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Addressing the shortage of medical personnel in Nigerian healthcare institutions

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In a commendable effort to tackle the prevailing scarcity of healthcare professionals within the nation, the Federal Government has recently granted its esteemed approval for the recruitment of retired doctors, nurses, and other clinical healthcare workers as contract staff.

This astute decision stems from the profound recognition of the immeasurable experience and unparalleled expertise that these individuals possess, even after surpassing their obligatory retirement age or years of service.

As per the circular disseminated by the Federal Ministry of Health, dated October 5, 2023, Chief Executive Agencies, Chief Medical Directors, Medical Directors, and Heads of Regulatory Bodies and Schools have been duly instructed to ensure unwavering adherence to the circular previously issued by the Office of the Head of the Civil Service of the Federation to all personnel within their respective institutions.

Under this new arrangement, retired healthcare professionals who wish to continue serving the nation will have the opportunity to do so.

They will be offered contract positions on the same salary scale level that they retired on, provided they meet the necessary requirements and demonstrate their continued competence in their respective fields.

This decision by the government is expected to have a positive impact on the healthcare sector, as it will help alleviate the shortage of medical personnel in various healthcare institutions across the country. By tapping into the wealth of knowledge and experience possessed by retired doctors, nurses, and other clinical healthcare workers, the government aims to enhance the quality of healthcare services provided to the Nigerian population.

The initiative also recognised the dedication and commitment of these retired professionals, who have spent their careers serving the nation’s healthcare needs. By offering them the opportunity to continue contributing to the healthcare sector, the government acknowledges their invaluable contributions and ensures that their expertise is not lost.

This move is part of the government’s broader efforts to strengthen the healthcare system and improve healthcare delivery in Nigeria. By providing retired healthcare professionals with the option to continue working, the government is taking a proactive step towards addressing the challenges faced by the sector.

As the nation moves forward, it is hoped that this initiative will not only bridge the gap in the healthcare workforce but also inspire younger generations to pursue careers in healthcare.

The wealth of knowledge and experience possessed by retired healthcare professionals can serve as a valuable resource for mentoring and training the next generation of healthcare workers.

The Federal Government’s decision to approve the appointment of retired doctors, nurses, and other clinical healthcare workers as contract staff is a significant step towards addressing the shortage of medical personnel in the country. By recognizing the expertise and experience of these individuals, the government is ensuring that their contributions to the healthcare sector continue to benefit the Nigerian population.

The Office of the Head of the Civil Service of the Federation (OHCSF) has rejected a proposal to increase the retirement age for Medical/Dental Consultants and other health professionals.

The circular, titled ‘Re: Review of retirement age to 65 and 70 years for health professionals and medical/dental consultants,’ was sent to the Permanent Secretary of the Federal Ministry of Health (FMoH).

The proposal to raise the retirement age from 60 to 70 for health professionals and 75 for Medical/Dental Consultants was presented at the 44th National Council on Establishment, held from 5th to 9th December 2022 in Yola, Adamawa State. However, the OHCSF has deemed it necessary to reject the suggested changes.

However, the circular, signed by the Permanent Secretary of the Service Policies and Strategies Office, Olufemi Oloruntoba, on behalf of the Head of the Civil Service of the Federation, stated, “I am directed to refer to the above-mentioned memorandum… requesting a review of the current retirement age of Medical/Dental Consultants and other health professionals from 60 to 70 and 75 respectively.”

The decision to reject the proposed increase in retirement age has sparked controversy within the medical community. Supporters argue that extending the retirement age would allow experienced professionals to continue contributing their expertise to the healthcare sector, ensuring continuity and quality of care.

They believe that the current retirement age does not take into account the advancements in medical technology and the increasing life expectancy of the population. On the other hand, opponents of the proposal argue that increasing the retirement age could hinder opportunities for younger professionals to advance in their careers.

The rejection of the retirement age increase also raises questions about the government’s commitment to addressing the challenges faced by the healthcare sector. With an aging population and increasing demands on the healthcare system, some argue that retaining experienced professionals for a longer period could alleviate the strain on resources.The decision by the OHCSF is likely to prompt further discussions and debates among stakeholders in the medical field.

“After careful consideration of the memorandum, the council rejected the request based on the following: Professionals in the health sector were leaving the country because of pecuniary consideration and unfavourable conditions of service and not as a result of retirement age.

“Some state government had already increased the retirement age of medical doctors and other health workers and this has not addressed the spate of brain drain.”

It also said it was dissatisfied with health workers’ attitude to work, noting that in spite of efforts by the government to encourage health workers, the exodus of health workers had not abated.

“Council, however, approved that clinical health workers who have attained the compulsory retirement age/years may be given contract appointment on the same salary scale level that they retired on if desired and deserved.

“Government should engage the Medical and Dental Council of Nigeria, and the Nigerian Medical Association to extract some level of commitment from medical doctors.

“To address the observed dissatisfaction with the attitude of health workers to work, there is a need to institutionalise an effective performance management system in the public service in order to improve the work ethics of the medical officers and consultant, and medical doctors should show more patriotism in the discharge of their duties and avoid holding the system to ransom,” it added.

It remains to be seen whether alternative solutions will be proposed to address the concerns raised by both sides. As the medical community grapples with the implications of this decision, it is clear that the retirement age for health professionals will continue to be a topic of contention. Balancing the need for experienced professionals with the opportunities for younger generations will be crucial in ensuring the long-term sustainability and effectiveness of the healthcare sector.

Editorial

Nigerians groan under high cost of living 

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Barely fourteen days to the first year anniversary of this federal government, Nigerians have continued to groan under high cost of living, amidst a catalogue of failed promises. Despite its chants of ‘Renewed Hope Agenda,’ a cup of garri/rice has since gone out of the reach of an average Nigerian. There is a continuous hike in fuel and other petroleum products. Transportation fares, local, inter-state or international are a no-go area. Nigerians have lost count of pledged dates for the commencement of operations or production of our refineries, especially Port Harcourt Refinery.

Most citizens have lost hope in the current political leadership in the country. Fuel today is being sold at between N800 to N950 per litre and still counting. A bottle of kerosene is about N2,000 and this an essential product being used by almost 90 percent of the population, especially the lower cadre. In the past, the colour of kerosene used to be like spring water from a rock, but today the product is sullied with impurities, its colour of kerosene almost like that of groundnut oil. Yet, it remains scarce and costly. What a country.

Nigeria is possibly the only country with abundant crude oil deposits that prefers to throw away the crude at giveaway price to other countries in the name of exportation, only to  buy the refined products from the crude at exorbitant prices, in the name of importation.  The first refinery in Port Harcourt was built about nine years after oil was discovered in commercial quantity in Oloibiri in 1956 in the present day Bayelsa State. And up till today there is no intentional attempt to rebuild it, or be religious in maintaining it.

The Naira debuted as the national currency of Nigeria, at 75K to $1, but today N1,500 is exchanging $1. Yet, we are ranked among the highest producers of oil and gas in the comity of nations. The unadulterated truth is this: Nigerians are suffering in the midst of plenty which should not be the case.

The poor leadership of the old brigade, who have held sway since independence, should leave the stage for younger generation. The current President of France, Emmanuel Macro is below forty years. The recent election in Senegal produced a 44-year-old man as president. Whether we like it or not, once a person passes retirement age of 60, his mental faculty starts dropping.

Inflation rate is now 33-35% in the country. Unemployment rate is soaring and the Federal Government had the gut to propose N48,000 as minimum wage for Nigerian workers, possibly as part of the ‘renewed hope agenda.’ This is as against N860,000 being proposed by the organised labour, comprising the Nigeria Labour Congress (NLC) and Trade Union Congress(TUC).

We are not surprised therefore when the organised labour walked out of the negotiation table and handed down a 14-day ultimatum to the Federal Government to think right.

We hope the federal government will really do all it needs to do to avoid another showdown with Nigerian workers who are like wounded lions and have been patient enough with the economic torture currently being experienced by workers in the country. We hope and pray that the tail of a sleeping tiger, will not be unnecessarily pulled. It could amount to unpleasant consequences. The government should fulfil its campaign promises and ensure peace and tranquility throughout the nation.

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Editorial

Minimum wage Saga: FG, let the people go…

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For years, the narrative has been the same — the economy withers and the common man cries out for reprieve, only to be met with an endless array of impediments. When it is time to intercede for the poor, Nigerians are met with pointless bureaucracy and palliatives. Foreign aid is rendered ineffectual thanks to the gauze-hand of leaders, through which it all slips through into an oblivion of their own invention.

In April 2024, the headline inflation rate rose to 33.69 percent, up from 33.20 percent in March 2024, marking an increase of 0.49 percent points according to the Nigeria Bureau of Statistics (NBS). Yet, to raise the minimum wage to a level that will help beat back hunger in the poorest families has become a problem for the government.

Per the International Monetary Fund, IMF, a determined and well-sequenced implementation of government’s policy intentions would pave the way for faster, more inclusive, resilient growth in Nigeria. Without reforms — such as raising the minimum wage — to enhance the business environment, improve security, implement key governance measures, develop human capital, boost agricultural productivity, Nigeria’s growth potential will never leave the realm of imagination.

“These reforms are crucial to boost investor confidence, unlock Nigeria’s growth potential and diversify the economy, and address food insecurity, and underpin sustainable job creation,” IMF noted in its recent report, adding that over the last decade, limited reforms, security challenges, weak growth and now high inflation had worsened poverty and food insecurity in Nigeria.

“While Nigeria swiftly exited the COVID-19 recession, per-capita income has stagnated. Real Gross Domestic Product (GDP) growth slowed to 2.9 percent in 2023, with weak agriculture and trade, and in spite of the improvement in oil production and financial services.

“Growth is projected at 3.3 per cent for 2024 as both oil and agriculture outputs are expected to improve with better security. The financial sector has remained stable, in spite of heightened risks. Food insecurity could worsen with further adverse shocks to agriculture or global food prices. Adverse shocks to oil production or prices would hit growth, the fiscal and external position, and exacerbate inflationary and exchange rate pressures,” the IMF said.

Yet, on Wednesday the pattern continued. Negotiations reached a deadlock due to the government’s perceived unwillingness to engage in fair discussions with Nigerian workers. The NLC National President, Joe Ajaero, in a sense is right to say that the government’s proposal of N48,000 as the new minimum wage is an insult to Nigerian workers.

It is no surprise that the labour unions are demanding a higher minimum wage to reflect the current economic realities and alleviate the suffering of Nigerian workers. The stalemate in negotiations may lead to industrial action, which could have far-reaching consequences for the economy.

Many labour in vain for decades for peanuts, only to be denied their pensions in old age. Of course, the Nigerian worker will down his tools in the face of great poverty, and seeming apathy from the government. The relationship between wage rate and employment is well established. Most revolutions throughout the world are dependent on the satiation of the labour force. The Federal Government should maintain an atmosphere of charity and responsibility. Like the Israelite Moses said millennial ago, let our people go.

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Editorial

Inflation as major threat to life security

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Millions of Nigerians are groaning because of the devastating inflationary pressure that is making it impossible for many to consume the minimum calories required for a healthy living.

It is known that Nigeria’s macroeconomic environment has become very harsh in its diminutive impact on the purchasing power at the disposal of the citizenry.

Many cannot also conveniently afford to transport themselves to their workplace or move around for routine activities.

Meanwhile, the price of other payment obligations for services such as house rents, school fees, utilities (including cable television), health and recreation services are rising on a daily basis.

This shows that the quality of life enjoyed by Nigerians is deteriorating as poverty becomes more pervasive and endemic.

According to official statistics, the November inflation rate was 14.89 percent and it is fast heading towards the 15 percent mark.

Meanwhile, the Rural inflationary pressure is also climbing as the rate climbed to 12.28 percent in July even when the price of Premium Motor Spirit and electricity tariff had not been hiked. Prices are just rising freely.

This applies to production inputs (except labour), consumer durable, agricultural products as well as services.

This unfortunately is the case irrespective of the basket of goods one uses as a measure outside the standard yardstick.

A close look at the policy framework of the government shows that the recent surge in general price level is not unconnected with structural bottlenecks, fiscal and monetary policies, deregulation, and trade policies as well as inefficiency on the part of regulatory agencies.

The government has for too long paid lip service towards unbundling of the shackles of growth and development such as poor budgetary implementation on capital projects, outdated laws and a toxic business environment that constrain the economy.

This has indeed, slowed down economic growth and resulted in shortage of goods and services and their attendant impact on inflation.

The government seems to be heating up the system by keeping its spending open-ended even as it cries of inadequacy of revenue to finance its expenditure obligations.

The disconnect between recurrent account, capital account and public debt operations is certainly having a destabilising effect on public finance operations of the country.

This has given rise to fiscal domination that describes the aggregative impact of the uncoordinated expenditure activities of all the governments in our strange three-tier federal arrangement.

It also appears that the Central Bank is losing sight of its inflation-targeting monetary policy which has been on its front burner for more than two decades now.

This is certainly not what the nation needs now when virtually all the macroeconomic variables are in disarray.

Here, attention of CBN must be called to its Naira management policy especially as it affects the regimented devaluation and depreciation which impact heavily on the domestic and external value of the currency.

The external value requires attention considering that the Nigerian economy carries a monolithic production base and import orientation.

The gross loss in the value of Naira is having a horrible impact on the life of Nigerians as misery and hopelessness characterise the daily songs of the lower income strata and whatever is left of the middle class.

It must be pointed out also that the government policy on agriculture in general and rice production appears to suffer a backlash.

Whereas local production has increased appreciably the farmers and agricultural marketers are engaging in exploitative pricing practice.

They simply jack up their prices arbitrarily. This is particularly the case with respect to rice where the price of the local varieties is at par with the foreign brands.

The recent increase in the price of premium motor spirit and electricity tariff have surely added more salt to the injury.

These two products are directly tied to production and distribution of goods and services and as such raising their individual prices simply translates to increasing the price of everything that is bought and sold in the open and underground economies.

Unfortunately, all these are happening when the nominal income of the average citizen has either stagnated or declined as the minimum wage has not been paid by many states of the federation.

The same is characterised by controversy in those states and some federal agencies that have implemented the new salary regime.

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