The
President, Goodluck Jonathan, has ordered the sack of all resident doctors in
Nigerian hospitals.
The
sack was contained in a directive by Mr. Jonathan to the Federal Ministry of
Health to suspend all residency training programme for Nigerian doctors.
The
directive was stated in an internal memo dated August 13 and signed by the
Permanent Secretary, Federal Ministry of Health, L.N. Awute, to federal
hospitals.
Mr.
Awute said the president’s directive was given following an appraisal of the
challenges facing the health sector.
“Mr.
President, Dr. Goodluck Ebele Jonathan, GCFR has suspended the Residency
Training Programme for Doctors in Nigeria indefinitely for the purposes of
appraising the challenges facing the health sector,” Mr. Awute said.
He
said the Minister of Health, Onyebuchi Chukwu, has also directed that “letters
of termination of residency training” be issued to all affected resident
doctors in hospitals immediately.
The
memo asked the management of all public hospitals to take necessary measures to
restore full medical services in the hospitals, even without the resident
doctors.
In
what appears to show the reason for government’s action, the permanent
secretary said the hospital could employ part time doctors who must be of ‘good
behaviour.’
“Note
however, this is without prejudice to the employment of Locum Physicians on six
(6) months renewable contract tied to productivity and good behaviour,” Mr.
Awute said.
Such
recruitments must, however, be “be approved by Mr. President through the
Honourable Minister of Health.”
Doctors
react
In
his reaction, the President, National Association of Resident Doctors, NARD,
Jubril Abdullahi, told PREMIUM TIMES that the president’s directive is illegal.
He
said the decision shows that Mr. Jonathan yielded to the demand of the Joint
Health Workers Union, JOHESU.
“The
action of Mr. President is illegal because there are several Acts that
recognize Residencies in Nigeria and his action speaks volume of the
government’s decision to follow the dictates of the Joint Health Workers Union.
This is one of the issues the union is asking for.
“Whatever
the government have done in their reaction to the NMA’s strike means they are
not ready for dialogue because while we are engaging them, they have resorted
to this,” Mr. Abdullahi said, saying members of his association nationwide were
about 16,000.
A
resident doctor, who spoke on anonymity to avoid persecution, condemned the
decision saying he was now officially unemployed.
The
doctor, a staff of a teaching hospital, said a colleague of his had just sent
him another circular ordering all resident doctors to surrender hospital
property in their possession.
The
circular, seen by PREMIUM TIMES, said the doctor’s salaries and allowances for
one month has been paid in lieu of the notice as they ordinarily are not entitled
to any salaries for the period they have been on strike.
“In
compliance with this order, I am to regrettably inform you that your
appointment in this hospital is hereby terminated forthwith,” the letter issued
residents doctors in a teaching hospital in the South South region of Nigeria
stated.
The
Nigerian Medical Association, NMA, of which the resident doctors are members,
has been on strike since July 1.
One
of the demands of the NMA was that the Federal Government through the Ministry
of Health should formalize and implement the report of the inter-agency
committee on residency training.
The
NMA also asked the FG to release a uniform template on the appointment of
resident doctors and a funding framework for residency training established
while overseas clinical attachment be fully restored and properly funded.
Resident
doctors are doctors being trained to become specialists/ consultants in
different fields of medicine. During their 4 to 5 years training to become
consultants, they work in different government hospitals and make up the
majority of doctors in teaching hospitals.
“Let’s
see how this will work. Except they want to kill the teaching hospitals and the
health sector in general,” another resident doctor told PREMIUM TIMES.
He
explained that he believed the incessant strike by resident doctors and the NMA
was what influenced the government’s decision but doubted that it would be
effective.
“In
our own teaching hospital, about 90 per cent of the doctors are resident
doctors, there are few medical officers. So how can you sack 90 per cent of
doctors in a hospital?” he asked rhetorically.
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