Good morning gentlemen, and thank you for once again honouring our
invitation. I am sure this is the first time we are inviting you to a
press conference on Sunday. But it is said that a toad does not run in
the daytime for nothing. There is, therefore, no doubt that the
subject of today’s press conference must be an important one, and it
is!
- Indeed, anything that touches on human life is of paramount
importance. That is why we are here this Sunday to address the issue
of the ongoing strike by the National Association of Resident Doctors
(NARD), which started on Monday, June 15th 2020 and has continued to
this day. - Please permit me to give a quick background. The Association
issued a 14-day ultimatum to the Federal Government on June 1st 2020,
during which it demanded the resolution of the issues they raised. The
issues are: - Access to Personal Protective Equipment (PPE) for all health workers;
ii. Immediate reversal of the disengagement of 26 resident doctors at
Jos University Teaching Hospital;
iii. Immediate implementation of the Special Hazard Allowance and
COVID-19 Inducement Allowance which, in the first instance, is the
initiative of the federal government.
iv. Capturing of funding for Medical Residency Training Programme in
the 2021 appropriation bill;
v. Payment of all arrears of consequential adjustment of the national
minimum wage to its members and implementation of such in the State
tertiary health institutions.
vi. State Governments that had slashed the members salaries by as
much as 25%, like Kaduna and Kogi, to be made to stop and refund such. - Please note that prior to this period, the Federal Government,
under the auspices of the Federal Ministry of Labour and Employment
(FML&E) had, on April 21st 2020, convened a pro-active emergency
meeting between the Government side comprising Federal Ministry of
Health (FMoH), the Federal Ministry of Finance (FMoF), the National
Salaries Incomes and Wages (NSIWC) and the Office of the Head of
Service (OHOSF) and the Health Professional Associations and Unions
under Joint Health Sector Unions (JOHESU). The Professional
Associations comprised of the Leadership of the Nigeria Medical
Association (NMA), the Pharmaceutical Association of Nigeria (PAN),
the National Association of Nigeria Nurses and Midwives (NANNM) and
the Health Unions by JOHESU Leadership. The aim of the meeting was to
rub minds with these Health Workers on how to successfully work with
them throughout the pandemic. - The proactive step by the Honourable Minister of Labour and Employment was
informed by the fact that as a Medical Doctor, he realized that an
industrial action by any group in the Health chain will be disastrous
to our weak, fragile health system at this period of pandemic, so he
had stressed and conveyed to the Health workers, the Federal
Government’s, and in particular Mr. President’s, gratitude for their
bravery, courage and devotion as frontline workers in the fight
against the unseen mortal enemy – Covid-19 - It is pertinent to say that the issues raised by the Association,
while issuing its ultimatum on June 1st, have received or are
receiving full attention:
i. Personal Protective Equipment, or PPE, have been supplied to all
State and Federal Tertiary Hospitals and funds for the same have been
provided in the revised 2020 budget.
ii. Implementation of the Residency Training programme was backed by
the National Assembly, which provided ₦4 billion in the revised 2020
budget, while the Ministry of Health is working with the Salaries,
Incomes and Wages Commission (NSIWC) to build a template to assure
same in the Personnel Cost of 2021 Budget.
iii. We have also paid N9 billion as premium for Group Life Insurance
to all our health workers and N4,642,485,146.00 as Special Hazard
Allowance to health workers as already acknowledged in at least 35
hospitals.
Please note that the payment of COVID-19 Special Hazard Inducement
allowances are based on 4 templates:
– 50% of Consolidated Basic Salary to all workers in Covid-19
designated Hospitals and Centres
– 40% of Consolidated Basic Salary to health workers in Non-Covid-19
designated Centres and Hospitals
– 10% of Consolidated Basic Salary to Non-Health Professionals engaged
in those centres
– 20% of Consolidated Basic Salary special allowance to all health
workers directly managing Covid-19 patients in Treatment and Isolation
Centres
In summary, a total of 55,031 Health workers in 35 Covid-19
designated hospitals and medical centres have been paid Special Hazard
Allowance totalling N4,642,485,146.00 as of today and more payments
are being processed .
Other matters relating to non-payment of arrears dating as far
back as 2014 or salaries owed by State Governments, are either in
court, or beyond the power of the Federal Ministry of Health to
resolve.
- After the 14-day ultimatum was issued, negotiations were
immediately opened with the Association, and were facilitated by the
Health Committees of the National Assembly, the Speaker of the House
of Representatives and, of course, the Minister of Labour and
Employment. - Gentlemen, despite the payment of the Hazard Allowance and the
Group Life Insurance, the provision of PPE as well as addressing other
issues raised by the resident doctors, they still opted to proceed on
strike. This is happening at a time the nation is battling a pandemic
of immense proportions. This inexplicable strike is a dangerous
setback for the nation’s efforts at tackling the pandemic. - Permit me to speak more on the Covid-19 pandemic and our health
workers. Gentlemen, as we have always said, the health workers are our
heroes. They have been in the forefront of the efforts to contain the
pandemic. In the process, many have been infected with the virus.
We are also aware of the challenges confronting health
workers in carrying out their duties, especially the provision of the
PPE. But I make bold to say that the Federal Government has done
everything possible to procure PPE and make such available to our
health workers. Of course, the fact that this is a global pandemic has
affected the availability of PPEs and other requirements for fighting
the pandemic. Not even the developed countries have been able to
procure all that they require, such as PPEs and ventilators. But
Nigeria has prioritized this and has also succeeded in procuring as
many PPEs as possible for distribution to our health workers, and we
now have a stockpile for emergency situation. - Apart from the provision of PPEs and other equipment, the
Federal Government has done the following:
i Expansion of the testing laboratories from two to 38
ii Training of over 13,000 health workers in Infection, Prevention
and Control (IPC)
iii Development of policy and protocols for testing returning Nigerians
iv Development of policies and protocols for integration of primary
healthcare into national response
v. Development of stronger and sustainable policy for community
engagement and risk Communication
vi. Increase in the isolation centre bed space from 3,000 to more than
5,000 nationwide
- We have reeled out the details of the efforts made by the
Federal Government to strengthen the nation’s capacity to respond
robustly to the pandemic as well as to protect our healthcare workers.
We have also informed you that the government has effected the
payment of Hazard Allowance and Group Life Insurance for the health
workers. This is a responsible government and it has acted responsibly
to avert this needless strike - Gentlemen, many options are open to the Federal Government in
tackling the strike, yet it has chosen negotiation over confrontation,
as you can see in the efforts we have made so far. The Government has
bent over backwards to meet the demands of the striking doctors. - We must express the Government’s consternation that resident
doctors will choose a time like this, when we are battling a pandemic,
to embark on a strike. This negates what obtains in other parts of the
world, where health workers are rallying around their governments to
tackle the Covid-19 pandemic. Nigeria must be among, if not the only
nation, where doctors – who are classified as essential workers – have
opted for a strike during a public health emergency. - Currently, only essential and skeletal service is being rendered
in the nation’s public hospitals. There is no doubt that the strike
has impacted negatively on public health, putting many lives –
including those of their members – at risk. This is not right and it
clearly negatives the Hippocratic Oath to which the doctors subscribe.
While the Federal Government continues to engage the resident doctors
in negotiation, we want to use this opportunity to appeal to them to
respect their oath and put life above other considerations. This is an
ill-timed and ill-considered strike. We hope the striking doctors will
immediately
reconsider their stand and end the strike today! By doing so, they
will be saving many lives. - I thank you all for your kind attention