In a recurrent standoff, medical doctors and health workers in Nigeria are on the brink of a potential strike, citing the government’s failure to review and implement the Consolidated Medical Salary Structure (CONMESS). The Consolidated Medical Salary Structure (CONMESS) serves as the standardized pay scale for medical and dental officers in the federal public service. Expressing frustration over past government inaction, medical professionals, including doctors, are once again contemplating withdrawal of their services if the federal government does not enact the anticipated salary structure adjustments.
Under the banner of the Nigerian Medical Association (NMA), doctors have set a deadline for the government to implement the salary review – a critical step toward addressing their longstanding concerns. The President of NMA, Uche Ojinmah, delivered this ultimatum during a press briefing following the association’s National Executive Council (NEC) meeting held in Abuja. Ojinmah emphasized the urgency of the situation, stating that the government must act before January 31 or face potential industrial action within the health sector. He warned that the NMA could not assure continued industrial harmony if the government fails to meet their demands.
Almost a year-long anticipation by healthcare practitioners.
During the press conference, Ojinmah not only urged the government to implement the salary review but also appealed for the prompt execution of the newly approved accruement allowance, including arrears dating back to June 2022. Despite the approval on June 1, 2023, he expressed uncertainty about the timeline for implementing all approved allowances, emphasizing the need for the government to fulfill its commitments. Highlighting the delayed implementation, Ojinmah clarified that the upward review of CONMESS was originally slated to take effect from January 2023.
Of course, the government’s delay has resulted in an almost year-long period of anticipation. Although recognizing the government’s positive move in addressing certain agreements, Ojinmah emphasized the crucial need for full implementation. He highlighted the significance of honouring agreements as per the terms established in previous administrations. The Nigerian government’s hesitation to accept the doctors’ demands may stem from financial constraints, bureaucratic challenges, or a broader reluctance to commit to comprehensive changes within the healthcare system.
Some strike actions that Nigerian doctors have embarked on.
Nigerian doctors have embarked on several strike actions over the years, highlighting systemic issues within the healthcare sector. One notable instance occurred in 2014 when members of the Nigerian Medical Association (NMA) went on a nationwide strike to protest poor working conditions, inadequate facilities, and the lack of a functional healthcare system. This strike significantly disrupted medical services across the country, with doctors demanding better infrastructure and improved welfare for healthcare professionals.
Another notable strike took place in 2020 when the National Association of Resident Doctors (NARD) initiated a strike to draw attention to issues such as salary arrears, inadequate protective equipment during the COVID-19 pandemic, and a lack of life insurance for healthcare workers. This strike, amidst the global health crisis, underscored the urgency of addressing the longstanding challenges faced by healthcare professionals in Nigeria. Both instances of strike actions reflect the ongoing struggle of Nigerian doctors to secure improved working conditions, fair compensation, and a healthcare system that adequately supports both medical practitioners and the communities they serve.
What the government can do to resolve these issues.
Resolving the persistent issue of doctors’ strikes in Nigeria requires a multi-faceted approach from the government. Firstly, there is a need for transparent and consistent communication between healthcare professionals and government representatives to address grievances promptly. Adequate funding for the healthcare sector is essential, focusing on improving infrastructure, providing modern medical equipment, and ensuring healthcare workers receive competitive salaries. Implementing robust health insurance schemes for doctors can alleviate concerns about financial security. The government should also prioritize regular and fair evaluations of working conditions and promptly address concerns to prevent escalations leading to strikes. Establishing a collaborative platform involving medical associations, government officials, and relevant stakeholders can foster a constructive dialogue to identify and resolve systemic issues within the healthcare system, ensuring the well-being of both medical practitioners and the Nigerian populace.
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