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Doctors Migration Bill: Between mobility of labour and national interest

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Recently, a bill to amend the Medical and Dental Practitioners Act passed for second reading in the House of Representatives.

Sponsored by Rep. Ganiyu Johnson (APC-Lagos) the bill, among other provisions, seeks to make it compulsory for graduates in medical and dental fields to render services within Nigeria for five years before being granted full license.

The bill is titled: ‘A Bill for an Act to Amend the Medical and Dental Practitioners Act, Cap. M379, Laws of the Federation of Nigeria, 2004 to Mandate Any Nigeria Trained Medical or Dental Practitioner to Practice in Nigeria for a Minimum of Five Years Before Granted a Full License by the Council in Order to Make Quality Health Services Available to Nigeria; and for Related Matters.’

Johnson argued that the bill’s main aim was to address the issue of mass emigration of medical practitioners to other parts of the world in pursuit of greener pasture.

Expectedly, the move has received mixed reactions from stakeholders in the Nigerian health sector.

The Minister of Health, Dr Osagie Ehanire, has thrown his weight behind the bill on the basis that the health sector should retain its best brains for some time before they migrate.

The Minister echoed Johnson’s argument that medical education in Nigeria is heavily subsidised, therefore requiring some form compensation from the beneficiaries.

“If you look at the fact that the fees we pay at our universities, definitely they do not make up for the cost of training.

“So, actually, it means that it is subsidised with taxpayers’ money because if the government allows you to get training for about one-tenth or one-twentieth of the cost of the private university, then it means it is subsidised,” he said.

There is no denying the fact that the migration of health professionals has reached a worrisome proportion since COVID-19.

In 2022, the President of the Nigerian Medical Association (NMA), Uche Rowland, announced that 5,600 Nigerian medical doctors had migrated to the UK alone in the last eight years.

“In 2015, 233 Nigerian doctors moved to the UK; in 2016 the number increased to 279; in 2017 the figure was 475, in 2018, the figure rose to 852.

“In 2019, it jumped to 1,347; in 2020, the figure was 833 and in 2021 was put at 932,” Rowland said.

But the mass exodus does not involve only doctors, neither is the destination limited to the UK.

Other health professionals such as nurses, pharmacists, public health experts, clinical psychologists and laboratory technicians are migrating in droves to destinations in Europe, America and the Middle East.

In this regard, the demonstration of concern by Johnson in proposing a bill to check an impending disaster in the health sector should be commended.

However, the Medical and Dental Consultants Association of Nigeria (MDCAN), while rejecting the bill, said it was discriminatory and not in the interest of the people.

It said the bill erroneously assumes that only newly qualified doctors are emigrating, when, actually, a 2022 survey revealed that over 500 consultants were estimated to have left Nigeria over the preceding two years.

“This bill erroneously assumes the capacity of the government to employ all the doctors for the next five years post qualification.

“This is a capacity that even the most optimistic of analysts know that the government lacks,” the MDCAN said.

Mr Dipo Gbenga, a public health expert who recently relocated to the UK, agreed with the MDCAN.

“There is also mass migration among other health professionals such as nurses, pharmacists and even lab technicians.

“Apart from the health sector, do you know how many ICT experts have left Nigeria? Many of the hitches experienced in service delivery in the financial sector are a result of the mass migration of banks’ IT staff.

“The argument that studying medicine in Nigeria is subsidised is also a mere fallacy. Have you seen our labs? Medical students in Nigerian public universities pay for what they get.

“Medical students pay tuition and later join the demoralising labour market just like other students. So, the issue of subsidy is merely in the heads of those pushing it,”he said.

The Chairman, Senate Committee on Health, Dr Ibrahim Oloriegbe, said the legislature could not be seeking legal redress through an illegal procedure, as the bill violates the rights to freedom of movement and freedom from discrimination as guaranteed in the constitution.

“It is my considered opinion that resolving the challenge of brain drain in the country’s health sector cannot be achieved through this bill.

“Rather, we need to address the various factors that make skilled health workers desire to migrate out of Nigeria,” he said.

Experts say one of the factors responsible for mass migration among skilled health workers is the poor funding of the health sector.

The allocation of 5.75 per cent (or N1.18 trillion) of the 2023 national budget to the health sector, although an improvement on the previous year’s budget, it is a far cry from the minimum requirement.

The AU, in its Abuja Declaration of 2001, set a target of at least 15 per cent of their yearly budget to improve the health sector.

Stakeholders also argue that politicians and government officials who have made medical tourism a habit lack the moral conviction to prevent skilled health workers from seeking greener pastures.

They argue that migration is a human instinct that makes the mobility of labour a natural phenomenon.

Experts say rather than attempting the use of legislation to mitigate brain drain, improving living and working conditions by governments, as well as political and economic stability, can go a long way in addressing the situation.

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FEATURE

Meet Ibadan fastest growing female cobbler, Bami Oníbàtá

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By Toheeb Babalola

Championing the world’s oldest professions by women ought not to emerge as a surprise due to the fact that all genders have equal fundamental rights in choosing careers without prejudice.

Shoemaking industry has been a key industry in Sub Saharan Africa dominated by male gender since the 18th century. Shoemaking, which is a business of joining leather, soles and materials to produce sandals, shoes, flip-flops, etc. for the use of human beings, had outrightly shut out females.

The root of this inequality could be traced to the African belief which placed women in the kitchen, and this has deprived them of their creative abilities to be seen or heard for decades. The tradition only prioritised men as the breadwinners of each household.

With the consistent awareness and advocacy for gender equality all around the globe, women have risen from their slumber, freed themselves from barriers and have started pursuing whatever profession they want. Nonetheless, Africa is blessed with extraordinary women who are already flourishing in the businesses initially owned by their counterparts, and Miss Mudirat Olabami Abayomi, seems to be one of them.

In a recent interview with Nigerian NewsDirect Newspapers at her workshop in Sango, Ibadan, Miss Abayomi, professionally called ‘Bami Onibata – Yoruba meaning of “the shoemaker,” revealed her struggles in the industry.

Bami Oníbàtá is an alumnus of one of the great citadels of learning in South-West Nigeria, The Polytechnic, Ibadan, she makes different kinds of footwear in less than three (3 hours) hours without any helping-hand.

She stormed the shoemaking industry with the passion of changing the narrative and pioneering the inclusion of women (most especially Ibadan residents) in the trade.

The 25-year-old shoemaker was officially welcomed into the profession at  a workshop in Oke Ado, Ibadan South West Local Government Area of Oyo State, immediately after her National Diploma, ND, programme, where she learned how to make Ankara shoes and bags for the female gender.

As a dynamic woman, Bami never allowed the lockdown (occasioned by COVID-19 pandemic) in 2020, deter her resolve to achieve fame in her chosen career, as she was always reporting for duty, finding her way from her Oluyole residence to her master’s workshop, it also did not stop her from fully delving into making different shoes for both gender. This endeared her to her trainer and master, especially her commitment and accuracy.

Bámi stated that, “In our workshop, we make shoes from scratch and my master hates sluggishness. I knew what I was up against and I did everything to prove I could learn faster. So, I learned everything in shoemaking within six months; though, I must confess that it wasn’t easy.”

Her commitment and diligence while learning the trade with other male apprentices endeared Bámi to her master’s clients, who always preferred her to repair their shoes for them to test her level of understanding of the trade.

But, she proved them all wrong in their perceived insinuations, springing surprises on them.

She however revealed that stereotypism by the male gender, who believes that she is foraging into an exclusive world of the male gender has not made things easy, she said, “The underestimation from people, especially the male gender, who are into it already relegate my gender from the trade. Since I delved into the profession, there has been little turn out.”

However, she enjoyed the support of her parents and relatives, and this has smoothen her journey into the shoemaking world. “Since I told them the reasons for my decision, they have nothing than to support me morally and financially,” she enthused.

Bámi Oníbàtà obtained her freedom from her master in December 2020, and ended up securing a job in one of the best shoemaking firms in Ibadan, Mow Footies, where she worked for 10 months before returning to school for her Higher National Diploma, HND, in 2021.

Combining lectures, which run from morning till evening with her work, Bámi began to source for clients on social media, making use of her friend’s workshop near The Polytechnic, Ibadan main gate.

“Most times, I will have to rush to the workshop during a break after two lectures, and rush back just to attend another lecture. And sometimes, I will work till night, just to meet up with the deadlines of my clients. I don’t fail my clients. My four-hour time frame for delivery/pick does not change,” She added.

With her commitment to delivery time, Bámi got more clientele through her clients, who recommended her and gave good feedback about her. She has made shoes for lecturers at her department; they recommended her to their colleagues in and outside the campus.

“There was a particular lecture, Public Relations Case Studies, the course lecturer, Mr. Olubukola Adio, used my brand, Bámi Oníbàtà, as a case study for the course. It gives my work more publicity on campus,” She revealed with a smile.

Bámi has been nominated for an award in the Best Entrepreneur category by the Union of Campus Journalists, The Press Council, TPI, The Polytechnic, Ibadan, which will come up on August 11.

Bámi, also a freelance On-Air-Personality, OAP, is currently conducting her final academic research study for the award of Higher National Diploma, HND, in Mass Communication.

She has a piece of advice for her gender, she encourages others not to feel inferior in anything they set out to do.

Addressing issues surrounding gender inequality, Fatimah Id¹ra, a Journalist and Gender-based Activist, clamoured for full participation of women in all sectors. Stressing that some professions are still lacking women representation.

Fatimah, crediting Bami, stated that female shoemakers are more influential than their male counterparts, and they easily drive the market and make profits despite the tough economy.

“It is not news that the women are doing better than the men in any area of specialisation. In journalism, as a case study, women are getting shortlisted for international fellowships and winning more investigative awards within and outside Nigeria. This is to confirm the fact that we (women) are taking over the world,” she said.

Bami Oníbàtá is currently embarking on a journey to camp for a year of mandatory youth service, National Youth Service Corps (NYSC).

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FEATURE

Minimum Wage: Addressing poor implementation by states

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Minimum Wage  – the minimum amount of remuneration that an employer is required to pay wage earners for the work performed during a given period – remains a  sensitive matter.

The purpose of establishing a minimum wage is to protect workers against exploitation, reduce income inequality, alleviate poverty and promote social and economic well-being.

In Nigeria,  minimum wage is based on monthly income with an average working period of eight hours daily and five days weekly.

It is expected to be reviewed every five years. The last review was in 2019, from N18, 000 to N30,000.

As Nigerian workers expect  a new minimum wage in 2024,  President Bola Tinubu has promised that it will take effect from April.

Workers’ expectations on the minimum wage have been high through their two major labour centres, the Nigeria Labour Congress (NLC) and Trade Union Congress (TUC).

Workers cross the country are optimistic that the Tripartite Committee on the National Minimum Wage, which was set up by the Federal Government on Jan. 30 to determine the new minimum wage, will be realistic  in determining the new wage amount.

They expect the committee to put into consideration the high inflation rate of 31.7 per cent in February from 29.9 per cent reported by the National Bureau of Statistics in January, among other factors.

The President of the NLC, Mr Joe Ajaero, had stated that if the inflation would continue,  organised labour might push for a new minimum wage of up to one million Naira for Nigerian workers.

Proposals by TUC and NLC at recent public hearings in the six geopolitical zones and Abuja, indicate that the organised labour may slash the demand from one million Naira but still expects the wage to be able to absorb financial pressures faced by the Nigerian worker today.

During the zonal public hearings in Lagos, Kano, Enugu, Akwa Ibom, Adamawa and Abuja, workers in the North-West requested for N485,000, North-East, N560,000; North-Central, N709,000 (NLC), and N447,000 (TUC); South-West, N794,000; South-South, N850,000; and South-East, N540,000 by  NLC and N447,000 by TUC.

According to the Chairman of Enugu State Chapter of the NLC, Mr Fabian Nwigbo, the value of N30,000 minimum wage approved in 2019 had been battered by inflation and worsening economic hardship.

Nwigbo argues that Nigerian workers remain the least paid in the entire West Africa.

“We are asking our leaders to consider the plight of Nigerians. It should be N540,000 per month,” he recommends.

The Secretary of the Nigeria Labour Congress, Mr Chris Onyeka, regrets that many workers can no longer afford their rents or pay their children’s school fees.

He is also worried that with increase in the cost of transport by almost 300 per cent, many civil servants are trekking to work.

Onyeka says every worker  wants to earn a favourable income.

‘’We expect that the minimum wage will take care of the basic needs of the average  Nigerian family.

“How much will that be? A loaf of bread that used to cost N600 is now almost N2,000.

‘’For a family of six, will a loaf of bread be enough for them  in a whole day? Will they not also, at least, take water to eat that bread?

‘’An average family will not spend anything less than N15,000 everyday to take care of themselves; we are talking about a salary that will meet those needs,” he emphasises.

The Lagos State Chairman of Radio, Television, Theatre and Arts Workers’ Union of Nigeria, Mr Ismail Adejumo, is looking forward to a holistic review of the minimum wage.

Adejumo, who is also the Public Relations Officer, NLC, Lagos State Chapter, says:  “There are parameters to be considered, and  expectations from the workforce in terms of productivity too can be measured side-by-side with what government will do in terms of fixing minimum wage.

“As for the parameters, the cost of commodities is a key factor, and the issue of transportation is a key factor.

“We should also be looking at the issue of housing, we have shortage of housing in Lagos vis-a-vis the population; it is really affecting most working class.”

While expectations on the new minimum wage remain high, analysts argue that the challenge about minimum wage in Nigeria is not approval but implementation especially by state governments and some  private employers.

They argue that since inception, minimum wage in Nigeria has suffered non-compliance by some state governments and private employers due to inability to pay and reluctance to pay.

Thus, they believe that ability to pay is very crucial when considering review of minimum wage.

At the recent public hearing organised by the Tripartite Committee on National Minimum Wage across the six geo-political zones of the country, Osun State Gov. Ademola Adeleke, who represented the governors in the South-West Zone, said that states lacked equal ability to pay.

‘’While it will be desirable to see that a uniform minimum wage is agreed to on a national basis, it will amount to self-deceit to assume that states have equal ability to pay.

‘’To this effect, I will humbly advise that individual states will have to negotiate with their workers and agree to a realistic and sustainable minimum wage in line with available resources, ‘’ Adeleke said.

However,  the Assistant General Secretary of NLC, Onyeka, argues that  state governments are not complying because there are no consequences for their non-complaince.

‘`If there were, I believe, many will be complying.

‘’The Federal Ministry of Labour and Employment, which is empowered by law to check abuses and violations of the extant law, does not have the capacity to monitor or enforce.

‘’When we look at the mechanism put in place by the Act to check non-compliance, reporting and enforcement, is the mechanism effective? It has to be strengthened, so that it will become effective,” he argues.

Prof. Kemi Okuwa, a Research Professor at the Nigerian Institute of Social and Economic Research, notes that Nigeria is number 44 in minimum wage cadre in Africa.

Okuwa made a presentation at the recent South-West Zonal public hearing, which took place in Lagos

According to her, the current N30,000 minimum wage is equivalent to $20 per month.

For the Director-General, Nigeria Employers’ Consultative Association, Mr Adewale-Smatt Oyerinde, there must be critical review  of the current minimum wage by all stakeholders.

Oyerinde also urges appropriate recommendations, approval and implementation.

Meanwhile, the Nigeria Governors’ Forum (NGF) wants the tripartite committee to take into account the present circumstances, unique characteristics of individual states, and their effects on the abilities of both governments and private sector employers to pay, when determining the  new wage amount.

In a communiqué issued after its virtual meeting, and signed by its Chairman and Kwara  governor. AbdulRahman AbdulRasaq, and made available to journalists on Thursday, the NGF said: “Members reviewed the progress of the National Minimum Wage Committee and ongoing multi-stakeholder engagements towards agreeing on a fair minimum wage.

“Members urged the National Minimum Wage Committee to consider the current realities, individual states’ peculiarities, and consequential impact on the capacity of  government as well as private sector employers to pay.

“Members also emphasised the need for proposals to be data-driven and evidence-based,” he said. Analysts urge the 37-member  tripartite committee, comprising government representatives, the organised labour, and employers association, to ensure that the new minimum wage reflects the evolving economic landscape.

They advise that the minimum wage should  meet the needs of the Nigerian  worker, urging also that it should be implementable and sustainable.

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FEATURE

Minimum Wage: Addressing poor implementation by states

Published

on

Minimum Wage  – the minimum amount of remuneration that an employer is required to pay wage earners for the work performed during a given period – remains a  sensitive matter.

The purpose of establishing a minimum wage is to protect workers against exploitation, reduce income inequality, alleviate poverty and promote social and economic well-being.

In Nigeria,  minimum wage is based on monthly income with an average working period of eight hours daily and five days weekly.

It is expected to be reviewed every five years. The last review was in 2019, from N18,000 to N30,000.

As Nigerian workers expect  a new minimum wage in 2024,  President Bola Tinubu has promised that it will take effect from April.

Workers’ expectations on the minimum wage have been high through their two major labour centres, the Nigeria Labour Congress (NLC) and Trade Union Congress (TUC).

Workers across the country are optimistic that the Tripartite Committee on the National Minimum Wage, which was set up by the Federal Government on Jan. 30 to determine the new minimum wage, will be realistic  in determining the new wage amount.

They expect the committee to put into consideration the high inflation rate of 31.7 per cent in February from 29.9 percent reported by the National Bureau of Statistics in January, among other factors.

The President of the NLC, Mr Joe Ajaero, had stated that if the inflation would continue,  organised labour might push for a new minimum wage of up to one million Naira for Nigerian workers.

Proposals by TUC and NLC at recent public hearings in the six geopolitical zones and Abuja, indicate that the organised labour may slash the demand from one million Naira but still expects the wage to be able to absorb financial pressures faced by the Nigerian worker today.

During the zonal public hearings in Lagos, Kano, Enugu, Akwa Ibom, Adamawa and Abuja, workers in the North-West requested for N485,000, North-East, N560,000; North-Central, N709,000 (NLC), and N447,000 (TUC); South-West, N794,000; South-South, N850,000; and South-East, N540,000 by  NLC and N447,000 by TUC.

According to the Chairman of Enugu State Chapter of the NLC, Mr Fabian Nwigbo, the value of N30,000 minimum wage approved in 2019 had been battered by inflation and worsening economic hardship.

Nwigbo argues that Nigerian workers remain the least paid in the entire West Africa.

“We are asking our leaders to consider the plight of Nigerians. It should be N540,000 per month,” he recommends.

The Secretary of the Nigeria Labour Congress, Mr Chris Onyeka, regrets that many workers can no longer afford their rents or pay their children’s school fees.

He is also worried that with an increase in the cost of transport by almost 300 per cent, many civil servants are trekking to work.

Onyeka says every worker wants to earn a favourable income.

‘’We expect that the minimum wage will take care of the basic needs of the average Nigerian family.

“How much will that be? A loaf of bread that used to cost N600 is now almost N2,000.

‘’For a family of six, will a loaf of bread be enough for them for a whole day? Will they not also, at least, take water to eat that bread?

“An average family will not spend anything less than N15,000 everyday to take care of themselves; we are talking about a salary that will meet those needs,” he emphasises.

The Lagos State Chairman of Radio, Television, Theatre and Arts Workers’ Union of Nigeria, Mr Ismail Adejumo, is looking forward to a holistic review of the minimum wage.

Adejumo, who is also the Public Relations Officer, NLC, Lagos State Chapter, says, “There are parameters to be considered, and  expectations from the workforce in terms of productivity too can be measured side-by-side with what the government will do in terms of fixing minimum wage.

“As for the parameters, the cost of commodities is a key factor, and the issue of transportation is a key factor.

“We should also be looking at the issue of housing, we have a shortage of housing in Lagos vis-a-vis the population; it is really affecting most working class.”

While expectations on the new minimum wage remain high, analysts argue that the challenge about minimum wage in Nigeria is not approval but implementation especially by state governments and some  private employers.

They argue that since inception, minimum wage in Nigeria has suffered non-compliance by somestate governments and private employers due to inability to pay and reluctance to pay.

Thus, they believe that ability to pay is very crucial when considering the review of minimum wage.

At the recent public hearing organised by the Tripartite Committee on National Minimum Wage across the six geo-political zones of the country, Osun State Gov. Ademola Adeleke, who represented the governors in the South-West Zone, said that states lacked equal ability to pay.

“While it will be desirable to see that a uniform minimum wage is agreed to on a national basis, it will amount to self-deceit to assume that states have equal ability to pay.

“To this effect, I will humbly advise that individual states will have to negotiate with their workers and agree to a realistic and sustainable minimum wage in line with available resources,” Adeleke said.

However,  the Assistant General Secretary of NLC, Onyeka, argues that  state governments are not complying because there are no consequences for their non-compliance.

“If there were, I believe, many will be complying.

“The Federal Ministry of Labour and Employment, which is empowered by law to check abuses and violations of the extant law, does not have the capacity to monitor or enforce.

“When we look at the mechanism put in place by the Act to check non-compliance, reporting and enforcement, is the mechanism effective? It has to be strengthened, so that it will become effective,” he argues.

Prof. Kemi Okuwa, a Research Professor at the Nigerian Institute of Social and Economic Research, notes that Nigeria is number 44 in minimum wage cadre in Africa.

Okuwa made a presentation at the recent South-West Zonal public hearing, which took place in Lagos

According to her, the current N30,000 minimum wage is equivalent to $20 per month.

For the Director-General, Nigeria Employers’ Consultative Association, Mr Adewale-Smatt Oyerinde, there must be a critical review  of the current minimum wage by all stakeholders.

Oyerinde also urges appropriate recommendations, approval and implementation.

Meanwhile, the Nigeria Governors’ Forum (NGF) wants the tripartite committee to take into account the present circumstances, unique characteristics of individual states, and their effects on the abilities of both governments and private sector employers to pay, when determining the  new wage amount.

In a communiqué issued after its virtual meeting, and signed by its Chairman and Kwara  governor. AbdulRahman AbdulRasaq, and made available to journalists on Thursday, the NGF said, “Members reviewed the progress of the National Minimum Wage Committee and ongoing multi-stakeholder engagements towards agreeing on a fair minimum wage.

“Members urged the National Minimum Wage Committee to consider the current realities, individual states’ peculiarities, and consequential impact on the capacity of  government as well as private sector employers to pay.

“Members also emphasised the need for proposals to be data-driven and evidence-based,” he said.

Analysts urge the 37-member  tripartite committee, comprising government representatives, the organised labour, and employers association, to ensure that the new minimum wage reflects the evolving economic landscape.

They advise that the minimum wage should meet the needs of the Nigerian  worker, urging also that it should be implementable and sustainable.

Continue Reading

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