A requiem for Nigeria healthcare.
Dear friends...may i welcome you to this new year..it is my prayer that we shall do more celebrating than complaining. May this year be the year that we start getting things right in this country...may it be a year the FMOH takes the health of nigerians first...not a year of many conferences with little outcome but a year that doctors actually do their work and not go on strikes. a year the fmoh keeps to agreements reached.a year the cmds do right by their staff and dont embezzle hosp funds...may this be a year that the people of nigeria listen to the cry of the doctors and not wash it down as their usual call for pay rise...in as much as a worker deserves his wages, the health system is collapsed and the requiem is about to be conducted.....let me leave today with this piece from Dr Daniel Gbujie.
in the coming days we will talk more on the process that led to this requiem.
.Going by the current value rate of a Dollar to Naira.
Rate it is available today 5th/1/2017 is btw N485 and N490. If in a hurry N500 to a dollar. Aboki.com
Did your know that the intern in Nigeria earns less , than a plumber in the US who works on monthly basis.
Please find out what they earn and divide by the rate today.
Another, thing to note is that an intern takes call, that is work extra hours outside working hours, usually its from 4pm to the next day 8am and some people 7am.
But since 2013 a doctor put in an average of about 80hours in a week for this call.
Let me give a true life example of mans cruelty to man or to the generation to take over in the health sector.
In a tertiary health institution in Nigeria the carrying capacity that can be employed is 150 interns(House officers).
All the top 10 tertiary health institution in the country have quota and are all within 120 to 180, consult the Medical and Dental Council of Nigeria booklet for 2013.
However,a certain health institution in southern part of country employed only 25 interns, in 2016. Yes 25 human being to do the work of 150 or as an official of the hospital said in the usual doctored script that the capacity of the hospital is 120 persons, which is a lie. Again check the MDCN booklet.
Each of these unfortunate young intern 25 (house officers) worked out their lives, they put in an average of 80 hours and much more for just a week and by month end many have individually accumulated working hours in the excess of 180 to 200 hours. Very many never slept for 5hours. Their lives really change, till date the scare is still there.
Originally, they are majorly to learn as they prepare to be on there own, but sadly much of what they do, was to run errands and cater for hundreds of unfortunate patients who dont know, that the facilities are just not available for the diseases they carry on daily basis and treatment they get are substandard when man power are limited.
Hence, smart patient and even help out by giving medications to their loved ones as the doctors have prescribed, since the manpower are limited, those not literate enough rely on prayers and other traditional alternatives all this are how they cope in the country and patiently wait for compassion from the ALMIGHTY who indeed shows Nigerian mercy.
The reality is that GOD will not come down and pay salaries, he is not going to tar the roads, he is not going to investigate crimes, he is not going to stop the fraud hospital administrators do , he will not jail fraudulent politicians and government officials who make life unsustainable for others, he is not going to come down and stop ethnicity.
Anyway back to the famous 25 house officers stores and many all over the federation are in this contraption. To these Interns, a job in Nigeria is better than having none and many potential interns dont even get it, very many.
They worked like this for almost a year. No single administrator from government to local said anything, but when the local Association rejected this act as slavery, they stopped their salaries for months. Sadly this 25(H/O) Occasionally use there money to buy gloves and medications to give patients assigned to them.
For other cadres of doctors its the same, its equally tales of regret, hatred for the system and low motivation exist all across board.
Internship positions are originally obligations and mandatory duties of the Nigerian government thats the law since i was born. Every H/O should get a job for a year. But in my country they dont care and sadly this are some of the reasons the health care system collapsed and thousands are leaving the country.
In comparing our situation of our intern with advanced nations, i will pick a plumber, since an intern in the US is highly paid and have better conditions of service. It will be a mismatch to compare.
I will pick a plumber who actually put in more hours and the condition of service is based on how he or she can work plus they are usually summoned at anytime.
So in the US a plumber on service is paid about average 15dollars per hour. if he works for 80hours which is unhealthy and none of them do, but if anyone does he or she will earn 1,200 dollars in just a week.
Please take note a plumber earns 1,200 or more if he works 80hours. If he or she works for 180hours he or she will earn nothing less than 2,700.
Note the following; the US government provides services that does not allow him to make any out of pocket experience, for basic services, for earning less that 2,700dollars. He has a social security number that help him access all social amenities , he doesn't pay for drugs or emergency services. His kids attend free school and can even get free food if he falls on hard times.
But the house officers like the famous 25 interns in that south-south part if Nigeria, dont have any of those, they pay for everything daily, they worked nearly one year the job of 120 persons.
Not one of said a word, they new they were slaves. There faces said it all.
They earn less than about 300dollars in all for a month. Yet the are owed months and have never one month been paid complete. They dont know what they earn. You can ask them.
Now a generation ask those that should know, why this for this let of time. It has been like this for years but the last 3years have been bad.
Yet a single federal government officials an army General steals N3.1billion for working in total 40hours in week , though he has been arrested and they say NARD should not speak.
Facts on ground, No junior doctor or consultant earn as much as a plumber not to compare to their US. colleagues in the health sector.
#istandwithjuniordoctorsinnigeria, #istandwithnard
By Gbujie Daniel
West African Coordinator
Junior Doctors Association
Past Sec Gen NARD
thank you.
in the coming days we will talk more on the process that led to this requiem.
.Going by the current value rate of a Dollar to Naira.
Rate it is available today 5th/1/2017 is btw N485 and N490. If in a hurry N500 to a dollar. Aboki.com
Did your know that the intern in Nigeria earns less , than a plumber in the US who works on monthly basis.
Please find out what they earn and divide by the rate today.
Another, thing to note is that an intern takes call, that is work extra hours outside working hours, usually its from 4pm to the next day 8am and some people 7am.
But since 2013 a doctor put in an average of about 80hours in a week for this call.
Let me give a true life example of mans cruelty to man or to the generation to take over in the health sector.
In a tertiary health institution in Nigeria the carrying capacity that can be employed is 150 interns(House officers).
All the top 10 tertiary health institution in the country have quota and are all within 120 to 180, consult the Medical and Dental Council of Nigeria booklet for 2013.
However,a certain health institution in southern part of country employed only 25 interns, in 2016. Yes 25 human being to do the work of 150 or as an official of the hospital said in the usual doctored script that the capacity of the hospital is 120 persons, which is a lie. Again check the MDCN booklet.
Each of these unfortunate young intern 25 (house officers) worked out their lives, they put in an average of 80 hours and much more for just a week and by month end many have individually accumulated working hours in the excess of 180 to 200 hours. Very many never slept for 5hours. Their lives really change, till date the scare is still there.
Originally, they are majorly to learn as they prepare to be on there own, but sadly much of what they do, was to run errands and cater for hundreds of unfortunate patients who dont know, that the facilities are just not available for the diseases they carry on daily basis and treatment they get are substandard when man power are limited.
Hence, smart patient and even help out by giving medications to their loved ones as the doctors have prescribed, since the manpower are limited, those not literate enough rely on prayers and other traditional alternatives all this are how they cope in the country and patiently wait for compassion from the ALMIGHTY who indeed shows Nigerian mercy.
The reality is that GOD will not come down and pay salaries, he is not going to tar the roads, he is not going to investigate crimes, he is not going to stop the fraud hospital administrators do , he will not jail fraudulent politicians and government officials who make life unsustainable for others, he is not going to come down and stop ethnicity.
Anyway back to the famous 25 house officers stores and many all over the federation are in this contraption. To these Interns, a job in Nigeria is better than having none and many potential interns dont even get it, very many.
They worked like this for almost a year. No single administrator from government to local said anything, but when the local Association rejected this act as slavery, they stopped their salaries for months. Sadly this 25(H/O) Occasionally use there money to buy gloves and medications to give patients assigned to them.
For other cadres of doctors its the same, its equally tales of regret, hatred for the system and low motivation exist all across board.
Internship positions are originally obligations and mandatory duties of the Nigerian government thats the law since i was born. Every H/O should get a job for a year. But in my country they dont care and sadly this are some of the reasons the health care system collapsed and thousands are leaving the country.
In comparing our situation of our intern with advanced nations, i will pick a plumber, since an intern in the US is highly paid and have better conditions of service. It will be a mismatch to compare.
I will pick a plumber who actually put in more hours and the condition of service is based on how he or she can work plus they are usually summoned at anytime.
So in the US a plumber on service is paid about average 15dollars per hour. if he works for 80hours which is unhealthy and none of them do, but if anyone does he or she will earn 1,200 dollars in just a week.
Please take note a plumber earns 1,200 or more if he works 80hours. If he or she works for 180hours he or she will earn nothing less than 2,700.
Note the following; the US government provides services that does not allow him to make any out of pocket experience, for basic services, for earning less that 2,700dollars. He has a social security number that help him access all social amenities , he doesn't pay for drugs or emergency services. His kids attend free school and can even get free food if he falls on hard times.
But the house officers like the famous 25 interns in that south-south part if Nigeria, dont have any of those, they pay for everything daily, they worked nearly one year the job of 120 persons.
Not one of said a word, they new they were slaves. There faces said it all.
They earn less than about 300dollars in all for a month. Yet the are owed months and have never one month been paid complete. They dont know what they earn. You can ask them.
Now a generation ask those that should know, why this for this let of time. It has been like this for years but the last 3years have been bad.
Yet a single federal government officials an army General steals N3.1billion for working in total 40hours in week , though he has been arrested and they say NARD should not speak.
Facts on ground, No junior doctor or consultant earn as much as a plumber not to compare to their US. colleagues in the health sector.
#istandwithjuniordoctorsinnigeria, #istandwithnard
By Gbujie Daniel
West African Coordinator
Junior Doctors Association
Past Sec Gen NARD
thank you.
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