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HealthRe: PHOTOS: Doctors Treat 19 Striking Health Workers Involved In Motor Accident by Topshow2010(m): 1:11pm On May 20, 2018
Our attention has been drawn to news making the round that UBTH JOHESU EXCO members were involved in a road traffic accident today 19.05.2018 on their way to Auchi in Edo state.

While there was indeed a road traffic accident:
** the victims are neither UBTH JOHESU EXCO
NOR MEMBERS**

We understand the desperation of the sponsors of this false news to always seek ways to score cheap points but we are saddened by the fact that they could descend so low as seeing the pain and anguish of the accident victims as something to be celebrated to the extent of uploading the pictures of this NIGERIANS IN PAIN to the whole world.

I want to state here again that this news is not correct as no UBTH JOHESU MEMBERS were involved in any kind of accident today and we shall by the GRACE OF GOD NOT BE INVOLVED IN ANY.

We want to advise ARD/NMA members to always check their facts and avoid rushing into conclusions so as not to continue spreading falsehoods to the general public.

They could have asked questions and get correct answers before painting the social media red with this lies.

I advice the NMA to avoid wishing JOHESU MEMBERS evil as evidenced by the way they celebrated this falsehood on the social media.

WE WISH THE VICTIMS OF THIS R.T.A A VERY QUICK RECOVERY.

WE ALSO APPEAL TO THE GENERAL PUBLIC TO PREVAIL ON THE MINISTERS OF HEALTH AND LABOUR TO QUICKLY PUT AN END TO THIS STRIKE BY DOING THE NEEDFUL.

GOD WILL CONTINUE TO PROTECT JOHESU MEMBERS.
OUR DEMANDS ARE LEGITIMATE.

GOD BLESS JOHESU.

OSIGBEME AUGUSTINE
Chairman, NANNM UBTH
HealthRe: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Topshow2010(m): 4:10pm On May 17, 2018
amaham:
Pls what is this gold standard test? Was the patient on a ventilator? How was the initial sample collected? Any other risk factor for pneumonia apart from quadriplegia in this patient?
The highly cerebral and almighty dokita of d federal republic of Nigeria,kindly direct ur enquiries to the source or d link as stated in the write up.Thanks undecided
HealthRe: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Topshow2010(m): 7:33am On May 17, 2018
The patient, a quadriplegic with an irregular heartbeat, was set to get a pacemaker when a test came back suggesting he had pneumonia, delaying surgery and lengthening his hospital stay.

But when a medical team consulted at his bedside, Brandy Gunsolus, a Rutgers University clinical lab doctoral student and certified medical laboratory scientist, questioned the diagnosis. She noted the man used a breathing tube – and that bacteria found in a test result likely came from the tube, not his lungs. A second test, considered the gold standard in medical care, was clear. The attending physician agreed with her assessment.

“He got his pacemaker the next day, which saved 10 days on intravenous antibiotics, 10 days on a ventilator and $22,000 in hospital costs,” said Gunsolus, who is completing her residency at a Rutgers-affiliated Georgia hospital.

Photo: Courtesy of Brandy Gunsolus

At that moment, Gunsolus felt fully integrated into the health care team. For the past year, the doctoral student has been a pioneer in a new health care model that brings advanced-practice clinical lab scientists to a patient’s bedside to work hand-in-hand with physicians and other health care professionals.

On May 16, Gunsolus will be the first graduate of a doctoral program that is the first of its kind in the nation – Rutgers School of Health Professions’ advanced practice doctorate in clinical laboratory science (DCLS). The school launched the program in 2014 to address an ongoing need for greater accuracy and cost efficiency in lab testing.

Gunsolus saw firsthand the need to integrate lab science into the health care system. A medical lab manager in Louisiana, she was frequently asked what lab tests to order and if she could help interpret the results. Her desire to be fully prepared to answer those questions fueled her decision to get a master’s degree in clinical laboratory science at the School of Health Professions in 2013 and then to enroll in the doctoral program.

“There is a gap between practicing physicians and labs not understanding the correct tests to order or how to interpret them. For patient safety, we need to fill this gap,” she said.

In addition to performing rounds at the hospital with the medical team, Gunsolus reviews all laboratory test orders and is part of the hospital’s diagnostic management team as well as a nationally sponsored consumer information response team that answers patient questions about lab tests. During her residency, she documented nearly $700,000 in savings that came from consulting with clinicians and health care providers about lab tests. But what most excites her is being part of the attending health care team.

“At first it was a bit scary. I didn’t know if I’d be accepted, but overwhelmingly there’s been a positive result,” said Gunsolus, who has written a blog about her journey in the Rutgers doctoral program. “I’ve had physicians say, ‘I want you to do the rounds with me every day.'”

She looks forward to beginning her paid job June 1 at the Augusta, Georgia, hospital as the nation’s first doctor of clinical lab science.

“Brandy has become a trailblazer, forging a new clinical career path for medical laboratory scientists and advancing the quality of health care,” said Nadine Fydryszewski, DCLS program director and professor in clinical laboratory science.

Source: news.rutgers.edu
HealthRe: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Topshow2010(m): 8:01am On May 16, 2018
TRUE DEFINITION OF WITCHCRAFTY.
(Copied)

An employee of government, Mr. A, who was employed at a certain level and receives N200,000 as basic salary engaged government for an upward review of his pay, and let's say 50% upward review was granted, month end he now goes home with N300,000. Another employee of government Mr. B, who was employed on a certain level by same government, in the same institution goes home with N100,000. After a while, under same economic condition, went to bargain for an upward review of his salary, say by same 50%. Let's say if that is granted he should be going home by month end with just N150,000. Now, interestingly Mr. A, a fellow employee of government is kicking against this, misinforming government and the masses and frustrating the just demand of Mr. B, while he continues to swallow his 300k every month end, but has sworn never to be alive and see the paltry 50k extra added to the fellow man he calls his "team mate" in the hospital. My people is this not professional witchcrafty? angry
HealthRe: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Topshow2010(m): 5:07pm On May 14, 2018
*THE ANATOMY OF SUPPORT STAFF*
I have to force myself to look up the meaning of "support staff", following the brazen claim that the three important people in any health institution are the doctor, patient and support staff (in that order), and Cambridge Dictionary has this definition:
*The people who work for an organization to keep it running and to support the people who are involved in the organization's main business*

If the claim is anything to go by, then the doctors are the very professionals involved in hospital's "main business". It is imperative to ask why we have management committees in health institutions comprising other professionals "alien to medicine"? Medical doctors should form 100% of any decision-making committees since they are involved in every facility's "main business".

We were trained on the premise that every staff in the hospital set-up is important. Without the cleaner, for example, activities in any hospital environment won't go smoothly. Personally I consider the hospital attendant as important as any senior staff in the hospital.

It is a preposterous to consider a Nurse, Pharmacist or Physiotherapist as a "support staff" in patient care, it is equally bizarre to gauge a Medical Laboratory Scientists or Radiographer as a "support staff" in the diagnosis of ailments. We have health professionals "alien to medicine" that have acquired PhDs in their various fields and still work in health facilities, how can these be termed "support staff"?

Agreed, there has to be a leader in any set-up, but when the leader cover himself/herself with an aura of invisibility anarchy sets in. That's the genesis of the snag in our healthcare sector, that's why healthcare in Nigeria is shackled and manacled.

So long as that invincibility patina persists, inter-professional rivalry in the nation's healthcare sector will trot on, to the chagrin and detriment of whom I consider the most important ingredient in the health sector: The patient.

*Tanimu Umar*
HealthRe: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Topshow2010(m): 5:09pm On May 13, 2018
https://m.facebook.com/story.php?story_fbid=989816064517664&id=753703511462255

DISHARMONY IN NIGERIA HEALTH INDUSTRY: WHO STYLE OF LEADERSHIP SHOULD BE ADOPTED TO RESTORE PEACE (Dr Tedros a case study)

HEALTHY SENSE WITH CHRIS CHUKWU

World Health Organization (WHO) is the directing and coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends

The healthcare delivery team (HDT) comprises the following: the doctor, nurse, medical laboratory scientist, dentist, pharmacist, radiographer, orderlies etc. The list is indeed endless every member of the HDT must discharge his duties altruistically with the patient in perspective.

The WHO has severally painted a picture of what acceptable healthcare delivery should look like; it should be one comprising a healthcare delivery TEAM with the patient at the centre.

The patient is the reason all healthcare professionals exist, paid huge salaries and are respected in the society

WHO have proven to be responsible for providing leadership on global health matters by electing the best, Dr Tedros Adhanom Ghebreyesus as the WHO Director-General

Dr Tedros Adhanom Ghebreyesus was elected as WHO Director-General for a five-year term by WHO Member States at the Seventieth World Health Assembly in May 2017.

He is the first WHO Director-General to have been elected from multiple candidates by the World Health Assembly, and is the first person from the WHO African Region to serve as WHO's chief technical and administrative officer.

By training, Dr. Tedros Adhanom has qualifications in: Biology (BSc.) from Asmara University (1986); Immunology of Infectious Diseases (MSc.) from the London School of Hygiene & Tropical Medicine in 2000, and Community Health from Nottingham University (PhD) in later years.

Dr Tedros served as Ethiopia’s Minister of Health from 2005–2012, where he led a comprehensive reform of the country’s health system. he demonstrated what it takes to expand access to health care with limited resources.

The transformation he led as Ethiopia’s Minister of Health improved access to health care for millions of people. Under his leadership Ethiopia invested in critical health infrastructure, expanded its health workforce, and developed innovative health financing mechanisms.

Beyond Ethiopia, Dr Tedros’ global leadership on malaria, HIV/AIDS, and maternal and child health has been immensely impactful. He was elected as Chair of the Global Fund to Fight AIDS, Tuberculosis, and Malaria Board in 2009, and previously served as Chair of the Roll Back Malaria Partnership Board, and Co-chair of the Partnership for Maternal, Newborn and Child Health Board.

By profession Dr Tedros is not a medical doctor, that is to say that any member of the healthcare delivery team can head the health sector (Minister, Commissioner, CMD e.t.c)

REQUISITE QUALITIES AND BACKGROUNDS ACCEPTABLE TO BECOME WHO DIRECTOR GENERAL CANDIDATE.

(1) A strong technical and public health background and extensive experience in international health.

(2) Competency in organizational management

(3) Proven historical evidence for public health leadership

(4) Sensitiveness to cultural, social and political differences

(5) A strong commitment to the work for WHO

(6) The good physical condition required of all staff members of the Organization; and

(7) Sufficient skill in at least one of the official and working languages of the Executive Board and Health Assembly.

Mono-professional headship of the poly-professional health sector is the reason for preferential treatment of one over many which have led to continous fight and instability in health industry.

RECOMMENDATIONS 

Healthy Sense initiative recommends that the Federal Government of Nigeria follow WHO style of leadership. 

Federal government should appoint leaders who has the capacity and capability to represent the healthcare delivery team.

A leader with technical competence and managerial skills.

A leader who is not bias and sentimental.

A leader who will place the patient as his priority.


My name is Sct. Chris Chukwu (Medical Laboratory Scientists)

I Just want to make Healthy Sense
HealthRe: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Topshow2010(m): 2:41pm On May 13, 2018
Parity, Equity Or Slavery: The Dilemma of the Nigerian Health Sector Wage System.

By Aniey Obot.

The Nigerian health sector has been tumultuous for some times now. It is either members of the Nigerian medical association (NMA) are downing tools using its affiliate, the national association of resident doctors (NARD) as her war horse or the members of the joint health sector unions (JOHESU) are on strike paralyzing health services in the country. Presently, health services in the country have been paralyzed for over three weeks now due to the ongoing strike by members of JOHESU, comprising all health workers aside medical practitioners.
One of the reasons JOHESU, which is a marriage of necessity and convenience of all the registered trade unions in the Nigerian health sector, is on strike, is the wage system in the sector. They are pushing for an equitable and fair wage system, describing the present wage system as a sort of slavery. The NMA which is the umbrella body for all medical and dental practitioners in the country, is seriously pressurizing the government not to grant JOHESU’s demand because according to her, JOHESU is asking for pay parity with doctors. According to NMA, this is against international best practices. This was echoed by the ministers for health and labour who incidentally are members of the NMA.
Parity, Equity and Slavery! These words have been on the front burner of discussions within the sector. NMA is rejecting parity, JOHESU is denouncing slavery and asking for Equity. To understand the discussion, these words must be defined. We take the definitions from dictionary.com. Parity is defined as the state or condition of being equal, especially as regards status or pay. Equity is defined as the quality of being fair and impartial. Slavery is defined as a condition of having to work very hard without proper remuneration or appreciation.
The story of the wage system in the Nigerian health sector is a very long and complex one. To avoid boredom, I will concentrate on the evolution of the present salary structures in the sector namely CONMESS and CONHESS. In 2009, the federal government approved CONMESS for medical and dental practitioners alias medical doctors and CONHESS for other professionals and workers in the sector. These salary structures are gauged against the popular grade levels in the civil service. The basic tenets for these salary structures are that, every worker on the same grade level should earn the same basic salary and common allowances now called consolidated salary. Peculiar allowances should be paid to different professional groups as approved. Different professions have different entry level according to their years of training and the work they do. Any future adjustment must be done on both tables. These they say is to maintain an equitable pay relativity (this is a topic for another day). The NMA and JOHESU where actually unhappy with the new salary structures, because of the pay gap. NMA claimed it was too narrow, and JOHESU claimed it was too wide, they accepted the salary structures and forged ahead. Surprisingly, in 2014, against the tenets of the 2009 agreement, the federal government approved an upward adjustment of CONMESS to the satisfaction of NMA without an equivalent upward adjustment CONHESS.
The real bone of contention here is the issue of pay gap between the medical doctors and other health professionals. To appreciate the cries of JOHESU, an analysis of the wage system in the Nigerian health sector is necessary. For the analysis, a nurse will be used to represent an average health professional. If a post NYSC medical doctor without any postgraduate certification or experience and a double qualified nurse (a registered nurse who has a post graduate training as a midwife) are employed the same day into the federal civil service, the doctor will get employed into the service on CONMESS 3 which is Grade level 13, while the nurse gets employed in the service on CONHESS 7, which is Grade level 8. At the end of the month, the salary of the nurse will be less than 30% that of the doctor. The nurse will need to work for about 15 years to get to grade level 13 which is the entry level for a post NYSC medical doctor. After these 15 years, the nurse’s salary is still less than the salary of a newly employed doctor. To earn the same as a newly employed medical doctor, the nurse will have to work for about 21 years, assuming the nurse passes all the promotion interviews!
During the course of their services to Nigeria, both of them may be given in service specialist training. On successful completion of such trainings, the medical doctor will be promoted to grade level 15 and called a consultant. With this new position comes a new allowance called specialist allowance, while the nurse will be posted to the area of need of the newly acquired skill without any promotion or specialist allowance. The nurse will keep on working waiting for her next promotion interview before he/she can enjoy any promotion if he/she passes the interview.
One of the reasons JOHESU is on strike is to narrow this pay gap and maintain the 2009 relativity, all they are asking for is for people on the grade level to earn the same consolidated pay (basic salary plus general allowances) whether you are a doctor or a nurse. Earning the same consolidated pay is not the same thing as earning the same salary if you are on the same grade level, each professional or group of professionals earn allowances peculiar to them. Remember it takes a nurse about 15 years to be on the same level with a newly employed doctor. JOHESU is simply saying let an average health professional after spending 15 years in the service earn the same consolidated pay with a newly employed doctor. This does not make the health professional earn the same with the newly employed doctor, as the doctor’s other allowances especially call duty allowance is far more than that of the health professional (for those who earn it).Thus, even after spending 15 years to get to the same level as a newly employed doctor, the average health professional will not even earn as much as a newly employed doctor when the demands of JOHESU are met.
It is so surprising that the NMA and both ministers of health and labour are calling this demand of JOHESU an attempt to achieve pay parity with the doctors. It is evident that they either don’t understand the meaning of pay parity or they don’t understand the relationship between the two salary structures in our health sector. I will not want to believe that they are mischievous, as only mischievous people will go on national television and dish out what they know are lies to win sympathy from the public.
Now the onus is on the public to judge if JOHESU’s description of their ordeal in the hands of our health managers as slavery, and their demands for an equitable, fair and just wage system in the health sector is tantamount to requesting for pay parity with doctors!
HealthRe: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Topshow2010(m): 11:46am On May 12, 2018
A NON JOHESU PERSON WROTE THIS!!!!

As a seasoned public servant, my heart bleeds whenever I read what you young ones with no experience come to social media to post. I am not a member of JOHESU but look at this objectively, a fresh medical officer enters the public service at grade level (GL)12 while pharmacist and lab sci enter on GL 10, nurse on GL 8....how can these salaries be the same? doctor's call duty allowance is 4% of his basic salary while pharmacist's call duty is 2% of his basic salary...now how can 4% of GL 12 be same with 2% of GL 10?

Nurses collect shift duty allowance, how can a meagre shift duty allowance of GL 8 be the same with 4% of GL 12?

A medical officer who enters on GL 12 as resident and becomes a fellow after 4 or 6yrs is upgraded to GL 15 ..it takes a pharmacist minimum of 12 yrs to get to GL 15 and nurse minimum of 18 yrs to get to GL 15. NMA is really not helping the Nigerian health sector. angry sad

Copied
HealthRe: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Topshow2010(m): 11:33am On May 12, 2018
MrEgghead:
I can sense hatred and vile contempt from your comments. I feel so bad when so called "educated peope" display their foolery and gross ignorance on social platforms. Just to exonerate your egocentric opinions you went ahead to disgracing yourself by alluding physicians are not fit to hold the title 'Doctors". I know your type; You were not intelligent enough to get medicine, hence, your blatant loathe for the profession.
You even went as far in a bid to vindicate your assertions by making a rather myopic and deluded statement that the decadence in the health is as a result as Doctors being the heads of health care institutions as if there's any sector that is working properly in the country.
Medical Doctors will always be the leaders in the health sectors, albeit the art of healing is multifaceted.
Doctors should never sabotage the efforts of others toward career progression but I'm vehemently against parity in remunerations and other benefits; it's ridiculous, preposterous and grossly unacceptable anywhere in the world.

Ordinarily I won't av dignify ppl like u with response but for ur brazen frivolity and crass ignorance ,am compelled to do so.
Firstly in ur crass ignorance,u emphatically claimed the leadership of d health sector belongs to ur egotistical colleagues which is at variance with the so called international practices NMA always cite for their own selfish benefits.You can google to know ease ur ignorance for u to know that countries with best medical system have good administrator who are not doctors handling d helm of affairs of their medical sector efficiently which makes our leaders to rush there for medical cares anytym they are ill.For instance d minister of health in Germany is a banker,d minister of health in India studied law,head of the national health service in Scotland studied social science,the secretaries of state for health in US and UK respectively are not physicians.You can see from d stated countries with good health system than ours do not have ducks (physicians) at the helm of affairs.
On ur egomaniac bravado of medicine as a course ,I never for once applied to study it ,am a proud and licensed Medical Laboratory Scientist that plays pivotal and behind d screen roles in d prevention,diagnosis,management and treatment of disease.You can bamboozled the public wit ur so called 'almighty' course but not other health professionals in d system,ur medicine is one of d cheap and easy course to study if u are not too lazy as a student.I wud advise u to check out other courses not even in d medical terrain like Architecture, Civil engineering etc for u to realize ur pseudo-egomaniac claims on ur course of study.
HealthRe: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Topshow2010(m): 8:17pm On May 11, 2018
MY RESPONSE TO THE ENEMY OF JOHESU
1. What is the meaning of the word `medical´ when it is used to refer to a group of profesional?
2. Are Physicians (they are being called ``doctors´´ which is an honorary title. Only PhD holder is fit to be called a `doctor´) not Health Workers?
3. Who do they refer to as ``non-medical professionals´´? Nurses, Pharmacists, Medical Laboratory Scientists or Physiotherapists?
4. Who is fit to head health sector? Physicians have been heading health sector but it is still a shame that Nigeria Health Care Delivery is ranked one of the lowest.
5. Who should determine the wages or salary? Government or Physicians?
6. What profesional courses are needed to be qualified as a ``medical profesional´ that Nurses, Medical Lab Scientists, Physiotherapists and Pharmacists have not ben exposed to during their undergraduate and post-graduate programs?
7. Can any health professional work in isolation? If No, how should each be paid? Based on input/output or grandiose salary scale?
Physicians are not the head of other professional workers. We are all equal contributors to the health care delivery. To think otherwise is a Delusion of Grandiosis.

WE ARE YET TO GET IT RIGHT IN THIS COUNTRY AS CITIZENS. PUBLIC SHOULD BE WELL INFORMED THAT PHYSICIANS ARE NOT THE HEAD OF ANY OTHER MEDICAL PROFESSIONAL (Nurses, Medical Lab Scientists, Physiotherapists and Pharmacists,Radiographers). Their position is purely ARROGATORY.
HealthRe: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Topshow2010(m): 7:30am On May 11, 2018
The only period in the history of labour unrest and agitations in Nigeria with some relative peace was when Prof. Eyitayo Lambo (Health Economist & Administrator) was the Minister of Health. He was able to administer the health sector from the view of an Economist Administrator with a balanced approach to issues as it affects each health care profession within the health sector. However, prior to that period especially when Prof Olikoye Ransom-Kuti was minister for almost eight years under the Gen Babangida "Maradona" junta, the health sector witnessed a systematic consistent decimation and degrading of other health workers while deliberately elevating and empowering doctors as "special superior" species in total violation of the existing rules and regulations of the civil service as obtainable in the health sector then. Various circulars were released and released until doctors became the Alpha and Omega of the health sector sidelining all other health professionals into a box. The consequences of this atrocities is the downward decline in the health indices of Nigerians because the sector was poorly managed by doctors till date. Doctors are not trained in college to manage human resources and financial resources but patients who are medically sick or ill. Management of Sick persons is different from the management of Humans as resources. A look at all the Health parastatals and agencies headed by doctors today manifests decay and a shift from the intended act establishing such agencies. From NHIS to Primary Healthcare development Authorities to Teaching hospitals and Federal medical centre to National Blood Technicial Services to Expanded Programme on Immunizations to NAFDAC (during Dr Paul Orhii) tenure. They are simply poor managers who approach issues from egoistic point rather from administrative point. My submission is this. It took other health professionals to almost two decades to come together under one body as JOHESU to fight the ROT and favoritism of doctors in the health sector. It is obvious now that the present minister does not even understand the difference between EQUITY AND EQUALITY even as a Professor. The end of JOHESU strike when the goal of equity in emoluments and other issues should not be the end of health workers struggle. JOHESU as a body should impress it upon the Federal government and the Legislature that the head of the any Health institution is not a medical qualification but a pure Administrative position as Health Administrator which is NOT a medical position. That the present situation of doctors running the health facilities without adequate prerequisite management and administrative skills and knowledge has never helped the health sector in Nigeria UPTIL Date. A Health administrator (Non-medical) CEO will manage the health sector judiciously and fairly without placing one professional above another as it is now. Prof Albert Einstein said "All Professions are equal and non is superior or inferior to another..
HealthRe: NMA Threatens To Embark On Strike If FG Yield To The Demands Of JOHESU by Topshow2010(m): 5:59am On May 11, 2018
THE NIGERIA HEALTH SECTOR: A MIRROR OF THE ANIMAL FARM
Current events in the Nigeria’s federal ministry of health have taken my mind back to the George Orwell’s classic novel “Animal Farm”. The animals ganged up to removed the evil human who in their own wisdom they saw as cruel and abusive only to enthrone the pigs as their leaders. Well, one particular pig, Napoleon, hid nine puppies until they grew and then began to terrorize, maim and kill any animal that questions its authority with these dogs. In the end, the animals ended up in a worse situation than before and the pigs grew fatter at the expense of the labour of the other animals, eggs went missing, milk went missing and animals also went missing, end of story.
It is significant to note that the health care system of this our great country has nosedived over the decade in the hands of the leaders of this sector. The system seems to be crawling and struggling while a select few are squeezing the milk of the sector, collecting enormous salaries and attending international conferences, while the vast majority of the workers in that same ministry continue to wallow in pains of poor remuneration and limited opportunities. However, whenever questions are raised to determine the main cause of anomaly and suggestions are made to bring sanity back into the sector we are reminded of how important Doctors are and how they must continue to be in charge. (All animals are equal, but some animals are more equal than others are). When agitations continue, they begin to play the card of international best practice, which is carefully painted to favour the oppressor and continue to bind the oppressed.
The system has been designed to fail. Whenever any suggestion or idea comes up that seems to challenge the status quo but has the potential to improve the sector, the ones in charge who sees these suggestions as a threat to their rulership begin to kick against it and start quoting international best practice. This to me is an insult to this great country because it suggests that we are not capable of thinking of lasting solutions to our problems ourselves, so we have to copy.
The persistent write-ups and press releases by the Nigeria Medical Association (NMA) and Medical and Dental Consultants Association of Nigeria (MDCAN) has continued to fill me with dismay, it begs the question. “What are you afraid of? What effect does a better payment for others have on yours? If other health workers are better paid, is it not a motivation for them to work better and improve our health care delivery? What do you have to gain from destroying others, are you not indirectly destroying yourself?
The federal government must be aware that the ministry of health and all hospitals do not need a doctor, medical scientist, pharmacist or any health professional to head it because their allegiance will be to the profession they belong and this will be to the detriment of that sector and other health workers. We need a public administrator who has no alliance with any health professional. Who understands administrations and can bring balance and equity to the system. Who will ensure medical laboratories are well equipped and our pharmacies are well stocked. Whose concern will not be how to destroy other health workers to ensure they do not challenge his authority but how to develop them professionally. Who understands that the hospital is a multifaceted organization that needs to be handled by someone who judge in fairness.
Until we get the leadership right, the sector will still be in a mess, the minister will continue to deny agreements, the NMA and MDCAN will continue to manipulate the federal government and our people will continue to suffer under a failed health sector leadership. undecided angry
EducationRe: Man Builds Computer Lab For His Former Primary School (Pics) by Topshow2010(m): 12:55pm On May 09, 2018
God bless him for this kind gesture but he shud av bought flat screen desktop for them rather than laptops cause the teaching staff can easily turns the lappy into their personal use.
BusinessRe: Fraud: Lawyer Confronts Judge As Innoson Shuns Arraignment For Fourth Time by Topshow2010(m): 8:00pm On Apr 25, 2018
[quote author=frankpro27 post=67019310]Innoson is far above Dino. Dnt compare both pls. Let dem touch innoson Nd let's see how it will end.[/quot

Igbo cum chest beater don start their usual gragra threat o rather than doing d needful.. cheesy
Foreign AffairsRe: I Acquired A ‘broke Nation’ – Liberian President, George Weah Shouts Out by Topshow2010(m): 12:42pm On Feb 21, 2018
So this one too wan start the blame game like our bubu here .I hope Liberians Neva enter one chance oo ;DSo this one too wan start the blame game like our bubu here .I hope Liberians Neva enter one chance oo
PoliticsRe: Cattle Colonies Will Make Kogi Holland Of Nigeria – Governor Yahaya Bello by Topshow2010(m): 6:58pm On Jan 27, 2018
Eleribu omale jatijati in Bello,posterity will Neva forgive u for this ur servility and frivolity. shocked angry
CelebritiesRe: Ama Richest's Body Painting Of Ghanaian Celebrities' Names & Events Of 2017 by Topshow2010(m): 11:51am On Jan 23, 2018
princechurchill:
A minute silence to the fallen heroes
No u are wrong ,its never possible for a big natural breast like her own to stand firm except its a cosmetics one. undecided
PoliticsRe: Kogi Wants Cattle Colony To Be Built In The State First by Topshow2010(m): 2:30pm On Jan 12, 2018
Donpresh95:
A governor weh mumu pass T.A Orji has been spotted. Kogi sorry, Soon Benue crisis will be a joke compared to what will befall una
Kogi ke, I doubt d demons called can try dt .Kogi ppl especially d igbiras and igala are very very wicked in their own right ,Fulani's dare not misbehave dere huh
CareerRe: Dauda Musa Umar ‘Major Dagger’, The Strict Instructor At Army Depot by Topshow2010(m): 2:22pm On Jan 12, 2018
momodub:
This kind training dey make them wicked
Is that a training or punishment? undecided .How do u expect a saner person to undergo such barbaric tortures to behaved sanely in d society; I wonder why Nigerian Army cannot take a clue from d military training of other saner climes. angry
PoliticsRe: PHOTOS: Amina Mohammed Tours Bama, Borno State by Topshow2010(m): 3:25pm On Jan 11, 2018
morikee:
wow spending money on HQ Photography. Who noticed her security details is now whites
Yeah ,its bcuz she is no more a naija official but a global official.
Jobs/VacanciesRe: Does Applying With A Master In The Nigeria Army Give One A Better Rank by Topshow2010(m): 9:46am On Jan 10, 2018
[quote author=daftpikin post=64055766]Leave the guy.

He should just add PhD so he would be a general angry[/quote

grin grin cheesy
Christianity EtcRe: 5 Signs Your Destiny (ori) Has Been Stolen Or Snatched by Topshow2010(m): 8:51am On Jan 09, 2018
Babalawos:
Masturbation will attract succubus and incubus to your friend.

Tell your friend to fortify his Ori. He should meet a strong Babalawo to do that for him.


Kudos to u ,can u pls shed more light on wat u meant by succubus and incubus?,Tnx.
CrimeRe: Bachama Militia Attack Fulani People In Taraba, Kill 15 (Graphic Photos) by Topshow2010(m): 1:18pm On Jan 06, 2018
May d Lord forgives me but I must be real wit myself ;I felt so so elated wen I saw d headline.Its instructive to note dt no one under d sun has d monopoly of violence, its high tym we southerner respond to d wanton killings by d demonic herdmens thru d same measure .
Enough is enough......
Christianity EtcRe: Bishop Oyedepo's House In Omu-Aran, His Hometown In Kwara (Photos) by Topshow2010(m): 11:46pm On Dec 23, 2017
Okoyeeboz:
Oga, shut up your mouth. The fact that you are a descendant of paupers doesn't mean others share your unfortunate history.

Oxford University Press and Harper Collins are some of the largest publishers in the world and they don't have a single jet. How many books has he sold and how many tapes has he sold that he can afford to buy 5 jets? Does Oyedepo sell more than Sony Music? How many jets does Sony Music have?

Since he's made so much personal money from selling books and tapes, can he provide us with his tax returns? If he didn't declare those in his tax documents, are you aware he is a criminal?

I don't have a problem with your paying tithes to whoever or defending Mr Oyedepo but don't insult our sensibilities and tell unintelligent lies like an epileptic drunkard just waking up from sleep.
E pain am gan ni, Nigerians and their oversabi.Why crying more than d bereaved?,If the genuine members who regularly paid their tithes with resultant blessing are not complaining ;wats ur own ooooo undecided
CelebritiesRe: Festus Fadeyi’s Children Warn Toke Makinwa: "Leave Our Father Alone” by Topshow2010(m): 9:26am On Nov 27, 2017
goldbim:
Maybe mr fadeyi is her helper ooo grin.obviously, I don't think toke's OAP salary can fund her luxurious lifestyle..even the proceeds of her book sale..anything is possible tho lipsrsealed.maybe she has other means of income .
You mean her destiny helper or other room helper?
HealthRe: LUTH, Psychiatric Hospital Discharge Patients Due To Strike by Topshow2010(m): 3:25pm On Sep 26, 2017
Vblossom:
You mean people just go on strike for fun? Look deeply and you will see that those on strike have been oppressed for too long by agent of government in high places who have consistently refused to honour court judgement in favour of the striking UNION, cut them off their due, position and civil entitlement. The minister of health is a medical doctor, the minister of state for health is a medical doctor, the minister of employment and productivity also a medical doctor. All they do give answers only to the needs and yearnings of their colleagues (the medical doctors) meet their demands , give them their entitlement, promotion and position but when others ask for why what is rightly theirs not given, all these ministers do is to usually take them to court to stop them from getting their demands, several of such court proceeding/outcome has been in favour of JOHESU (Nurses and others except medical doctors). These victory has been on since 2012. The court has given directives to the ministers to meet their demands but all they do is consistently refuse. Let's remove sentiment, if you were in their shoes, what else will you do? Did in pains
Thank you for d enlightenment ,I hope d ducks wud rily put aside their overbloated ego and do d needful.Eat and let others eat too ........Its so so appalling DT in dis insane climes like ours ,an house officer is earning twice of what a pharmacist supretendient ,a chief matron or a chief Medical Laboratory Scientist wit years in service is earning in public hospital yet they are Neva satisfy but wud do everything to be d clog in d wheel of other health professionals. Even d students odawise called resident doctors wit d privilege of be d only professional sponsor by d govt among d health professionals would readily go on strike wit flimsy excuses yet d govt wit alacrity wud alwaz accede to their demands but cry wolf when a duly registered labour union under d law like JOHESU embark on legitimate strikes to express their grievances.
HealthRe: LUTH, Psychiatric Hospital Discharge Patients Due To Strike by Topshow2010(m): 3:01pm On Sep 26, 2017
Scholar212:
Too bad that the Nigerian healthcare has degenerated to this. And some doctors on nairaland here were boasting that they don't need the JOHESU members, death rate reduces when they are on strike and bla bla bla, why the sudden crisis, I thought they had everything under Control as they can serve as nurses,pharmacist,medlab scientist and others.
They should learn that healthcare is a teamwork and no one is dispensable.
Gbam,God bless u for dis .
RomanceRe: Help!!! She Says She Will Marry Him If Only His Mother Is Dead! Advice Please by Topshow2010(m): 5:39pm On Sep 19, 2017
If dis is true ,ur friend shud kill his mother asap.Iranu oshii angry
SportsRe: BREAKING: Nigeria’s D’tigers Overpower Senegal, Zoom Into Afrobasket Final by Topshow2010(m): 8:25am On Sep 16, 2017
rentAcock:
A tiger has multiple stripes, powerful jaws and sharp teeth. Why are Nigerian national teams obsessed with powerful wild animals like tigers, eagles and falcons? Are they really intimidating anyone with these ferocious animals?

Does it mean they cannot defeat opponents without these aliases?
Can this mediocre Nigerian team beat a high school team from the U.S?

Why does international sport bodies like FIFA allow Nigeria to compete despite Nigeria being the most corrupted country in the world? I think it's high time Nigeria is banned from participating in all international sporting events.
NwaAmaikpe wannabe spotted ,d earlier u leave dt NwaAmaikpic path and follow a good path like dt of d impressive Explorer,d beta for u. undecided
SportsRe: BREAKING: Nigeria’s D’tigers Overpower Senegal, Zoom Into Afrobasket Final by Topshow2010(m): 8:25am On Sep 16, 2017
rentAcock:
A tiger has multiple stripes, powerful jaws and sharp teeth. Why are Nigerian national teams obsessed with powerful wild animals like tigers, eagles and falcons? Are they really intimidating anyone with these ferocious animals?

Does it mean they cannot defeat opponents without these aliases?
Can this mediocre Nigerian team beat a high school team from the U.S?

Why does international sport bodies like FIFA allow Nigeria to compete despite Nigeria being the most corrupted country in the world? I think it's high time Nigeria is banned from participating in all international sporting events.
NwaAmaikpe wannabe spotted ,d earlier u leave dt NwaAmaikpic path and follow a good path like dt of d impressive Explorer,d beta for u. undecided
PoliticsRe: Photo Of Buhari With Some Young Members Of His Family by Topshow2010(m): 2:38pm On Sep 15, 2017
magoo10:
The commander in chief of the dullards himself.

the man who substitutes bullets for intelligence in this modern age is obviously brainless.

The man who failed twice in his life time is a very big SHAME.

The man who cannot achieve anything in life except the blood of the dogs and baboons flow is a stack illiterate .
E pain am seriously : cheesy grin
Foreign AffairsRe: Devastating Aftermath Of Hurricane Irma In The Caribbean(Photos) by Topshow2010(m): 2:22pm On Sep 10, 2017
Its quite saddened wit d huge loss ,dts d reason its said dt d innocents often have a share in d calamity dt befalls d guilty ones.British island has alwaz been a safe haven for d looters and oda shady elements all over d world especially naija my beloved country. undecided

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