Theplanmaker's Posts
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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 |
the next is always worse than the previous |
The girl is bad, and you aren't a saint too |
ziga: Poor funding is what has resulted into corrupt practices.Do you sincerely think that the hospital cannot afford a drill that costs 1million naira without the government? |
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. |
hmmm you forgot about the pharmacists? I think there are generally better oportunities for hospital proffesionals |
heykims: With all due respect,a medical doctor's line of duty can never be threatened by a nurse, what do nurses knowyou are clearly ignorant. you do not understand what nursing is. |
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? |
seems nairaland is biased, only anti-johesu news seem to make front page |
Selfish doctors fighting for more money |
(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- |
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? ( THE ENTRY POINT OF HOUSE OFFICER TOBE 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. |
I smell the hand of bad bad belle NMA in this |
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 |
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.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? |
hardly believable |
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..... |
embezzlement things |
boys wan hammer, |
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 |
illefo illuminati |
following |
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 |
Uganda own don finish, them go begin block for their Skool now ooo. |
the planmaker representing Ambrose alli university |
were is sincere nigerian? I want to hear his defence |
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
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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 leaveswhat is he saying I need an interpreter. |
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/ |
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 |
I still hold our legal system responsible, if every case is taken up nd prosecuted, d problem ll reduce |
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