INCESSANT strikes by doctors and other health workers working in Federal Government-run hospitals in Nigeria resulted in loss of about 300 working days between 2013 and 2021, The ICIR reports.
The National Association of Resident Doctors (NARD) ordered 61 per cent of the strikes, findings showed.
The NARD was responsible for 11 of the 19 industrial actions recorded by the government within the period.
The association went on strike for 154 days out of the total 252 days of strike recorded by the government.
While it is easy to compute the number of days affected by the strikes, it is unlikely that the government can have data for the lives lost during such actions.
Strikes by health professionals usually come with preventable deathsfor households and loss of revenues for the government.
It further weakens the nations frail health system, denies the poor access to care, and promotes medical tourism and brain drain.
- Advertisement -
Whenever healthcare providers embark on strike, private hospitals usually charge exorbitant fees and are congested.
The rate of self-medication surges, leading to complications of ailments and rising deaths.
Strikes leave patients stranded at hospitals as only skeletal services are rendered, sometimes through support staff such as corps members, cleaners and the like.
The ICIRobtained the data on strikes in the sector from a response to aFreedom of Information Actrequest sent by the newspaper to the Federal Ministry of Labour and Employment, headed by Chris Ngige, in August.
The request followed incessant industrial actions by workers in the nations public hospitals.
The ICIR sought to know the workers strike frequency from 2011 to 2021 and the reasons for such actions.
However, rather than comply with the seven-day window provided by the Act for organisations answerable to the law, it took the ministry almost four months to respond to the requestthe delay conflicts with the FOI Act.
- Advertisement -
Section Four of the Act demands that affected organisations respond to requests within seven days.
The law, however, set out conditions for delaying response to any requests made under the Act, that is if the information requested is at the disposal of another organisation that could better make it available.
Section six of the Act provides a seven-day extension notice to the applicant if the organisation cannot provide the information but has to transfer the request to another institution to make it available.
The ministry had no communication withThe ICIRuntil it responded in its letter dated December 15.
Nigeria has 20 teaching hospitals, 22 federal medical centres, and 13 speciality hospitals where the workers covered by this report work.
The hospitals are distinct from hundreds of others owned and managed by state and local governments, where workers also go on strike at will.
According to the government, as of March 2020, there were nearly 75,000 registered doctors in the country.
- Advertisement -
They were among those working in public and private health facilities, including others who do not work in hospitals.
Other health workers, namely pharmacists, medical laboratory scientists, nurses, radiographers, dietitians, therapists, health record and information management workers, form the majority of hospital workers.
Why strikes succeed
Professionals working in the sector group themselves into different unions through which they seek their members welfare and professional development.
For instance, the health workers group consists of the National Association of Nigeria Nurses and Midwives (NANNM), Association of Medical Scientists Laboratory of Scientists of Nigeria (AMLSN), Assembly ofHealthcare Professional Associations, Joint Health Sector Unions (JOHESU), Medical and Health Workers Union of Nigeria (MHWUN), Pharmaceutical Society of Nigeria (PSN), Nigeria Union of Allied Health Care Professionals (NUAHP) among others.
The doctors groups include the Nigeria Medical Association (NMA), Medical and Dental Consultant Association of Nigeria (MDCAN), National Association of Resident Doctors of Nigeria (NARD) and other associations.
Once the national leaders of the groups decide on strike, members usually obey them.
Workers complain of poor infrastructures in hospitals and poor working conditions.
Funding for the sector is inadequate as less than five per cent of the national budget goes into the sector.
The ICIRreportedhow salaries, cost of running offices gulp 73 per cent of the countrys budget for health in 2022.
The workers often accuse the government of insincerity with its promises. They also accuse the government of dragging feet before implementing the agreements reached with its workers.
In an attempt to compel striking workers back to work, the government usually threatens to sack them. But the parties always end up reaching a truce.
A significant feature in strikes among the workers is that doctors and other workers alternate the action. Whenever the government meets the demand of a group, the other will protest and make similar requests from the government.
Health workers often object to the leadership of the sector by doctors. They claim that only doctors head most hospitals, the Federal Ministry of Health and virtually its agencies and departments.
History of strikes since 2013
The NUAHP proceeded on strike on August 16, 2013. The group sought the abolition of the office of Deputy Chairman, Medical Advisory Committee introduced by the government. The strike lasted for seven days.
On October 21, the same year, NARD went on strike over non-payment of July-October salaries and other allowances owed its members. The action lasted for ten days.
JOHESU embarked on strike three months after on January 20, 2014. The group based its action on the non-promotion of its members on CONHESS 14-15 as directors. The strike lasted for three days.
The NUAHP resumed the strike it suspended earlier, on October 16, over the failure of the government to implement the Memorandum-of-Understanding signed with the association on August 20, 2013. It took the government and the association 16 days to resolve the impasse.
The JOHESU, again, went on strike on November 12, 2014. The group demanded the adjustment of salaries for its members as the government did for the Nigerian Medical Association earlier that year. The ministry did not provide the number of days the strike lasted.
The group yet embarked on another strike that month, demanding the skipping of arrears and other issues. The strike lasted for seven days.
The NARD embarked on another strike on June 1, 2015. The association protested skipping arrears, other benefits for its members, and other issues. The strike lasted for 25 days.
On June 15, the same year, NMA scaled-down services to ask for full implementation of Consolidated Medical Salary Structure (CONMESS) for its members. The time the strike lasted is not available.
Just a week after NMA made its demand, JOHESU suspended services over non-payment of skipping salary arrears to its members in Federal Tertiary Institution, among other demands. It took the government and the group seven days to resolve the crisis.
After its ultimatum on inclusion into the IPPIS expired on July 27, 2016, NARD proceeded on strike. The action lasted for seven days.
Meanwhile, MHWUN protested the delay in releasing its members 2015 promotion interview results and consequently downed tools on October 19, 2016. The group called off the strike after two weeks.
Again, NMA and NARD jointly scaled-down services on September 4, 2017, following the failure of the government to meet NARDs demand on skipping. The strike lasted for nine days.
Between April and May 2018, JOHESU members suspended work over a trade dispute on the upward adjustment of CONHESS. The action lasted for 44 days.
On May 15, 2020, NARD embarked on a five-day strike over the universal implementation of the Medical Residency Training Act in all federal and state hospitals. The action also sought to ensure pay parity among doctors of equal cadre.
The association, again, embarked on a 10-day industrial action in September 2020 over the non-implementation of agreements it had with the government.
The NARD again scaled-down work for nine days between March 31 and April 8 this year over the failure of the government to pay house officers.
The association resumed its strike on April 12 over the government failure to pay hazard allowances to its members at the frontline of the COVID-19 pandemic. The group said it embarked on the strike also to protest the dismissal and reduction of wages of its members by the Kaduna State government. The strike lasted for ten days.
The longest of all the strikes within the period under study was the action by NARD on August 2. It lasted for 62 days. The association declared the strike over government failure to pay house officers salaries and the non-recruitment of house officers.
Unions embark on fewer strikes under Buhari
But for NARD, the sector witnessed fewer industrial crises under President Muhammadu Buhari than his predecessor.
In 2014, the then Minister of Labour and Productivity Emeka Wogu said health care providers embarked on strike more than 40 timesin the first nine months of that year.
The health sector has witnessed a lot of unrest and strikes in the past few months. The sector has had no fewer than 40 strikes this year. It is worthy to note that the health sector is of the essential services and vital to the whole economy. It is the engine on which economic growth and development is built, he said.
President, others seek care abroad; health care providers opt for greener pastures during strikes
Many officials of government and health care providers often travel abroad for treatment, whether hospitals function or not.
In May 2018,The ICIRreported how President Muhammadu Buharibeat the record setby the late former President Umar YarAdua in medical tourism.
He has sought care abroad after the report was published.
In October,The ICIRreported how the countrylost nearly 9,000 doctorsto the United Kingdom and other nations within two years.
In August, this newspaper also reported howhundreds of doctors thronged a recruitment venuein Abuja, hoping to work in Saudi Arabia. The firm needed only seven doctors.
Challenges in Nigerias health sector have remained as the country parades some of the worst health indices globally.
More here:
- Student-Led Working Group to Abolish GUPD Calls for Greater Community Involvement - Georgetown University The Hoya - April 10th, 2024 [April 10th, 2024]
- Nobel Peace Prize - Wikipedia - January 10th, 2023 [January 10th, 2023]
- Albanese government neuters ABCC ahead of abolition - The Australian Financial Review - October 28th, 2022 [October 28th, 2022]
- 3 Good Reasons You Should Learn More About Angela Davis - Because of Them We Can - October 15th, 2022 [October 15th, 2022]
- Eradication of forced labor -- striking example of political will - The Korea Herald - October 15th, 2022 [October 15th, 2022]
- Intrusion impending: what contractors need to know about proposed abolition of the ABCC - Lexology - October 15th, 2022 [October 15th, 2022]
- What Does It Mean To 'Abolish the Family'? - ArtReview - October 15th, 2022 [October 15th, 2022]
- UN experts call for complete abolition of death penalty as 'only viable path' - UN News - October 15th, 2022 [October 15th, 2022]
- Opinion | Social justice work must continue - UI The Daily Iowan - October 15th, 2022 [October 15th, 2022]
- Rank-and-file action committees independent of IG Metall union needed to defend all jobs at all sites - WSWS - October 15th, 2022 [October 15th, 2022]
- Japan plans to abolish health insurance cards in fall 2024 | The Asahi Shimbun: Breaking News, Japan News and Analysis - - October 15th, 2022 [October 15th, 2022]
- Are you buying the copaganda? - mlk50.com - October 15th, 2022 [October 15th, 2022]
- 'Crown Jewel of Criminal Justice System': Voters In Five States Will Address Legal Loophole That Still Allows Slavery - Atlanta Black Star - October 15th, 2022 [October 15th, 2022]
- TUPD aims to connect with Tufts community over coffee - Tufts Daily - October 15th, 2022 [October 15th, 2022]
- Ex-condemned prisoner relives 11-year wait for hangmans noose - The Herald - October 15th, 2022 [October 15th, 2022]
- The Ongoing Fight Against Femicides and Violence Against Women in the Caribbean - Rolling Stone - October 15th, 2022 [October 15th, 2022]
- At Tate Britain, Hew Locke Powerfully Reckons with Colonialist Histories and Their Lingering Aftereffects - ARTnews - October 15th, 2022 [October 15th, 2022]
- Presentation of the Annual Report of the United Nations High Commissioner for Human Rights - World - ReliefWeb - October 15th, 2022 [October 15th, 2022]
- Sanitation staff on strike over salary delay in Delhi - The New Indian Express - October 15th, 2022 [October 15th, 2022]
- Human Rights Watch Submission to the Universal Periodic Review of Burundi - Human Rights Watch - October 15th, 2022 [October 15th, 2022]
- UN experts warn of associated torture and cruel punishment - OHCHR - October 11th, 2022 [October 11th, 2022]
- How Lead Belly twice won freedom from prison through his music - Far Out Magazine - October 11th, 2022 [October 11th, 2022]
- Why don't Popes ever win the Nobel Peace Prize? - Crux Now - October 11th, 2022 [October 11th, 2022]
- Hunting: Where the end began - Reaction - October 11th, 2022 [October 11th, 2022]
- Greece is committed to reforming its mass media and protecting personal data - Hellenic News of America - October 11th, 2022 [October 11th, 2022]
- Standing against war and nuclear catastrophe: lessons from Port Kembla - Red Flag - October 11th, 2022 [October 11th, 2022]
- Liz Truss warned tax cuts like hers could lead to 'boom and bust' in unearthed 2018 clip - The Mirror - October 11th, 2022 [October 11th, 2022]
- Opinion | The Puppets and the Puppet Masters - Common Dreams - October 11th, 2022 [October 11th, 2022]
- Intersecting Drug Policy and Abolition: A Conversation - TalkingDrugs - October 6th, 2022 [October 6th, 2022]
- Rival parties to lock horns over Gender Ministry in government organization reform plan - The Korea Herald - October 6th, 2022 [October 6th, 2022]
- Reforms, roll-outs and freezes in the tax and benefit system | Institute for Fiscal Studies - ifs.org.uk - October 6th, 2022 [October 6th, 2022]
- Kwasi Kwarteng to bring forward planned fiscal statement in another U-turn as it happened - The Guardian - October 6th, 2022 [October 6th, 2022]
- IR35 reforms repeal: How it stands to benefit the tech sectors SMEs and contractors - ComputerWeekly.com - October 6th, 2022 [October 6th, 2022]
- The Future of Truth - Portsmouth Daily Times - October 6th, 2022 [October 6th, 2022]
- Governor Hochul Names Canal Corporation Vessel in Honor of the Inspirational Life and Legacy of Harriet Tubman - ny.gov - October 6th, 2022 [October 6th, 2022]
- Tory MPs hit back after threats issued to those opposing 45p tax rate abolition - The Guardian - October 6th, 2022 [October 6th, 2022]
- John Hood: Don't That Just Beat All? Neuse News - Neuse News - October 6th, 2022 [October 6th, 2022]
- Scrapping inheritance tax is a terrible idea - The Spectator - October 6th, 2022 [October 6th, 2022]
- Reeves: Government instincts in mini-Budget were to cut taxes for wealthiest - LabourList - October 6th, 2022 [October 6th, 2022]
- The Biggest Exhibitions To See In London And Beyond: Autumn 2022 - Londonist - October 6th, 2022 [October 6th, 2022]
- Actually, Black Mermaid Folklore Has Been Around Long Before Disneys The Little Mermaid - Yahoo Life - October 6th, 2022 [October 6th, 2022]
- Build solidarity with rail workers fight! Help strengthen, expand the labor movement! The Militant - The Militant - September 14th, 2022 [September 14th, 2022]
- The Most Absolute Abolitionnew book explores abolition and lives of escaped slaves - Socialist Worker - September 14th, 2022 [September 14th, 2022]
- Democracy Cant Be Reduced to Voting in 2022 We Must Build the Future We Want - Truthout - September 14th, 2022 [September 14th, 2022]
- Christophe Ferrari denounces the announced abolition of the CVAE - US Sports - US Sports - - September 14th, 2022 [September 14th, 2022]
- Child labour: Nashik tribals struggle to survive, give kids to goatherds for Rs 10K - The New Indian Express - September 14th, 2022 [September 14th, 2022]
- Library Takeover Returns: Submit Your Application! | City of Madison - City of Madison, Wisconsin - September 14th, 2022 [September 14th, 2022]
- Do Britain and the world really need a king? - People's World - September 14th, 2022 [September 14th, 2022]
- Soka Gakkai International's Nuclear Abolition Work - Tricycle - September 7th, 2022 [September 7th, 2022]
- Clinton nonprofit funneled $75,000 to 'defund the police' group: report - New York Post - September 7th, 2022 [September 7th, 2022]
- Cops and Prosecutors Truly Work the Same Side: Ingrid Raphal and Melissa Gira Grant on their FOV Doc They Wont Call It Murder - Filmmaker Magazine - September 7th, 2022 [September 7th, 2022]
- The Iran Man Behind the Nuclear Curtain Jewish Policy Center - Jewish Policy Center - September 7th, 2022 [September 7th, 2022]
- Dorothy Roberts Tried to Warn Us - New York Magazine - September 7th, 2022 [September 7th, 2022]
- Hear Me Now: The Black Potters Of Old Edgefield, South Carolina - Antiques And The Arts Weekly - Antiques and the Arts Online - September 7th, 2022 [September 7th, 2022]
- The Spin | Zimbabwe's upset win should spur England to be good global citizens - The Guardian - September 7th, 2022 [September 7th, 2022]
- Letter of the week: The Proms deserve better - The New Statesman - September 7th, 2022 [September 7th, 2022]
- Why We Should Abolish the Family Current Affairs - Current Affairs - September 6th, 2022 [September 6th, 2022]
- On the Need for Honest Abolitionists. | Jeff Hood - Patheos - September 6th, 2022 [September 6th, 2022]
- Chile rejects a progressive constitution with big changes - NPR - September 6th, 2022 [September 6th, 2022]
- Where Solidarity, Abolition, and Queer History Meet - The Nation - September 6th, 2022 [September 6th, 2022]
- Addressing the sugar crisis long term - Manila Bulletin - September 6th, 2022 [September 6th, 2022]
- Experts react: The United Kingdom has a new prime minister. What should the world expect from Liz Truss? - Atlantic Council - September 6th, 2022 [September 6th, 2022]
- Explained Books | An eminent cardiac surgeon's account of his work, and of Kashmir - The Indian Express - September 6th, 2022 [September 6th, 2022]
- Formerly incarcerated women of color face worse health in later life | OUPblog - OUPblog - September 6th, 2022 [September 6th, 2022]
- The crime against humanity that is the modern OS desktop, and how to kill it - The Register - September 6th, 2022 [September 6th, 2022]
- Kenya: William Ruto's triumph, By Reuben Abati - Premium Times - September 6th, 2022 [September 6th, 2022]
- What shall we do with the climate refugees? - Trinidad & Tobago Express Newspapers - September 6th, 2022 [September 6th, 2022]
- Digitisation of records, land reforms turn 'Naya J&K' hi-tech - Rising Kashmir - September 6th, 2022 [September 6th, 2022]
- What year was slavery abolished in the US? - Fox News - August 25th, 2022 [August 25th, 2022]
- The United Nations Human Rights Council met for its 50th Regular Session from June 13 to July 8, 2022. - WCADP - World Coalition Against the Death... - August 25th, 2022 [August 25th, 2022]
- Special Tax Regimes for Mobile Individuals and Their Impact on the EU's Single Market - Bloomberg Tax - August 25th, 2022 [August 25th, 2022]
- Undergraduate Summer Research Highlights - Newsroom | University of St. Thomas - University of St. Thomas Newsroom - August 25th, 2022 [August 25th, 2022]
- A safe and healthy working environment is now a human right - Workplace Insight - August 25th, 2022 [August 25th, 2022]
- Haryana dismisses alleged abolition of teachers post as baseless - The Statesman - August 25th, 2022 [August 25th, 2022]
- New book explores wicked problems facing peace studies scholars and practitioners // Department of Political Science // University of Notre Dame -... - August 25th, 2022 [August 25th, 2022]
- Universities Are Plundering Cities. How Can This Relationship Change? - Truthout - August 25th, 2022 [August 25th, 2022]
- Edinburgh should apologise for role in slavery and colonialism, says academic - STV News - August 25th, 2022 [August 25th, 2022]
- The inside story of the CIA v Russia from cold war conspiracy to 'black' propaganda in Ukraine - The Conversation Indonesia - August 25th, 2022 [August 25th, 2022]
- Radical gender theory has now made its way into more than 4,000 US schools - Home - WSFX - August 25th, 2022 [August 25th, 2022]
- Infanticide: Excitement as 5-year-old reunites with family in FCT - Blueprint Newspapers Limited - August 25th, 2022 [August 25th, 2022]