in the land of the Queen that is attracting so many of well to do Nigerians, politicians and medical doctors, we can see without having a degree in mathematics one of the reasons why we flock that way, for your information, health sector budget in UK for 2018 is £ 124.7 Billion (# 1.7 trillion), another reason we take the leap.
This imbroglio has gone on for too long, we need to put an end to it, there is no where in Gods own world, that the proposed madness is taking place, this situation is taking its toll on all of us, we are Nigerians, we reside in Nigeria, we access healthcare in Nigeria, a group of people should not continue to hold us at ransom and be wasting our lives and the lives of our loved ones because of their own selfish immoral interests.
I am a medical doctor, I chose to be one, I enjoy being one, if I have a second chance at life I will be a medical doctor all over again, I will save as many lives as I can, that is who and what I am, I swore to the Hippocratic oath which you loathe.

DR FEMI OBAFEMI.

Pls read this article below in case you missed it and understand how WHO defined international best practices regarding medical practice in the world. Intl best practice is not defined by ILO, NMA and health ministry.
Health / Re: Press Briefing By Johesu Held On Thursday May 17, 2018 by Thanks18(m): 8:25am On May 18, 2018
# fowardedasrecieved . Breaking news.... ABUJA – THE Joint Health Sector Union, JOHESU, Thursday night relaxed its four weeks old strike in Lagos, Kano and Yobe states to accommodate emergency services. JOHESU The union said that the decision to relax the strike in the three states as a show of appreciation to the state governments for meeting the clamour and terms of settlement demanded by the unions. Speaking to journalists at a press briefing, the National President of JOHESU, Biobelemoye Josiah, also called for the immediate sack of the Minister of Health, Isaac Adewole; accusing him of posing as a major barrier to the resolution of the on-going nationwide strike of health workers. His words: “It is paramount we seize this discourse to specially convey deep appreciation to State Governments which have gone ahead to meet the various clamours and terms of settlement in agreements with government. This include Yobe and Lagos State which have now adjusted the CONHESS Scale as demanded. “We specially commend the Lagos State Government for approving the consultancy cadre for pharmacists in its employment. Just like the Niger State Government did with pharmacists since 2012. “The JOHESU also expresses gratitude to the Kano State government for ensuring good welfare package for its healthcare work force in addition to the intervention of His Excellency Governor Ganduje to ameliorate the on-going strike action. “We urge our members in Lagos, Yobe and Kano to tactically relax the strike to accommodate emergency services in those states as a measure of goodwill. “President Buhari should immediately remove Professor Isaac Adewole from office, as his continued stay remains a major barrier to the resolution of the on-going nationwide strike of health workers. This is a major threat to Public Health especially at a time that the dreaded Ebola disease is currently rampaging in some African Countries. “The Federal Government must energise the deadlocked negotiations between the JOHESU and Federal Ministry of Labour and Employment with genuine conciliators who have national interest. “Specifically, a befitting budget to offset the already compromised three options presented by JOHESU to the Federal Government on May 16, 2018 must be made available through interventions facilitated by the Office of the Secretary to the Government of the Federation. “We demand an immediate implementation of the terms of settlement of the September 30, 2017 agreement.” We’ll boycott further negotiations, if…. On the order by the National Industrial Court directing members of the union to suspend their on-going strike, and resume duties across the nation within 24 hours, Comrade Josiah said: “We have not been served any court notice. But if it happens that the Ministries of Health and Labour in any way sponsored the ex-parte motion that brought about the court order, we will boycott further negotiations. “The two ministries lack the moral right to take JOHESU to court for any reason, having disobeyed no less than eight court orders in favour of the union.”
Health / Re: Court Orders JOHESU To End Strike And Resume Work Within 24 Hours by Thanks18(m): 8:24am On May 18, 2018
# fowardedasrecieved . Breaking news.... ABUJA – THE Joint Health Sector Union, JOHESU, Thursday night relaxed its four weeks old strike in Lagos, Kano and Yobe states to accommodate emergency services. JOHESU The union said that the decision to relax the strike in the three states as a show of appreciation to the state governments for meeting the clamour and terms of settlement demanded by the unions. Speaking to journalists at a press briefing, the National President of JOHESU, Biobelemoye Josiah, also called for the immediate sack of the Minister of Health, Isaac Adewole; accusing him of posing as a major barrier to the resolution of the on-going nationwide strike of health workers. His words: “It is paramount we seize this discourse to specially convey deep appreciation to State Governments which have gone ahead to meet the various clamours and terms of settlement in agreements with government. This include Yobe and Lagos State which have now adjusted the CONHESS Scale as demanded. “We specially commend the Lagos State Government for approving the consultancy cadre for pharmacists in its employment. Just like the Niger State Government did with pharmacists since 2012. “The JOHESU also expresses gratitude to the Kano State government for ensuring good welfare package for its healthcare work force in addition to the intervention of His Excellency Governor Ganduje to ameliorate the on-going strike action. “We urge our members in Lagos, Yobe and Kano to tactically relax the strike to accommodate emergency services in those states as a measure of goodwill. “President Buhari should immediately remove Professor Isaac Adewole from office, as his continued stay remains a major barrier to the resolution of the on-going nationwide strike of health workers. This is a major threat to Public Health especially at a time that the dreaded Ebola disease is currently rampaging in some African Countries. “The Federal Government must energise the deadlocked negotiations between the JOHESU and Federal Ministry of Labour and Employment with genuine conciliators who have national interest. “Specifically, a befitting budget to offset the already compromised three options presented by JOHESU to the Federal Government on May 16, 2018 must be made available through interventions facilitated by the Office of the Secretary to the Government of the Federation. “We demand an immediate implementation of the terms of settlement of the September 30, 2017 agreement.” We’ll boycott further negotiations, if…. On the order by the National Industrial Court directing members of the union to suspend their on-going strike, and resume duties across the nation within 24 hours, Comrade Josiah said: “We have not been served any court notice. But if it happens that the Ministries of Health and Labour in any way sponsored the ex-parte motion that brought about the court order, we will boycott further negotiations. “The two ministries lack the moral right to take JOHESU to court for any reason, having disobeyed no less than eight court orders in favour of the union.”
Health / Re: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Thanks18(m): 8:20am On May 18, 2018
# fowardedasrecieved . Breaking news.... ABUJA – THE Joint Health Sector Union, JOHESU, Thursday night relaxed its four weeks old strike in Lagos, Kano and Yobe states to accommodate emergency services. JOHESU The union said that the decision to relax the strike in the three states as a show of appreciation to the state governments for meeting the clamour and terms of settlement demanded by the unions. Speaking to journalists at a press briefing, the National President of JOHESU, Biobelemoye Josiah, also called for the immediate sack of the Minister of Health, Isaac Adewole; accusing him of posing as a major barrier to the resolution of the on-going nationwide strike of health workers. His words: “It is paramount we seize this discourse to specially convey deep appreciation to State Governments which have gone ahead to meet the various clamours and terms of settlement in agreements with government. This include Yobe and Lagos State which have now adjusted the CONHESS Scale as demanded. “We specially commend the Lagos State Government for approving the consultancy cadre for pharmacists in its employment. Just like the Niger State Government did with pharmacists since 2012. “The JOHESU also expresses gratitude to the Kano State government for ensuring good welfare package for its healthcare work force in addition to the intervention of His Excellency Governor Ganduje to ameliorate the on-going strike action. “We urge our members in Lagos, Yobe and Kano to tactically relax the strike to accommodate emergency services in those states as a measure of goodwill. “President Buhari should immediately remove Professor Isaac Adewole from office, as his continued stay remains a major barrier to the resolution of the on-going nationwide strike of health workers. This is a major threat to Public Health especially at a time that the dreaded Ebola disease is currently rampaging in some African Countries. “The Federal Government must energise the deadlocked negotiations between the JOHESU and Federal Ministry of Labour and Employment with genuine conciliators who have national interest. “Specifically, a befitting budget to offset the already compromised three options presented by JOHESU to the Federal Government on May 16, 2018 must be made available through interventions facilitated by the Office of the Secretary to the Government of the Federation. “We demand an immediate implementation of the terms of settlement of the September 30, 2017 agreement.” We’ll boycott further negotiations, if…. On the order by the National Industrial Court directing members of the union to suspend their on-going strike, and resume duties across the nation within 24 hours, Comrade Josiah said: “We have not been served any court notice. But if it happens that the Ministries of Health and Labour in any way sponsored the ex-parte motion that brought about the court order, we will boycott further negotiations. “The two ministries lack the moral right to take JOHESU to court for any reason, having disobeyed no less than eight court orders in favour of the union.”
Health / Re: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Thanks18(m): 8:16am On May 18, 2018
TempoJames:



Davido remix: Johesu think say dem bad pass us but nobody badder ku

Joshesu if no get money hide ur face...fire burn them.

Johesu strike has already failed in Lagos....
Some workers have start returning
NMA is boss
pathologists are bosses
Radiologists are bosses.
Johesu bhad but doctors bhaddest.....

The same court that passed Judgement in favour of Johesu has now order suspension of strike.
Johesu wake up to the reality of Nigeria!
Population is nonsense.
A single authority speaks louder than noises made by population of recalcitrants.
Doctor is senate president, minister of labour and will always be minister of health. Johesu what is your stronghold? Strike and noise?
It is a pity that the noble pharmacists had to join the mediocres.
Doctors have never interefered with the activities of the pharmaceutical firms afterall we are not licensed and to be frank a doctor , myself included by training is a total novice in drug production(pharmacognosy) so it wouldn't be proper thinking of heading a pharmaceutical firm....But in the Hospital environment doctors are even superior in knowledge of drug use(pharmacology/therapeutics)pathology, radiology, and overalll patient care. Doctor automatically owns the hospital and lab therein by virtue of training.
I know pharmacists in the house will want to argue. A pharmacist will know drugs used for empirical tx but a doctor by his deep knowledge of pathology knows u shouldn't start a px on a drug yet untill u get samples for investigations as it can influence d results.
A doctor with deep knowledge of pathology(morbid,chemical n hematology) not just microbiology knows better use of drugs. A pharmacist/ other health professions may never understand why a doctor refuses to give hematinics or transfuse a child with acute febrile illness that is pale with even s/s of anemia n mild to moderate low Hb conc
Doctors can't be replaced by any other profession.
The earlier each profession recognizes its limitations the better for us all.

pls get your fact straight JOHESU national body in the press briefing yesterday has relaxed the strike in Lagos and Yobe states as appreciation to the state governments for meeting their demands. Your type was the reason while 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". So disobeying court injunctions is now a heroic act abi. This questions that you are absolutely arrogant and uncivilized with your sense of judgement doctored, beclouded with petty sentiments and illiteracy. If the great POTUS will obey a high court injunction to drop his famous travel ban, it is a great lesson to be learnt that the hallmark of civilization is law and order and civility. Mr, your comments in this thread shows you are either deaf, daft or purely an illiterate.

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