27.04.2019 Views

28042019 - No delaying minimum wage, go ahead and pay, FG tells MDAs, states, others

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

SUNDAY VANGUARD, APRIL 28, 2019, PAGE 9<br />

•Ngige- Minister<br />

of Labour <strong>and</strong><br />

Employment<br />

BUHARI’S MINISTER’S ‘SURPLUS DOCTORS’ CONTROVERSY<br />

Why Nigerian doctors are<br />

rushing abroad – NMA, <strong>others</strong><br />

•’We have excess doctor<br />

ors s if we add traditional healers’<br />

•My stor<br />

ory, , by y Ngige<br />

By Chioma Obinna<br />

For almost a decade, the<br />

exodus of Nigerian doctors to<br />

other countries has led to<br />

acute shortages in the nation’s<br />

various medical specialities.<br />

Some years a<strong>go</strong>, a former President of the<br />

Nigerian Medical Association (NMA), Dr<br />

Osahon Enabulele, had said that about twothirds<br />

of Nigerian doctors who leave the<br />

country end up practising medicine in<br />

foreign countries while some of them switch<br />

professions.<br />

According to him, of the 72, 000 doctors<br />

registered with the Medical <strong>and</strong> Dental<br />

Council of Nigeria (MDCN), only about<br />

27,000 are practising in Nigeria while<br />

<strong>others</strong> are practising outside the country.<br />

Enabulele also revealed that up to 7,000<br />

Nigerian doctors<br />

combined work in British<br />

<strong>and</strong> American public<br />

health sectors, while some<br />

have left the medical<br />

profession on account of<br />

better working conditions<br />

in other professions. While<br />

WHO recommends one<br />

doctor to 600 patients, in<br />

Nigeria, due to the acute<br />

shortage, one doctor<br />

attends to around 6,000<br />

patients.<br />

And with the nation’s<br />

population put at 170<br />

million some years back,<br />

experts said the country<br />

needs not less than<br />

283,333 doctors to meet<br />

global st<strong>and</strong>ards. <strong>No</strong>w,<br />

Nigeria obviously needs<br />

more than 283,333 as the<br />

population has reportedly<br />

escalated to almost 200<br />

million with over 2,000<br />

doctors migrating to the<br />

United Kingdom, United<br />

States, Canada, Australia,<br />

United Arab Emirates<br />

(UAE), <strong>and</strong> South Africa,<br />

among <strong>others</strong>, every year. Also, figures<br />

released in February 2018 by the British<br />

<strong>go</strong>vernment indicated that no fewer than<br />

5,405 Nigerian-trained doctors <strong>and</strong> nurses<br />

were working with the British National<br />

Health Service (NHS). It showed that<br />

Nigerian medics constituted 3.9 per cent of<br />

the 137,000 foreign staff of 202<br />

Even a blind<br />

man knows<br />

we don’t have<br />

enough<br />

doctors<br />

except he is<br />

referring to<br />

traditional<br />

doctors<br />

nationalities working alongside British<br />

doctors <strong>and</strong> nurses in the United Kingdom<br />

(UK). Nigeria’s poor doctor-patient ratio<br />

(roughly 1:6000) is regrettable, according<br />

to analysts, when compared to the ratio of<br />

doctor-patient in India (1:2083) <strong>and</strong> in the<br />

United States (1:500) apparently due to the<br />

fact that fresh doctors no longer see a bright<br />

future within the shores of Nigeria. Despite<br />

this disturbing scenario that has worsened<br />

the nation’s health indices <strong>and</strong> promoted<br />

medical tourism, the Minister of Labour<br />

<strong>and</strong> Employment, Dr. Emeka Ngige, last<br />

week, was quoted as saying he was not<br />

worried about the situation. “<strong>No</strong>, I’m not<br />

concerned at all. I’m not worried. We have<br />

surplus. If you have surplus, you export. It<br />

happened at one time with Indian teachers<br />

here. I was taught biology <strong>and</strong> chemistry<br />

by Indian teachers in my secondary school<br />

days. They’re surplus in their<br />

country. We’re surplus in<br />

the medical field here. I can<br />

tell you, it’s my area. We have<br />

excess. We have more than<br />

enough”, Ngige allegedly<br />

said on a television<br />

programme. He was<br />

reportedly responding to a<br />

question on alleged braindrain<br />

in the medical sector<br />

against the backdrop of the<br />

recent visit of a delegation<br />

from Saudi Arabia to recruit<br />

doctors to work in the<br />

Middle-East country.<br />

Sunday Vanguard spoke to<br />

some leaders of the various<br />

medical associations,<br />

among <strong>others</strong>, on the<br />

controversy the Labour<br />

Minister’s statement, who<br />

is also a medical doctor, is<br />

generating. To them, the<br />

statement was a reflection<br />

of the fact that those who<br />

make policies have no<br />

solution to the problems in<br />

the health sector. They<br />

argued that Nigeria needs<br />

about six times of what we<br />

have on ground for minimal acceptability.<br />

Ngige displayed ignorance –<br />

National Secretary, NMA, Dr<br />

Olumuyiwa Odusote<br />

I see the statement of the Minister of<br />

Labour as displaying ignorance of the<br />

problems on the ground which is<br />

<strong>go</strong>vernment’s primary responsibility to<br />

solve. It is not true <strong>and</strong> I am sure the rest<br />

of us know that many doctors are leaving<br />

in droves. We have less than 40,000 doctors<br />

<strong>and</strong> many are leaving on monthly basis<br />

which further drops the number <strong>and</strong> the<br />

population of those leaving keeps<br />

increasing. If you have one doctor to about<br />

5,000 Nigerians, is what he said is surplus?<br />

Then we have a big problem in our h<strong>and</strong>s.<br />

When the World Health Organisation,<br />

WHO, is saying that the <strong>minimum</strong> we<br />

should have is one doctor to 600 patients, I<br />

don’t underst<strong>and</strong> the basis for the minister’s<br />

assertion <strong>and</strong>, definitely, it is not supported<br />

with facts. His statement is on the contrary.<br />

I think that the problem here is on the<br />

utilization of skilled manpower. It is the<br />

duty of <strong>go</strong>vernment to assess the need <strong>and</strong><br />

distribute available resources appropriately<br />

<strong>and</strong>, if the <strong>go</strong>vernment cannot assess <strong>and</strong><br />

determine what we need, then we have a<br />

major problem. If those who make policies<br />

are saying we don’t have problems, it means<br />

no one will find solution to the problems<br />

because they don’t perceive that there are<br />

problems. It also means that the health<br />

system has a very long way to <strong>go</strong> if this<br />

opinion is what is held in the Federal<br />

Executive Council. The NMA has been<br />

doing a lot in terms of brain-drain. Last<br />

year, the theme of our conference focused<br />

on brain-drain. And next week we are <strong>go</strong>ing<br />

to hold our annual delegates meeting in<br />

Abakaliki, Ebonyi State <strong>and</strong> brain-drain is<br />

also <strong>go</strong>ing to be the main theme. We are<br />

trying to bring it to the fore <strong>and</strong> find<br />

solution. We have invited all the tiers of<br />

<strong>go</strong>vernment, from the President down to the<br />

chief medical directors of teaching<br />

hospitals <strong>and</strong> general hospitals, to attend<br />

the meeting so that we can brainstorm <strong>and</strong><br />

everybody will appreciate the magnitude<br />

of the problem. And then work out a<br />

solution. We have been in the media<br />

advocating, making noise <strong>and</strong> trying to<br />

push for a solution. In 2017, the Vice<br />

President responded that <strong>go</strong>vernment was<br />

<strong>go</strong>ing to do something to reverse braindrain.<br />

It is pathetic that two years after, one<br />

of the serving ministers is encouraging<br />

doctors to <strong>go</strong> abroad because he knows one<br />

or two doctors who went abroad, 25 years<br />

a<strong>go</strong>, <strong>and</strong> came back to establish one or two<br />

centres which are catering for 10 or at most<br />

30 patients a month in a country of 200<br />

million. That is like a drop in an ocean. It is<br />

not <strong>go</strong>ing to impact any of the worst indices<br />

that we have in the world. We are talking<br />

about reversing the trend by ensuring that<br />

Nigerians are able to live longer, <strong>and</strong> in<br />

<strong>go</strong>od health, <strong>and</strong>, for that to happen, we<br />

have to look at it in totality. <strong>No</strong>t just what<br />

happened in a few urban centres where only<br />

the rich can afford the service. We are<br />

talking about what is happening in the rural<br />

areas where the people cannot access basic<br />

care <strong>and</strong> survive long enough to change<br />

their economy <strong>and</strong> the economy of the<br />

nation.<br />

It is unfortunate that a<br />

minister is encouraging<br />

brain-drain – La<strong>go</strong>s NMA<br />

Chairman, Dr Saliu Oseni<br />

It’s an unfortunate situation that a<br />

minister of the federation is encouraging<br />

brain-drain. Currently, we have about<br />

35,000 doctors serving a population of over<br />

200 million, which means you have one<br />

doctor to about 5,700 citizens. This ratio is<br />

frightening in some rural areas. Studies<br />

have shown that Nigeria has 0.2 doctors<br />

per 1,000 populations compared to the UK<br />

<strong>and</strong> Germany which have 2.8 <strong>and</strong> 4<br />

respectively. WHO has recommended one<br />

doctor to 600 populations; so if a minister,<br />

who happens to be a doctor, can be saying<br />

we have surplus doctors, it’s clear why our<br />

health sector is in ruins. We currently have<br />

one of the highest perinatal mortality,<br />

maternal <strong>and</strong> infant mortality <strong>and</strong> yet a<br />

minister is encouraging brain-drain. It<br />

means we have more problems than we<br />

think, as there is need to have appropriate<br />

insight into a problem to render solution.<br />

So, one can best imagine the advice of such<br />

doctor in the Federal Executive Council<br />

meeting on matters of manpower deficit in<br />

the health sector. Even a blind man knows<br />

we don’t have enough doctors except he is<br />

referring to traditional doctors. We will still<br />

advise <strong>go</strong>vernment to improve the welfare<br />

package of health professionals to<br />

discourage their migration <strong>and</strong> also support<br />

the establishment of more medical schools<br />

to churn out more doctors. It’s clear why we<br />

had the rot in the health sector. We can be<br />

sure that even the ministry of health doesn’t<br />

have the correct population of its staff. Well,<br />

<strong>go</strong>vernment is trying to show some interest<br />

of recent but complete sincerity is only what<br />

God knows. That’s why we are saying that<br />

medical tourism should be denied public<br />

officers, so that they can feel the effect of<br />

bad <strong>go</strong>vernance on the people. Also, don’t<br />

Continues on page 10

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!