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Editorial

Five years service for medical personnel

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Just few few months ago, the 2023 macroeconomic outlook report released by the Nigerian Economic Summit Group  (NESG) revealed that aside from the considerable health infrastructural gap, Nigeria has lost many medical professionals to brain drain, leading to personnel inadequacy in the health sector.

The report said, “One of the major factors inhibiting Nigeria’s economic development has been the brain drain and knowledge gap in human capital. Knowledge as a significant driver of economies of scale can be increased by investing in education and providing better health services, which is the nation’s human capital formation.

The recent proposal by the Federal House of Representatives to restrain Nigerian-trained medical or dental practitioners from getting their full licenses until they have worked for a minimum of five years in the country is setting social media ablaze and is uncalled for anyday and time.

The bill was sponsored by Ganiyu Johnson, the member representing Oshodi Isolo II Federal Constituency which passed second reading and is considered part of the measures to halt the increasing number of medical doctors leaving Nigeria for better working conditions abroad.

The World Health Organisation last year stated 55 countries (37 are in Africa, eight are in the Western Pacific region, six are in the eastern Mediterranean region, three are in the south-east Asia region and one is in the Americas) have drastic shortage in the coverage of their universal health.

The Report pinpointed some of the countries including Angola, Ghana, Ethiopia, Nigeria, Zimbabwe, Zambia, Afghanistan, Pakistan, Haiti, Congo, Sudan, and Papua New Guinea.

According to the WHO, the affected countries have universal health coverage (UHC) service coverage index below 55 and health workforce density below the global median of 49 medical doctors, nursing and midwifery personnel per 10,000 people.

The WHO emphasised that the countries are vulnerable because they do not have enough health workers required to achieve the UN sustainable development goal target by 2030. “These countries require priority support for health workforce development and health system strengthening, along with additional safeguards that limit active international recruitment,” the statement read.

The Resident Doctors Association have in several times cried out that at least 85 per cent of Nigerian doctors are planning to leave the country to seek greener pastures and this was widely reported in some dailies newspapers.

This is according to the data obtained from the Nigerian Association of Resident Doctors. The report also showed that the preferred countries for immigration intentions are the United Kingdom and the United States of America.

The NARD members are of House Officers, Registrars, Senior Registrars, and Medical Officers below the level of Principal Medical Officers.

The Nigeria Association of Resident Doctors has said six out of 10 doctors in the country plan to leave the country for greener pastures.

This is just as it disclosed that there are only 12,297 resident doctors in both the Federal and state tertiary health institutions in the country.

The NARD President, Dr Dare Ishaya, disclosed these in an interview arguing that as of the last time they issued the questionnaire, they found that out of 10 resident doctors, six of them are planning to leave or have the intention to leave.

The National Association of Resident Doctors (NARD) has spoken out against the House of Representatives bill that would require Nigeria-trained medical and dental practitioners to practise for five years before receiving a full license.

NARD stated its position in a communique issued at the conclusion of the association’s emergency extended National Officers’ Committee (NOC) meeting, which lasted nearly the entire weekend.

According to a statement on Monday, the resident doctors were shocked by the action of the bill’s sponsor, Honourable Ganiyu Johnson (APC/Lagos).

The doctors also decried the Federal Government’s failure to pay members’ salaries as the current administration winds down.

At this juncture, many individuals and stakeholders have kicked against the proposed bill thereby suggesting to the tiers of government to fix the health Sector to provide Infrastructures, medical equipment and incentive for medical personnel at the various health institutions across the country.

We want to authoritatively back the motion that both federal and state governments should look inwards by improving the standard of health facilities in the country and providing basic necessities/ tools that will make it attractive for medical doctors, nurses and other health workers to practise. This is for the fact that most of the Teaching Hospitals, Federal Medical Centres, General hospitals, dispensaries, clinics and Primary Health faculties are just lying without value.

There are situations that patients have to pay for fuel to power the generators as many of these hospitals cannot afford the electricity bill or prepaid meters, and therefore are cutoff from supply. The Federal Government should have a committee with State Governors involvement to resolve issues of meagre salary of medical personnel. Most of the doctors and nurses are leaving because of poor enumeration and welfarism. The Federal Government should quickly call out the bill before the country suffers huge shortage of medical doctors in the nearest future.

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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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