Hospitals plan options
as doctors begin indefinite strike
On September 5, 20171:57 amIn NewsComments
…MDCAN declares strike illegal
LAGOS – HOSPITALS across the country, yesterday, mapped out options to
mitigate the effects of the indefinite strike embarked upon, yesterday,
by resident doctors,under the aegis of National Association of Resident
Doctors, NARD. nationwide.
Part of the options is the directive from Medical and Dental Council of
Nigeria, MDCAN, to doctors on housemanship not to join the strike, so
they could offer services to the public.
However, normal services were in place at the Lagos University Teaching
Hospital, LUTH, yesterday.
When Vanguard visited LUTH, yesterday morning, normal services were in
place. Normal services were also observed at the Federal Medical Centre,
Ebute Metta, and Psychiatric Hospital, Yaba.
From the Accident and Emergency to other departments such as Obstetrics
and Gynaecology, including Surgery, Paediatrics, Medical Outpatients
Clinics and Labour, patients were being attended to.
But in a chat, the President of the LUTH-ARD, Dr Sekumade Adebayo, said
they were complying with the directive from the national body.
“We have just received the national directive to embark on strike and we
are in compliance with that. Our executives are monitoring the level of
compliance as the strike is ongoing in LUTH.”
Adebayo, however, noted that their members would go about the directive
with a human face, stating that if need be, patients would be referred
to centres where they can be taken care of.
Measures in place to mitigate effects—CMD LUTH
Reacting to the development, Chief Medical Director, LUTH, Prof Chris
Bode, said measures were in place to mitigate effects of the strike.
Bode said the management would address the public after appraising the
situation by today.
He told Vanguard in a telephone chat: “Tomorrow (today) we will give a
comprehensive report of the situation. Contingencies have been put in
place as response to the strike. The senior doctors, house officers, and
other non-residents are taking care of patients and there are no plans
to discharge patients.
“Most of the doctors are off duty because of the holidays. This is
because we record low turnout of patients during festivities.”
Also reacting, former president of Association of Resident Doctors, ARD,
LUTH chapter, Dr Omojuowolo Olubunmi, confirmed that only resident
doctors and not consultants were on strike.
“A few of our members will be on ground but will be running on a very
low capacity. We know that the patients suffer most during strike like
this. That is why the resident doctors are working hard to ensure that
the strike is not prolonged.”
300 doctors in UBTH join strike
Meanwhile, resident doctors at the University of Benin Teaching
Hospital, Edo State, have joined the strike.
President of the UBTH branch, Dr. Eustace Oseghale, told Vanguard that
over 300 members of the association down tools at 8am yesterday.
“Yes we have. It (strike) is a national directive. We are withdrawing
services until our demands are met,” Oseghale said on the telephone.
He explained that though the action would take its toll on the patients,
in spite of available consultants, a resolution of the issues would be
in the interest of the patients.
Announcing the strike action
Early yesterday morning, the NARD announced it was embarking on
indefinite strike in a one paragraph statement signed by the President,
Dr. Onyebueze John, in Abuja.
The statement read: “Rising from our NEC meeting, which started by 7pm,
yesterday, and ended 3 am today, NARD has resolved to reject the
promissory offer from government, and proceed on total and indefinite
strike action until all items in her demand list for strike action are
resolved by Government.”
It will be recalled that in January this year, NARD embarked on
seven-day nationwide warning strike to press home their demand for
revitalised Residency training programme, implementation of the National
Health Act, payment of arrears among other things.
The members of NARD are demanding the resolution of persistent
shortfalls and unpaid arrears of salaries in federal and state tertiary
health institutions.
Other issues include enrolment of resident doctors into the Integrated
Personnel Payroll Information System, IPPIS, since 2003 and
non-implementation of adjusted House Officers’ Entry grade level
equivalent since 2014.
The striking doctors are also asking for resolution of issues around
stagnation of their promotion and non-promotion of members with
requisite criteria, despite all collective bargaining agreements and
circulars.
Last week, NARD met with the Minister of Labour and Employment, Senator
Chris Ngige, and Minister of Health, Prof. Isaac Adewole, but they
failed to reach an agreement.
MDCAN declares strike illegal
Meanwhile, Medical and Dental Council of Nigeria, MDCAN, yesterday
described as illegal the ongoing strike by members of NARD.
It warned that embarking on strike by doctors on internship would lead
to repeating of the postings afresh without remuneration.
It also advised Chief Medical Directors, Medical Directors and Medical
Superintendents to be alive to their responsibilities and ensure that
all doctors over whom they have administrative charge, abide by all
extant regulations.
The MDCN in a statement entitled: “Professional Ethics for House
Officers/Interns,” signed by its Acting Registrar/Chief Executive, Dr.
Tajudeen Sanusi, cited Section 2 (D) paragraph (iii) of the Guidelines
on Registration (2003 ed)
“Embarking on strike by interns will lead to repeating of the posting(s)
afresh without remuneration. Interns are, therefore, advised to avoid
participation in activities like industrial actions that could lead to
interruption in their postings.
“Medical and dental practitioners should note that provisional
registration does not guarantee automatic admittance to the Full
Register. Full Registration is granted only on satisfactory completion
of internship training”, the MDCN stated.
Sanusi said: “The MDCN regulates medical and dental practice in Nigeria,
including clinical laboratory practice by members of the professions as
stipulated by the provisions of the Medical and Dental Practitioners’
Act Cap M8 LFN 2004 and the various subsidiary legislative documents
flowing therefrom.
“Due to the recent development in the health sector, the MDCN is
constrained to issue this public notice as guidance to practitioners and
the general public. Medical and dental practitioners on the Provisional
Register who are employed as House Officers (Interns), heads of health
institutions where internship training for medical or dental graduates
are conducted and the general public should note the provisions of the
Medical and Dental Practitioners Act in sections 1(2c), 8, 11, 12, the
Rules and Guidelines that flow therefrom including the Code of Medical
Ethics in Nigeria (2008 Ed) and Guidelines on Registration.
“Provisional registration is for the purpose of enabling young doctors
undertake internship training in an approved hospital under the
supervision of registered specialists. Provisional registration lapses
after two years or immediately a doctor is signed off from internship.
Generally, it is expected that on employment, interns should complete
their postings within 12 calendar months.
“During the internship, doctors and dentists are required to undertake
12 weeks’ uninterrupted postings in each of Medicine, Surgery,
Obstetrics and Gynaecology, and Paediatri cs and other relevant
specialties for dentistry. Any interruption for any reason, including
embarking on strike actions, during any of the postings, will not be
condoned and should be reported immediately to the Chief Medical
Director, Medical Director or Medical Superintendent of the internship
training Institution. This press statement is hereby made for the
purpose of guidance of members of the profession and the general
public.”
Adewole appeals to striking doctors
Meantime, Minister of Health, Prof Isaac Adewole, has appealed to the
striking resident doctors to suspend the strike action in the interest
of Nigerians who are need of medical care.
Adewole, who gave assurance of the Federal Government’s commitment to
address all the issues in contention said the government needed a little
more time to address the issues.
According to the minister in a statement, “another round of meetings
have been scheduled for Wednesday, September 6, 2017 and it is hoped
that more progress would have been made in reaching a consensus in all
the issues being discussed”.
He directed Medical Directors and Chief Medical Directors of Federal
Government-owned hospitals to ensure that consultants and Youth Corps
doctors as well as doctors on internship are on duty to provide health
services at the hospitals in order to ensure there is no break in
healthcare services to our people.
Giving assurance he said that the Federal Government Health Facilities
would be open and render services to the people while the government
continues to dialogue with the resident doctors to return to work.
He said arrangements on to make use of Armed forces Police and Federal
Road Safety Health Facilities.
Read more at: https://www.vanguardngr.com/2017/09/hospitals-plan-options-doctors-begin-indefinite-strike/
Read more at: https://www.vanguardngr.com/2017/09/hospitals-plan-options-doctors-begin-indefinite-strike/
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