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Theplanmaker's Posts

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IslamRe: Being Muslim And The Danger Of A Single Story by theplanmaker: 8:37am On Jul 25, 2014
Op, personally I have nothin against Muslims. I don't judge people based on their religious affiliations, but on the content of their character. My best friend is a Muslim. However, looking at the activities in Islamic regions, I.e northern Nigeria, south Sudan, northern Africa, the middle east...one is tempted to conclude that Islam has affinity for violence and extremism. How do you explain the harsh treatment of women? trying to kill anyone that abandons the Islamic faith? or better still the intolerance that exists in this regions? you may think alittle and act differently because you have recieved a measure of western education. But those who are Muslims through and through have this negative traits. pls do not blame the world for its view of Islam , it is what Islam has potrayed itself to be
PoliticsRe: Breaking News!: NFF Board Impeaches Animu Maigari! by theplanmaker: 3:29pm On Jul 24, 2014
the next is always worse than the previous
EducationRe: How MY Neighbor's Daughter Duped My Mum Of A Huge Sum Of Money by theplanmaker: 2:15pm On Jul 24, 2014
The girl is bad, and you aren't a saint too
HealthRe: Amazing! Patients Pay Doctors To Use Surgical Equipment Atigbobi Hospital by theplanmaker: 4:40pm On Jul 19, 2014
ziga: Poor funding is what has resulted into corrupt practices.

How can an orthopedic hospital not have a drill?

How do you expect the Docs to do their jobs?

Docs don't need to go on strike in Nigeria for people to die.

People have been dying and Docs have to bear with the guilt of knowing that those people could have been saved since 1960.

And the FG as well as all these opportunists capitalize on the ignorance of Nigerians.
Do you sincerely think that the hospital cannot afford a drill that costs 1million naira without the government?
HealthRe: Amazing! Patients Pay Doctors To Use Surgical Equipment Atigbobi Hospital by theplanmaker: 4:27pm On Jul 19, 2014
oh I have seen worse......there are cases in Ubth were consultants refuse to attend to patients except they register in their private clinics, this is what medicine has turned to in Nigeria. unlike education, poor funding is not the biggest problem in the health sector........corruption is the problem.
EducationRe: Top 10 Courses To Study In Nigeria by theplanmaker: 6:33pm On Jul 18, 2014
hmmm you forgot about the pharmacists? I think there are generally better oportunities for hospital proffesionals
HealthRe: Nma Strike, The Nurses' Perspective. by theplanmaker: 7:48am On Jul 12, 2014
heykims: With all due respect,a medical doctor's line of duty can never be threatened by a nurse, what do nurses knowhuh?
A nurse is only there to carry out d plans documented by d doctor, their job is just to execute d doctors' order, so i don't see any threat to d line of profession of a magistrate who sentences by d prison officials who carries out d order.
As such, d little clinical experience re only derived when carrying out d docs' plan of management, so they then get to learn different lines of management of various health conditions from d docs' documentation, they av no formal training.
Nursing students ain't taught ow to examine patients nd neither do they acquire skills of diagnosing in school (who will even teach them when even d qualified nurses don't know it coz it isn't required to discharge their duties), so i then begin to wonder if it is even appropriate for nurses to establish coz they don't av d formal training to manage patients..
In fact it is funny nd i see it abnormal also coz once a nurse graduates from school wt a degree (Bnsc or so), she doesnt require any further education to get promotion to d highest nursing rank, she/he just sits carrying out docs' plan nd promotion keeps coming wt years spent. This is absurd..
you are clearly ignorant. you do not understand what nursing is.
HealthRe: Nhis(national Health Insurance Scheme) by theplanmaker: 12:27am On Jul 10, 2014
Thanks for the info,....For the formal, is there an age limit for the children? then for the vcship, will the plan cover me if I'm treated in a private hospital or community health center? do I av to pay any percentage of my bills?
HealthRe: Johesu’s Claims Against Doctors In Nigeria; A Case Of Historic Amnesia by theplanmaker: 8:25am On Jul 07, 2014
seems nairaland is biased, only anti-johesu news seem to make front page
HealthRe: Doctors’ Strike Cripples Hospitals Nationwide by theplanmaker: 7:10am On Jul 02, 2014
Selfish doctors fighting for more money
HealthLet Us Analyze The Demands Of Nma.....part 2 by theplanmaker(op): 8:50pm On Jul 01, 2014
(13) NMA calls for immediate withdrawal of
CBN circular authorizing the Medical
Laboratory Science Council of Nigerian (MLSCN)
to approve licenses for the importation of in
vitro diagnostics (IVDS). It is so petty that NMA
is going on strike because the Federal
Government (which means well for Nigerians),
has taken the bull by the horn to making sure
that fake/ substandard diagnostic consumables
are removed from the system, by effectively
empowering MLSCN-the Agency who has the
statutory function to do this job. Sections 4b,
and 4e of MLSCN act 11 2003 provides- the
function of the board are
(B) Regulate the Practice of Medical Laboratory
Science in Nigerian.
(c) Regulate the production, importation, sales,
and stocking of diagnostic reagents and
chemicals.
Section 19 of the MLSCN act mandates MLSCN
Board to also make rules. Section 19(d) goes
thus-the board may make rules for the
maintenance of good standard of Medical
Laboratory practice and services with respect
to the regulation and control of private
practice including statutory inspection,
approval, and monitoring of all Medical
Laboratories including those adjoined to
Clinics, Private and Public Health Institutions.
Instead of NMA to partner with MLSCN to kick
fake diagnostics out of Nigeria, she is out there
encouraging quackery and fighting a lost battle
by being anti-Establishment.
(14) NMA wants immediate release of circular
on retirement age. Dear Nigerians by
increasing retirement age from 60 to more
years how will it bring better productivity in
the health sector? When within the next ten
years of a doctor starting work ,he can get to
the zenith of his career which work will he be
doing? And when most of our consultants are
part time doctors because they work and have
Clinics days only once a week.
(15) NMA , Residency and Oversee
Training.NMA should look inwards and stop
hiding under residency and oversee training to
encourage medical tourism and waste of tax
payers money. For self reliance and self
determination the Alma Ata declaration has a
lot to help a young economy like Nigeria.
Health has a lot to do with socio-economic
indices. Diseases in the tropics are not the
same as in the temperate region. Alma Ata
declaration of 1978, encourages young
economies to look inwards locally in providing
healthcare at low and affordable manner. All
over the world it is not only one group in the
health field that does residency. Veterinarians,
Podiatrist, Medical Physicist, Optometrist,
Pharmacist, Physical Therapist, Doctors of
Ethnomedicine, Doctors of Holistic Medicine,
Doctors of Natural Medicine etc all have
residency program. Yet none of these group in
Nigeria have gone on strike because of no
oversee residency program. A privilege is not a
right. There is no government law that says
that Allopathic Doctors can only become good
doctors only when they go oversee.NMA
should stop encouraging this mentality that
anything African is inferior.NMA should know
that what they are asking is not part of the
rules of engagement. This is the time for more
humane and humble request. Indian doctors
are becoming one of the best doctors in the
world not because they are looking overseas
but because they are looking inwards.
(16) NMA insist on payment of salaries of her
member in Owerri. Her members should also
meet part of their own responsibilities and
agreement as workers. NMA must learn to
obey constituent authority, and must make
her members to be amenable to discipline.
(17) NMA members and IPPIS platform. NMA
has always shown double standard on this
issue. Before now, members of NMA went on
strike because of the Government policy that
all worker must be on IPPIS platform. How
come it is now that NMA is just waking up
from sleep, to say that if her members are not
on IPPIS she will call her members for
indefinite strike? The Government policy is
that if you are not on a pensionable
appointment you cannot be on IPPIS. So how
can house officers and residents be on IPPIS
when their appointment is not permanent?
Moreover the 2014 Call Budget Circular from
the Ministry of Finance provides that you
cannot hold more than one appointment and
be placed in two places under IPPIS platform.
When IPPIS came many members of NMA
opposed it because it did not allow them to be
on Government pay role in two places.
(18) NMA wants to go on strike because House
Officers are said not to be part of NARD-
National Association of Resident Doctors. The
big question here is, are house officers also
paid the same as their senior residents? In as
much that the House Officer is a junior
resident while the doctor in training to become
a specialist is a senior resident the duo cannot
be part of any strike action even with their
consultants, because they belong to an
Association and not a trade Union.NMA is only
calling for House Officers to be part of NARD
for them to be part of their numerous illegal
strike action.
(19) NMA accuses Medical Laboratory Scientists
of harasment.NMA has shown herself that she
is a Joker. The world knows that it is the other
way round. That it is members of NMA that
are harassing Medical Laboratory Scientists in
Nigerian. The number of Medical laboratory
Scientist that NMA members have instigated
their sack/termination of appointment/
suspension is worrisome. But thanks are to the
Most High for the Judiciary who brings hope
for the common man, by setting aside most of
the sack/termination/suspension. Medical
laboratory Scientists are people who do not act
on impulse, or with impunity. Why is NMA
resorting to self help when issues she has with
members of Association of Medical Laboratory
Scientists of Nigerian are in court? Why is she
the judge in her own case? The spirit of
Medical Laboratory Scientists can never be
broken. We shall always move with great
crescendo to protect patients’ interest and the
public at large, despite the provocation and
lawlessness that is being perpetuated by
members of NMA in the Health Sector. The
laws of the land shall be our strength, for he
who holds the mace of truth and justice can
never falter. We cannot be intimidated by her
Goliath posturing.
(20) NMA says-‘the endless circles of
incomplete salary payment to our members in
many hospital in the name of short falls in
personal cost must stop’. This is the only
legitimate demand out of the 24 demands by
NMA because the labourer is worthy of his
wages. But NMA cannot call her members out
for strike based on this, because she is not a
registered Trade Union but a charity. This
problem is not peculiar to only Allopathic
Medical Doctors but to all personnel working in
the Health Sector.
(21) NMA in her number 21 demand states
‘universal application of all establishment
circulars on remuneration and condition of
service for doctors at all levels of Government
must be guaranteed’. NMA is not justified
here, because this borders on Constitutional
Matter. And the Central Government has some
limits to want they can impose on the State,
bearing in mind that we are practicing a
Federal System of Government, where power
is shared among the three tiers of
Government, the Federal, State and the Local
Government. NMA members should come to
terms that they are the employee and not the
employer. It is very interesting to note, that
NMA who champions the lost battle, insists
that the approved Scheme of Service/circulars
of other healthcare workers will never be
implemented is the one now agitating that
even things not given by any Scheme Service/
circular must be implemented.
(22) NMA demands that Government must
urgently set up a health trust fund that will
enhance the upgrading of hospitals.NMA is
being sentimental here, the problems of our
hospital is not funding but mismanagement
and accountability. Even if the Government
sets 100 trust funds with billions of naira
much will not come out of it, because the
hospitals are managed contrary to
Government laws and principles. Hospital/
health administrators should be the ones to
head and manage the hospitals. Our hospitals
have been poorly managed under the
leadership of Allopathic Physicians. When
there is good management and accountability
Government set goals/objectives can be
actualized.
(23) APPOINTMENT INTO THE OFFICE OF THE
CMD/MD.
NMA is always doctoring and adding to organic
laws. In her 23rd demand, NMA stated “the
position of the Chief Medical Director/Medical
Director must continue to be occupied by a
medical doctor as contained in the act
establishing the tertiary hospitals. This position
remains sacrosanct and untouchable.” I can
beat my chest and say that the leadership of
NMA have never seen nor read the content of
University Teaching Hospitals (reconstruction of
boards) cap U15, LFN 2004 commonly called
decree 10 of 1985.There is no where it stated
what NMA quoted above. In fact the term
medical doctor was never used in that
document or Act. Section 5 of the act provides;
(1) There shall be for each hospital a Chief
Medical Director who shall be appointed by
the president on such terms and conditions as
may be specified in his letter of appointment
or as may be determined from time to time by
the Federal Government.
(2)The Chief Medical Director shall
(a)Be a person who is medically qualified and
registered as such for a period of not less
than 12 years, and has had considerable
administrative experience in matters of health
and holds a post graduate medical
qualification obtained not less than 5 years
prior to the appointment as chief medical
director and
(b)Be charged with the responsibility for the
execution of the polices and matters affecting
the day to day management of the affairs of
the hospital.
In the afore-mentioned Act, there is no place
it said that the person must be a Medical
Doctor. The International best practice is that,
it is not only Medical Doctors that head
Hospitals rather, in most places; it is a
qualified hospital/health administrator that
manages the Hospital. If you do a search on
the internet on the criteria to become a truck
driver in USA, note that you will see that it
says that the person must be medically
qualified. So does being medically qualified
here mean that one must be a medical doctor
to be a truck driver? The capital answer is
“no”. It means being medically fit. The term
medically qualified as used in the act has been
misinterpreted to mean a holder of a
certificate registrable by MEDICAL AND DENTAL
COUNCIL OF NIGERIA.(MDCN). Currently there
is a case instituted in the Federal High Court
Awka by Comr. A. A Obi a distinguished
Medical Laboratory Scientist and the suit
number is FHC/AWK/CS/38/2013.The suit is to
interpret the meaning of who is medically
qualified as used in section 5 of the act. So
why is NMA and her members jumping the
gun to go on strike on an issue before the
Court is that not subjudice? All along NMA has
used acts of impunity to undermine the rule
of law. The organic law did not say the person
will be a Medical Doctor or be registrable with
MDCN even though all adverts for the posts of
CMD/MD have come to illegally say so.
It is lucid that from the foregoing, certain
questions arise. Can NMA as an Association
declare and call for strike, when it is not a
Trade Union? Is NMA above the law, that it
can undermine the provisions of the
Constitution of the Federal Republic of Nigeria,
by trampling on the code of conduct for Public
Officers as stated in the constitution? Section 2
subsections 1,2 and 3 of the Trade Union Act,
states “A trade union shall not perform any act
in furtherance of the purpose for which it has
been formed unless it has been registered
under this act……………..”
section 2 subsection 2-where a trade union
registered under this act ceases to be
registered, it shall not there after perform any
action in furtherance of this purpose…………….
section 2 subsection 3-if any act which is
prohibited by section (1) or (2) of this section,
is performed by a trade union, then
(a)The Union and every official thereof; and
(b) Any member thereof who, not being an
official thereof, took any active part in the
performance of that act, shall be guilty of an
offence against this act.
NMA is not a registered Trade Union, so she
cannot be doing this, entrenching sabotage
and acts of impunity against the State. Above
all, endangering the lives of the citizens, she
swore on oath to protect. A situation where
NMA is going on strike as a result of these
frivolous demands is gross misconduct and
acts of negligence. Section 3 of 030301( h) of
the Public Service Rule terms negligence as a
misconduct.030402 (e) terms absence from
duty without leave as serious acts of
misconduct. Sabotage in 030402(t) is also
stated as serious misconduct. Section 33(1) of
the Nigerian Constitution 2011 as amended
provides every person has a right to life and
no one shall be deprived intentionally of his
life………section 172 of the same Constitution
states “A person in the Public Service of the
Federation shall observe and conform to the
code of conduct of the Federation “.The fifth
schedule part 1 code of conduct for Public
Officers says:
(1) A public officer shall not put himself in a
position where his personal interest conflicts
with his duties and responsibilities.
(9) A public officer shall not do or direct to be
done, in abuse of his office, any contrary act
prejudicial to the rights of any other person or
contrary to.
It is so glaring that what NMA is asking is
prejudicial and tramples on the rights of
Nigerian Citizens.
(24) IN her 24 demand NMA forgot that she is
an employee of the Government and it is not
for her to dictate on how Optometrist or
Medical Physicist should be paid. Nigeria is not
Govern by the whims and caprices of NMA but
by laws and polices made by the Government.
CONCLUSION.
NMA and her members are not justified on
going on strike. The only reasonable demand
is demand number 20 haba! A student who
scored one out of twenty four is not doing well
at all. NMA members should know that as
workers they have duty of Fidelity, they as
Civil Servants are bound to only obey rightful
orders from NMA. They also have duty of care
and skill to the patient. And above all their
loyalty/allegiance is to the Nigerian state. A
situation where NMA gives her members
unlawful orders undermines the rule of law
and as such, such orders cannot hold sway.
NMA has become a fifth columnists working
against the state. It is sad that NMA and her
members who have benefitted so much from
the state are now turning themselves against
the Nigerian state to become the killer of the
Nigerian People, instead of being the Physician
who is to be the healer of the patient and
people. Nigerians must rise and say no to this
medical imperialism by using the
instrumentality of the law to stop NMA from
inflicting untold hardship on her citizenry. The
Federal Government through the Ministry of
Health under Prof Onyebuchi CHukwu must
act to maintain law and order, now that NMA
has told the world that it is because of some
of the things She granted to JOHESU on merit,
is the reason NMA is going on strike. She
should seek an injunction restraining NMA
from going on strike just as he did to JOHESU,
pending the determination of the motion on
notice to know if NMA has the locus standi to
go on strike when she is not a Trade Union.
JOHESU should be firm to seek a legal redress
to restrain NMA in this acts of lawlessness,if
the Government does not act.There must be a
total restructuring of the Health Sector. All
Nigerians from all works of life must condemn
these acts of sabotage against the State by
doctors of Allopathic Medicine under the
auspices of NMA. The Nigerian Government as
a matter of urgency should support the
Natural Medicine Development Agency Kofo
Abayomi Victoria Island, to reposition our
Traditional Medicine to be like what is seen in
China, USA, U.K, India, Korea etc. And it
should be integrated into the mainstream
Healthcare System in Nigeria. Allopathic
Monopolistic Medicine should give way to
Pluralistic Medicine. Government should create
an enabling environment for the practice of
the different Medical Systems like, Functional
Medicine, Holistic Medicine, Ethnomedicine,
Ayurvedic Medicine, Homeopathy, Osteopathy
etc. All over the world, no country is currently
solely dependent on one Medical System.
Nigerians must say no to NMA that has
become anti people. The Nigerian Government
should not allow herself to be blackmailed by
NMA. She should first and foremost challenge
NMA for acts of impunity against the state.
The federal Government should take a leaf
from Governor Fashola of Lagos State, for
enough is enough. The Government should
also take a queue from the former governor of
Anambra state, Mr Peter Obi
AJUFO, BENJAMIN CHUKWUNONSO-
HealthLet Us Analyze The Demands Of NMA by theplanmaker(op): 8:35pm On Jul 01, 2014
For many years,
Allopathic Medical Doctors in Nigeria have
always hoodwinked the Government and the
general public, through falsehood and
blackmail. They have coerced the Government
to take unfavorable decisions which have
always been detrimental to the health sector
and the Nigerian populace. They have
continually done this as a result of the
structural injustice that has been perpetuated
by many members of NMA in high places in
Government. They undermine the laws setting
up the hospital system, the Public Service
Rules and above all the constitution of the
Federal Republic of Nigeria. At this juncture let
us have a critical look at those demands.
(1) APPOINTMENT OF THE POST OF THE
DEPUTY CMAC IN HOSPITALS. In line with the
University Hospitals (reconstruction of boards)
cap U15, LFN 2004 commonly called decree 10
of 1985 which governs Hospital practice in
Nigerian, there is the office of the CMAC but it
never provided for the office of the DCMAC. In
section 4, it provides thus; “there shall be for
each Hospital, a Chairman of the Medical
Advisory Committee who shall be appointed
by the Board and responsible to the Chief
Medical Director for all the Clinical and
Training activities of the Hospital”. Section 2i
provides that; the CMAC is a member of the
board. There is no place in the organic law
setting up the hospital that created the office
of the DCMAC and there is no place it says
that only Allopathic Medical Doctors should be
appointed as such. Yet NMA is insisting that
the Government must appoint four DCMAC in
every Teaching Hospital and three in every
Federal Medical Centre. All along, Boards of
Hospitals as a result of threats from NMA have
been allowing this illegal office to be used to
undermine statutory approved Scheme of
Service of other professional groups. The
Public Service Rule in section 1-general in
160101 provides; ‘A Parastatal is a
government-owned organization, established
by statutes to render specified service(s) to
the public. It is structured and operates
according to the instrument establishing it and
also comes under the policy directives of
government. In line with 160201 (a) statutory
boards/council shall set operational and
administrative policies in accordance with
government policy directives and supervise the
implementation of such policies. A situation
where Allopathic Medical Doctors in Nigeria
wants the Government to continue to create
post and responsibilities not backed by
statutes undermines the principles of good
governance. It is gross violation of the law
setting the Government owned institution.
Moreover, it is trite law that you cannot add to
a statute. That will be ultra verse.
(2) NMA IS OPPOSED TO THE APPOINTMENT OF
DIRECTORS IN HOSPITALS. It should be noted
that this statement is laden with deceit as
postulated by NMA, that having Directors in
hospitals will affect patient care negatively.
This is fallacy of the highest order. The truth
of the matter is, NMA does not want
professional departments as directorates in
the various Scheme of Service, rendering
professional duties like the department of
Pharmaceutical Services headed by the
Director of Pharmaceutical Services who is a
Pharmacist. Department of Nursing Services
under the Director Nursing Services, who is a
Nurse. The Department of Medical Laboratory
Services under the Director of Medical
Laboratory Services, who is Medical Laboratory
Scientist etc.And all are answerable to the
Chief Medical Director. It should be noted
that, NMA and her members were the ones
who negotiated their present Scheme of
Service that all their members can rise to level
17 without being called Directors. Other
Healthcare Personnel have continued to follow
their own Scheme of Service where only one
person gets to level 17 and is designated the
Director, which is the most popular path in the
Public Service. Again in the criteria for
employment as stated in the Public Service
rule in 020205,-“to be eligible for appointment
into the federal Public Service, every applicant
must 020205(e) possess requisite qualification
as provide in the Scheme of Service.” The
Scheme of Service of all other Healthcare
Personnel in the hospital provides for a
Directorate system. Now NMA and her
members want to go on strike for Government
to jettison the Public Service Rule which is a
Government Policy Document. The Scheme of
Service for Allopathic Medical doctors provides
for a non Directorate system. AND NO
PROFESSIONAL GROUP IMPOSES HER OWN
SCHEME OF SERVICE ON THE OTHER.
SECONDLY NO EMPLOYEE DETERMINES THE
CONDITION OF SERVICE OF ANOTHER
EMPLOYEE. They are agitating for this in order
to entrench professional imperialism, so that
all other healthcare staff will not reach the
zenith of their career. That is the singular
reason, a doctor on level 15 is called a Head
of Department heading someone already on
level 17 and is designated a Director .This is
gross absurdity against the Public Service Rule.
There is no Government Institution in Nigerian
where such is seen, only in our Hospitals. And
that is what NMA wants to perpetuate. Rule
160103 of the Nigerian Public Service Rule
provides –“Parastatals are to retain and
improve existing rules, procedures and
practices in their establishments and ensure
that there are no deviations from the general
principles contained in the Public Service
Rules………………………………however in the
absence of internal rules and regulations on
any matter, the relevant provisions of the
Public Services Rule shall apply”. This can also
be seen in section 5(5) and 17 of the act
governing hospital practice in Nigeria. NMA’s
demands are anti- Public Service Rule.
(3) NMA DEMANDS THAT GRADE LEVEL 12
SHOULD BE SKIPPED BY DOCTORS.
This demand is not in line with Government
approved Scheme of Service for Doctors.NMA
in her usual falsehood has always accused
JOHESU members of skipping when in actual
sense there is nothing like that. The term is a
misnomer this is because skipping is when a
Civil Servant moves from a grade level to a
higher grade level that is not provided for in
the Scheme of Service e.g. when a worker
moves from 8-10 and there is no approval for
such a special promotion ,this is skipping. But
when you move from 10- 12 this is not
skipping because this is provided in the
Scheme of Service and there is no level 11 in
the Scheme of Service. A baby physician
enters the Service on level 12, which is a
principal grade. Now NMA is insisting that they
must be appointed on level 13, which is an
Assistant Chief Cadre. Haba! How can a
beginner enter the Civil Service on an Assistant
Chief Cadre? There is no Nigerian worker that
enters the Service on such grade. There is no
Nigerian Civil Servants that skips. This is not
provided in any known Nigerian scheme of
Service.
(4 ) APPOINTMENT OF OTHER MEDICAL
PERSONNEL AS CONSULTANTS.
NMA is threatening to go on strike because the
Government has chosen to obey Court
judgment in favour of other Health Personnel
that they can also be appointed as consultants
in their chosen field. In a false sense of well
being, NMA insists that they own the patients
and as such only the medical doctor can be
called a Consultant. Nobody owns the patient;
rather the patient is the epi-centre of
Healthcare Service. Medical doctors are just
one of the professional skilled healthcare
attendants in a hospital, attending to the
healthcare needs of the patient. Each medical
personnel are given a license to practice their
chosen field. The various scheme of Service for
Pharmacists, Physiotherapist, Nurses, Medical
Laboratory Scientists etc provides that they can
be appointed as consultants. All over the
world, it is not only Allopathic Medical Doctors
that are appointed as consultants. A simple
google search will show that there are
different consultants in the Health Field. The
word consultant is not an exclusive term to
designate Allopathic Medical Doctors who are
specialists. William A .Cohen, PhD, in his
bestselling book “How to Make It Big as a
Consultant” has this to say on pages 2 and 3.
“Consultants operate in many different fields.
Import-export, management, human
resources, engineering, and marketing are
some of the more common ones. There are
consultants in archeology and consultants in
clothes selection. There are even consultants
to help authors overcome writer’s block.” On
page 3 he has this to say. “A consultant is
simply anyone who gives advice or performs
other services of a professional or a
semiprofessional nature in return for
compensation”. NMA wants to stop working
because other Healthcare Personnel are
appointed as consultants. Is NMA saying that
they are the only Professionals in the Health
Field?
(5) RELATIVITY IN HEALTH SECTOR
On what basis is NMA still agitating for
relativity when at the point of entry this has
been taken care of and resolved based on the
number of years one spends in school. Those
who spend four years have their entry point as
level 8,those that spend five years on level
9 ,those that spend five years with one year of
internship on level 10,while those that spend
six years with one year internship on level
twelve. The agitation for the so called relativity
is discriminatory and violates the Nigerian
Constitution as stipulated in section 34-(1).
NMA insisting that this must be sacrosanct in
the Health Sector is on what basis? It should
be noted that members of NMA are just
employees of the Government, just like every
other Civil Servant, and as such no employee
determines what another employee is to be
paid. It is never done anywhere in the world.
This is a sense of megalomania, and so this
jack of all trade mentality must stop.
(6) NATIONAL HEALTH BILL.
NMA is calling for the implementation of the
National Health Bill which has been shown to
contain a lot of clauses that are anti-people.
Many professional Associations, Civil Societies
and well meaning Nigerians have called for
the removal of these obnoxious sections of the
Bill. But NMA in the bid to actualize her set
selfish agenda has refused to give good reason
a chance. Again some part of the Bill
undermines the Nigerian Constitution in use in
a Federal System of Government. No Nigerian
Health Worker is against having a Health Bill
but all we are saying is that in order to meet
Government set objectives to enhance the
total wellbeing of the citizenry the obnoxious
sections has to be expunged.
(7) THE APPOINTMENT OF SURGEON GENERAL.
This office is not created by law. There is no
Nigerian statute that says that we must have
the office of the Surgeon General. Creation of
this office will lead to more agitation and
anarchy in the Health Sector which is already
polarized. Every professional group will be
agitating for the creation of X-general, e.g.
Pharmacist general, Nurse general,
Optometrist general, Radiographer general,
Physiotherapy general, Dietician general;
Medical laboratory scientist general etc. The
creation of this post will lead to more
problems in the health sector. Secondly of
what role and benefit is the office of the
Surgeon general when we already have two
Ministers of Health and there are many
Directors also having such functions?
(cool THE ENTRY POINT OF HOUSE OFFICER TO
BE ON COMMESS 1 STEP 4
This level is equivalent to grade level 10 steps
4. On what is this agitation predicated on,
when such entry point is not supported by any
Scheme of Service, used as one of the criteria
for appointment into the Public Service of the
federation? It should be noted that house
officers are intern or Pupil Medical Doctors.
There is no intern in Nigerian that enters the
service on step four. Moreover, steps are
indicators of the level of experience or years
the person /officer have spent on that grade
level. On what criteria is a neophyte/green
horn in his profession placed on step four?
What you have is either step one or step two.
Government should not accede to this
demand that undermines ethical procedural
practice in the Public Service.
(9) CLINICAL ALLOWANCES FOR HONORARY
CONSULTANTS TO BE INCREASED BY 90% OF
CONMESS.
Early this year, under the immediate past
President of NMA, Dr Enabulele, NMA had had
an upward salary increase for their members.
Not up to 5 months, NMA is now calling for
another bloated allowance. Note that
consultants are meant to render quality
service as Attending Physicians, but what do
we see daily in our hospitals? Most of the
times, the “consultants/honorary consultants”
are never around. Yet they want to be paid
such a jumbo allowance. Those that are
around, work four times in a month, having
one clinic day in a week.
(10) NMA, with the huge sum they are paid,
still wants adjustment in their specialist
allowance to be paid to all doctors on
CONMESS 3 and above, and must be paid its
equivalent that is not less than 50% higher
than what is paid to other Health Workers.
How can NMA be the one to decide what other
Health Workers get? NMA should go and read
the Parable of one Talent Payment.
(11) NMA is calling for Government to pay her
members 100,000 naira every month as just
hazard allowance. How can NMA be
demanding for such, despite all she is already
receiving? She is being too selfish/greedy in
her demands. Even other workers with worse
occupational hazards are not receiving such.
(12) NMA insists on immediate release of
circulars on rural posting, teaching and other
allowance which must include House Officers.
Since 2009 NMA and her members have been
collecting teaching allowance even though that
teaching allowances as approved by the
Government was for very Senior Medical
Doctors (Consultants and very Senior
Registrars)that are involved in teaching of
doctors in training, especially the junior and
senior interns. House officers are the junior
interns while Resident doctors are senior
interns doing a student fellowship to become a
specialist .Now NMA is agitating that the
interns who are still doctors in training should
be paid teaching allowance. House officers and
resident doctors by government circulars are
not entitled to this payment; it is because of
them that Government is paying the teaching
allowance. How can the doctor in training be
asking for teaching allowance when he is a
trainee, and who is he teaching? Since the
approval in 2009 and full implementation in
2010, House Officers and Resident Doctors
who are NMA members, have been
fraudulently collecting huge monthly teaching
allowances which they are not entitled. There
is no government circular or template that
approved such payment. It was in this year
2014, that the Government through the Call
Budget Circular from the Ministry of Finance
opposed and stopped the payment of teaching
allowance to interns. For five years members
of NMA who were not entitled to teaching
allowance have been defrauding the
Government. He who comes to equity must
come with clean hands.
HealthRe: Furore Over Doctor Of Pharmacy Degree In Nigerian Universities. by theplanmaker: 5:22am On Jun 29, 2014
I smell the hand of bad bad belle NMA in this
HealthThe Politics Of Health Sector Strikes by theplanmaker(op): 6:09pm On Jan 09, 2014
For some years, Nigeria's health sector has been perennially embroiled in one strike after another. Investigations have shown that beyond ego and pecuniary interests of the leaders, there are also supremacy battles among the diverse professional groups within the health care delivery system fuelling the strikes even as government officials appear befuddled in the whole affair.

As the year 2013 was drawing to a close, Nigerians were under the heat of the warning strike called by the Nigerian Medical Association (NMA) even as they also warmed up to begin 2014 with another round of strike. Mercifully, as Nigerians returned to work after the Christmas and New Year festivities, the NMA and the federal government representatives reached a compromise and the proposed New Year strike was shelved. Then just before the ink drawing that agreement between the doctors and the government dried up, came the notice given by the Assembly of the health care professionals and Joint Health Sector Unions that its five-day warning strike begins next week with a resolve to down tools indefinitely if its demands were not met. This has prompted the question of close watchers of developments in the sector: "When will the health sector strikes end?"

What are the issues in contention by the various bodies? In an earlier press briefing in Abuja, NMA President, Dr. Osahon Enabulele said: "These demands bother amongst others, on the absence of a regulatory environment for practice in the health care sector, funding of health care in Nigeria and expansion of Universal Health Coverage to cover all Nigerians, health infrastructural upgrade, fundamental injustices done to doctors in terms of workplace conditions/conditions of service, and other health sector challenges."

In calling off the intended strike, the NMA President said it was in response to some welcome developments in the implementation of the Memorandum of Understanding (MOU) reached between the NMA and the Federal Government, including the decision by it to redress the gross injustice done to doctors, establishment of a Hospital Development and Intervention Fund (HDIF) for health infrastructural upgrade, appointment of a Surgeon-General of the Federation, and expansion of Universal Health Coverage; among other reasons.

The following day, the Professionals and Joint Health Sector Unions working in all tiers of the health care delivery system in the country and estimated to number 95 per cent of the entire workforce, gave notice of an imminent five-day warning strike between January 15 and January 21. In his address to the media, the President of the Pharmaceutical Society of Nigeria, Mr. Olumide Akintayo, who spoke on behalf of six other industrial unions, said they would embark on the action to enable President Goodluck Jonathan's government accede to its grievances and was prepared to down tools indefinitely if its demands are not met.

Other leaders of unions at the meeting were Mr. Wabba Ayuba, Chairman, Joint Health Sector Unions, Mr. Abbultafiu Adeniji, President of the National Association of Nigerian Nurses and Midwives, Dr. G. C. Okara, President, AMLSN and Chairman, Assembly of Health Care Professional Associations and Mr. Taiwo Oyewumi, President, Nigeria Society of Physiotherapy. Others were Dr. Mark Okeji, President, Association of Radiographers of Nigeria and Mr. Wole Ajayi, President, Health Information Managers Association of Nigeria.

Akintayo listed the immediate demands of the unions to include circularization of the approval of consultancy status for some cadres of health workers and payment of the arrears of all honorary consultants appointed by the boards of management of hospitals, which were arbitrarily stopped on the directive of the Minister of Health, Prof. Onyebuchi Chukwu since December 2010.

According to them, "This is in line with due process as dictated by the pronouncement of the National Industrial Court of Nigeria in July, 2013 and the subsequent agreement of the representatives of Joint Health Sector Unions and the government in August 2013."

Others are; a presidential directive compelling the National Salaries, Incomes and Wages Commission to negotiate and approve reasonable and respectable allowances as well as emoluments for health workers in Nigeria as indicated in collectively signed agreement since 2009; an unconditional halt to the appointment of a Surgeon-General for the Federation as the concept remains both unconstitutional and outrightly unlawful.

Akintayo further advised the government to redress all the other areas of injustice in the sector by amending the extremely obnoxious Act 10 of 1985, which laid the foundation for oppression in the sector through appointments unduly skewed in favour of medical doctors contrary to international best practices.

Among other demands, are rejuvenation of a well-funded and properly positioned Presidential Committee of Experts on harmony in the health sector for a permanent and equitable structure in the privileges of all health care providers in Nigeria and privitisation of medical services to free funds for capital expenditure, especially research and development of the health sector.

While the NMA applauds President Jonathan on his decision to appoint a Surgeon-General of the Federation whose roles, it said would undoubtedly help to address some of the problems confronting the Nigerian state, including the address of the burgeoning negative impact of medical tourism on Nigeria, amongst other responsibilities, the Professionals and Joint Health Sector Unions (JOHESU) are strongly against the creation of that office.

JOHESU contends: "The justification for the position of a Surgeon-General in contemporary publications and reflections is hinged on the need for such a public officer to be saddled with the responsibility of coordinating public health. This assertion on face value is ridiculous and certainly most unconvincing because the basic tenets of medical training positions any registered medical practitioner to undertake the responsibility of driving processes that border on public health.

"The Office of the Surgeon-General in whatever nomenclature will mean an unnecessary duplication of offices and functions which are presently being articulated and undertaken by the offices of the Minister of Health and the Minister of State for Health with an array of directors, deputy directors and assistant directors. The set-up at the Federal Ministry of Health and State Ministries of Health has created the offices of the Director of Hospital Services, Director of Public Health which are today the exclusive preserve of doctors who also dominate the Top Management Committee (TMC) of the Federal Ministry of Health/State Ministries of Health with over 80% of the directors who are doctors. Some stakeholders in health probably see Nigeria as a health outpost that deserves a Chief Medical Officer. The fact is that health care is increasingly a team concept and multidisciplinary where each stakeholder contributes to a pooled effort to achieve desired outcomes."

Akintayo further stated that the office of the Surgeon-General was unconstitutional as an attempt to introduce a bill to formalize it had failed in the Sixth Parliament. He added that resurrecting it now would increase the problems of the health sector just like the separate salary scale for the doctors instigated crises in the 90s. The unions declared that if the creation of that office was not stopped, other professional bodies would soon start agitation for a similar office to be created for them.

According to them, in Nigeria today, the rule of the thumb has replaced the rule of law and due process in the health sector. "Medical stakeholders with tacit government endorsement presume to be wiser than the law courts, the legislature and other statutory templates like the National Council on Establishment made up of the Head of Service of the Federation and the 36 state equivalence.

"Doctors now insist that their wishes and fancies must be elevated to the status of laws and schemes of service in the health sector. This is the impunity that is being forced down our throats to accept in the first few days of 2014, a year Nigeria proclaims to be its centennial celebration, but in reality, the liberties of freeborn citizens are randomly compromised through unadulterated enslavement, injustice and recklessness at its apogee."

Way Forward Analysts believe that the government must stamp its feet and ensure that all sides are brought to the negotiation table to resolve the ego crisis first before issues of welfare and virile health sector funding can be discussed. The Presidential Committee of Experts on Harmony in the health sector, which embraces all sector professionals must be revisited and strengthened given the current developments. As things stand, only a composition of such a respected group can restore confidence to all the sides since the federal government itself is no longer seen as an unbiased umpire by some health professionals. Moreover, every group in this perennial crisis professes to be serving the public interest, therefore, they would be duty-bound to respect decisions reached by the committee.

By Godwin Haruna
SportsRe: Ghana-Nigeria Relations: Thoughts From Football Perspective by theplanmaker: 7:23am On Jan 07, 2014
ghananotnaija: As an Ghanaian, I think part of why Ghanaians have such a visceral disgust towards everything Nigerian is that the two countries are really similar, and that Nigeria is a living reminder to Ghanaians of what could go wrong in our own country of Ghana when society and morals fall apart.

Ghana and Nigeria are the only two significant English-speaking countries in West Africa (Sorry Liberia, Sierra Leone, and Gambia, you guys are really not important enough).

To Nigerians who don't seem to understand our superiority complex over you, here's a breakdown:
Nigeria has much more people and much more resources than Ghana, yet Ghana is a more pleasant place to live, has a better functioning government, and a more pleasant population (possibly more educated as well).

No hate, just telling it like it is.
you can go on hating if that's what you can do best. but I really understand your problem, it is inferiority complex. there is nothing tangible Nigeria wants from Ghana. we see Ghana as our noisy neighbours, who are jealous, and always trying to compete. for crying out loud Ghana should be competing with lagos state.
we are the biggest black nation on earth. and despite the endemic corruption, we are still Africa's largest economy. so my brother were is Ghana's superiority?
Nairaland GeneralRe: A Must Read:life Story Of A Nigerian Whose Kidney Was Stolen In Malaysia by theplanmaker: 2:24pm On Jan 06, 2014
hardly believable
EducationThe Fallen Standard Of Education In Nigeria- Who Is To Blame? by theplanmaker(op): 2:53pm On Dec 02, 2013
There are numerous problems plaguing our education sector today, from elementary to higher education, the standard is falling, and our morals are eroding in a geometric proportion. It is necessary for us to examine the cause(s) of our problems if we are to find a way out of them. Having taken interest in this sector for a while, I came to a personal conclusion as to who and what is responsible for this decay. Although we are all guilty, but the blame shouldn't be shared equally. In my own opinion, the following are responsible for this decay
1) THE GOVERNMENT- it is suppose to maintain the standard, right from the start, but the government has proven to be the biggest failure of all. Government after government have continuously turned their backs on our education sector, it has allowed the standards to fall, and when it should have acted, it has turned a blind eye. Public schools are the worse you can think of in any state you visit. Students sitting on Windows, and cement blocks, or writing on wooden slates, teachers writing on bare wall in the absence of black boards are all comon features of our public schools. Aside infrastructure, the government has also failed to regulate and closely monitor education in Nigeria. But year after year, a reasonable sum of money is budgeted for education. What exactly is the money used for? only the government can answer.
2)EXAMINATION COUNCILS/ MALPRACTICE. Although many people believe that examination malpractice is merely a product of the decay, I strongly believe it is a cause of the decay. The ease with which malpractice is carried out during external examinations, and the huge success rate associated with it has made preparing for such exams an unnecessary task. Why read when you can cheat and pass with ease? After all no one is interested in what you know, they are only interested in your result. Gone were the days when malpractice was done in secret. These days it is an open afair, everyone is involved. Some exam centers are dubbed "miracle centers". If you sit for exams in such centers, you are surely going to make 9credits no matter how empty and cold your brain is. What many schools do is to simply collect "co operation fee" from the students, with which they bribe the supervisor, who then turns a blind eye to whatever hapens in the exam hall. This phenomenom has created an atmosphere of unseriousness among school children. Jamb is not left out. As far as 1week to the exam date, people are already buying answers to the questions, some even go as far as posting adverts online. How did they get acess to it? Jamb has a case to answer. Times have changed, hence the examination bodies must change their tactics to suit the current reality
3)PRIVATE SCHOOLS. This might come as a surprise to many, but private schools are actually killing education in Nigeria. These schools are usually run as a private business, and the entrepreneur/propietor will do everything necessary to retain his customers(students) and make profit, even if it means operating without standards. When a child fails a promotion exam, he is usually expected to repeat the class. But in many private schools, repeating is not an option, else the parents will simply withdraw the child from the school, which would be a loss to the school. Hence they keep pushing and managing dull students, with no definite effort to increase their academic performance. But you shouldn't blame them much because a large percentage of these private schools are staffed with unqualified teachers, who cannot really impact knowledge. Hence private schools have a long history of producing substandard students, who rely on malpractice to Excel.
4) PARENTS/TEACHERS. Well I don't really need to dwell much on this, it is all too obvious that teachers no longer take their jobs personal. They have neglected their roles as motivators,mentors and parents to their students. The excuse for this is that they are underpaid, and poorly equipped. But sadly, teachers are not the only ones facing these challenges, the health sector is as bad as education, but doctors and nurses have not stopped doing their jobs, so why should teachers give up?
Some parents on the other hand, are bent on making sure their children pass with good grades, and are willing to do anything necessary to achieve their aim, even if it means resorting to illegal means. Parents also tacitly suport unserious children sometimes. It is usually the parents that move a child from school to school when he/she is failing, and they also provide the funding for malpractice
5) STUDENTS. I dare to say that students carry only a tiny fraction of the blame. It is true that they spend more time on social media and television than they spend reading, and this has contributed to the brain drain. But why blame them when they have been given the impression that they can Excel without hard work?. If a dull student is made to repeat several times, and tightly monitored both in school and at home, his academic fortunes may progressively improve to the point of becoming a star. But that simply doesn't hapen.
Conclusively, we could simply say that Nigerian students are products of a failed system, which is hardly their fault. Our education system needs a total overhauling, apart from funding, policies and standards need to be put in place and strongly enforced. I ll like to discuss such policies in a seperate article.
N.B the above is merely the opinion of the writer, please feel free to politely disagree.
Idg.....
EducationRe: Unijos Receives $8m World Bank Grant For Research by theplanmaker: 7:37pm On Nov 22, 2013
embezzlement things
Nairaland GeneralRe: Gunmen Kidnap Bayelsa PDP Treasurer's Wife,son In Opume Community by theplanmaker: 7:35pm On Nov 22, 2013
boys wan hammer,
HealthRe: Most Popular Recreational Drugs by theplanmaker: 3:53pm On Nov 13, 2013
the title of this thread should be "ten ways to die" and this guy above is do proud of his marijuana habit, when in reality his life style is killing him
EntertainmentRe: Fans Hypnotised With Olamide’s Roman Emperor Pose by theplanmaker: 1:41pm On Nov 12, 2013
illefo illuminati
PropertiesRe: Construction Diary Of A Semi Detached Bungalow At Ikorodu by theplanmaker: 7:49pm On Nov 07, 2013
following
PoliticsRe: Ogun Bans Cattle Rearing On Abeokuta-Sagamu Axis by theplanmaker: 9:43am On Nov 07, 2013
majority of these nomadic fulani peeps are highway robbers, I have heard a lot and personally witnessed their activities. every other state should be weary of them
EducationRe: Uganda Varsity Requests For Nigerian Lecturers by theplanmaker: 2:05pm On Nov 04, 2013
Uganda own don finish, them go begin block for their Skool now ooo.
EducationRe: Nairaland Undergraduates Central Chatroom by theplanmaker: 7:47pm On Oct 30, 2013
the planmaker representing Ambrose alli university
PoliticsRe: Tonye Okio Has Been Arrested (President Jonathan’s Critic) by theplanmaker: 11:10pm On Oct 29, 2013
were is sincere nigerian? I want to hear his defence
Nairaland GeneralMysterious Messages At Hackneymarshes by theplanmaker(op): 8:02pm On Oct 22, 2013
Exclusive images from the famous venue for
UK grassroots football, which was the scene
of an invasion of unexplained symbols on
Monday
Hackney Marshes became the latest venue
to be struck by mysterious signs and
symbols on Monday when a three-metre
football gouged one of the 82 pitches at the
London-based grassland.
Witnesses at London's amateur league
football hub reported seeing a giant circle
formation featuring a ball in the centre of
the design – the same emblem that was
seen as a hologram on Rio de Janeiro's
Sugarloaf mountain . Football fans can not only visit
the formation but can find thousands of
balls there
Even more curiously, the mysterious circle
was broken by the 3m football-like object
that left a gaping hole in the ground –
resembling the effect of an aerial crash
landing.
Dog walkers also reported smoke emanating
from the sight for hours on Monday
morning before the area was later cordoned
off.
The same symbol was seen as a
hologram on Sugarloaf mountain on Sunday
Two thousand smaller footballs - each
containing the same cryptic logo – were
scattered around the football pitches of
Hackney Marshes.
Locals were left stunned by the sightings.
Retired builder Michael Pimmer, 74, was
walking his dog at sunrise. “I have been
visiting these fields for many years, but I
have never been left awestruck like I was
today. It was truly bizarre."





http://www.goal.com/en-ng/news/4055/main/2013/10/22/4350028/mysterious-messages-at-hackney-marshes?ICID=HP_HN_2

SportsRe: Ethiopia Vs Nigeria: Player Ratings by theplanmaker: 7:30am On Oct 14, 2013
udilson: Nairaland don become home of all tribalistc regoinalist i don see y on your post u dnt use 2 erase dose dt comment infavour of d south bt all u see northerners is as terrorist illetrate go nd ask ur fathers during 1900 we hav our economic system;method of ruling nd all sort we u scum we wering leaves
what is he sayinghuh I need an interpreter.
HealthNANNM President's Interview On the Acrimony In the Health Sector by theplanmaker(op): 3:47pm On Sep 28, 2013
For long now, there has been acrimony
between doctors and other health
workers, the problems seem to be
intractable, tell us what these problems
are and how to get a solution?
The problem is all about healthcare
administration and the effectiveness of our
activities in the healthcare industry. You
said acrimony; yes but no. What is
happening is a discussion or an attempt to
correct anomalies in the health sector to
ensure that the sector functions efficiently
and is comparable to what is obtainable in
some advanced countries.
The health sector had been moving well
until around 1980 when things started
changing. It is all about one group of
people seeing themselves as the most
important sector whereas what makes other
countries to succeed is that they believe in
team spirit which ensures efficiency.
What group of people see themselves as
the most important?
In Nigeria today, the healthcare industry is
in bondage; in the bondage of medical and
dental practitioners. In the past, merit
matters when you are appointing medical
practitioners but today it is seen as a
birthright, whether somebody is good or
not, nobody cares to know. Even on the
clinical side, before a doctor can say he is
successful in his beat, he needs the
cooperation of nurses, laboratory scientists
and others.
What particular functions do nurses carry
out?
For the nurses, they are the ones that own
the patients, they own the wards and they
are the custodians of the wards. A doctor is
supposed to be a visitor to the ward. How
can you then operate without the owner of
the premises?
Before a doctor can prescribe a drug, you
need the services of a laboratory scientist
who is trained and have qualifications as
well to go into the nitty-gritty of body
chemistry to determine what is wrong.
There is nowhere in the world where you
use your naked eye or your brain alone to
make diagnoses; you need these people.
Today, a radiographer will have to come in
and they will also do their job. At a point, a
nutritionist is also needed and in some
emotional and psychological work, a clinical
psychologist will also be needed. So, it is a
team approach that is supposed to give us
the result.
For example in the nursing profession, the
independent role of a nurse is the one that
you don't need a doctor to tell you what to
do before you make your own diagnoses
and go ahead. Nursing diagnoses is
universally known and adhered to. Apart
from that one, there are some
interdependent roles where a nurse will
have to perform, a clinical psychologist will
have to come in and a doctor will have to
be there. In this team, it depends on what
job you are doing; if you are talking about
comfort for the patient, a nurse is
supposed to be the leader of that team and
a doctor will make contribution but when
you are talking about clinical diagnoses, the
doctor will be the person that will lead and
other people will contribute.
Why is that arrangement not working in
Nigeria?
It was this team spirit that was destroyed
and everybody who gets into the medical
profession either by hook or crook whether
you know how a hospital is ran or not, see
themselves as the head. We have followed
this thing for almost two decades now and
that is why our health indices are falling.
That is what the Joint Health Sector Unions
(JOHESU) is trying to correct for the benefit
of the public; it is not personal at all. That
was why I said there was no acrimony but
only an attempt to correct the anomalies in
the health care industry.
What is the solution to these challenges?
Where there is no harmony, peace, accord
or cohesion, there cannot be progress; the
solution is in everyone of us sitting down; a
professor of medicine, a professor of
nursing, a professor of pharmacy, a
professor of laboratory science, they are all
professors in the field of health sciences
and they have their areas of core
competence but still have areas of
collaboration.
We must realise that every one of us needs
to contribute. When the Minister of Health
Professor Onyebuchi Chukwu was to be
appointed a second time, he was
particularly given the assignment of
ensuring harmony in the health sector but
today, we have not achieved that. That was
why there was a committee on harmony
that comprised all health workers; they
made their contributions but today, the
concocted story in the Federal Ministry of
Health is that the committee that comprised
everybody was lopsided.
Lopsided in whose favour?
They say in favour of other health workers.
Sincerely speaking, the chairman of that
committee was a retired chief judge of the
high court. Such a person cannot do
anything that can denigrate his office. But
we have faith in the new approach and that
is the presidential expert committee on
professional interaction in the health
sector. We have representatives of the
laboratory scientists, nurses, pharmacists
and administrators. It is the combination of
both health workers and people who are
into administration. We believe this
committee will do its work very well and
use the report of Justice Abdullahi Bello's
committee on harmony in the health sector
as a working paper.
You said the president charged the
Minister of Health to ensure harmony.
What are the specific things militating
against harmony?
In the health industry we have a
professional cabal. They are a very strong
mafia. They are the ones impeding the
achievement of harmony because they
believe health care industry is the right of
their profession and it is not done like that
anywhere in the world. It is the right of all
professionals to make their contributions.
When you go through the interviews of
some members of the Nigeria Medical
Association they call others supporting staff.
How can you call a professor of pharmacy,
nursing, laboratory science or
physiotherapy a supporting staff? It is not
done. In countries all over the world, they
distribute duties equitably and things work
well there. For example Botswana; the past
three or four ministers of health in
Botswana have been nurses. Botswana is
one of the countries with the best
healthcare services in Africa. This is
adjudged by the World Health Organisation.
The situation is that these people who think
it is their birthright to lead are not leading
well; if they were leading well, it would be
another thing, our health industry would
not be nose-diving.
How do we arrest the decline?
The solution is to work together in harmony
and respect each other as well as give
chance for merit to reign.
The leadership of your union has been
meeting through the weekend and will
close today (Monday), what is your
message to the government?
The issue of Nursing and Midwifery Council
is long overdue; we need a formidable
council to transact the business. When they
are doing this, let them follow the norms
and the rules. The ideal thing is to have a
professional heading a professional council,
not board.
This is not a board of parastatal; you
cannot choose a carpenter to lead tailors or
a welder to lead butchers. However similar
our work may be in the healthcare industry,
nurses' council must be headed by a
professional nurse.
We also have our unified scheme of service
that we have been thrashing, whatever is
the obstacle, we want the Federal
Government and the office of the Head of
Civil Service of the Federation to conclude
this thing on time. We are also requesting
for internship for our graduate nurses.
Internship will sharpen the intellect,
expertise and practice of professionals as is
being done for doctors, pharmacists,
laboratory scientists and even nutritionists.
We also call on the Federal Government to
as a matter of urgency, empower the
Ministry of Health to enter negotiations on
our professional allowances as the court
injunction directed. On skipping of grade
levels, the court has ruled in our favour
that skipping is justified for our health
workers. As skipping is done in other
sectors; they should likewise release a
circular in conformity with the court
injunction so that there is sanity in the
health sector. They should also work to
equip the schools of midwifery, collaborate
with international agencies to give
scholarship and in due course, we shall
reap the benefits and the life expectancy of
Nigerians will be on the increase and we
shall be able to compete, health wise with
other developed and developing countries.



www.nursingworldnigeria.com/2013/09/nannm-president-interview-on-acrimony-in-health-sector/
IslamRe: Secrets Of A Muslim Woman by theplanmaker: 5:57pm On Sep 26, 2013
op talked about judging an entire religion by the actions of a few . hmmm well d entire middle east, northern Nigeria, northern Africa, nd some Muslim communities are not wat u wud describe as "a few" are they? everyone who kills in d name of religion is most likely a Muslim, all the terrorist organization on earth 2day r Islamic , nd with the stuff hapenin in various Islamic regions, one may think that Islam has a thing 4 violence
PoliticsRe: Ibadan Records Over 20 New Rape Cases Monthly — NAN Survey by theplanmaker: 3:40pm On Sep 26, 2013
I still hold our legal system responsible, if every case is taken up nd prosecuted, d problem ll reduce

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