Table 2 Selected health workforce industrial actions in Nigeria, 2010–2016
From: Health workforce and governance: the crisis in Nigeria
Type of industrial action | Health workforce | Period | Reason | Themes identified |
|---|---|---|---|---|
National | Joint Health Sector Unions (JOHESU)a | July 2014 | That members be made consultants like medical doctors; demand to establish directorates for nursing, pharmacy, physiotherapy, and other allied health sectors; request for an amendment bill to correct marginalization of all health workers by doctors composition and appointment of the management boards of health institutions; extension of retirement age from 60 to 65 years; implementation of the National Health Insurance Scheme towards increased remuneration and overall funding of health system | Administration, leadership, governance, policy, finance, remuneration, supremacy challenge |
Nigerian Medical Association (NMA) | July–August 2014 | Press for relativityb and skippingc in doctors salaries; to reverse the consultant status and directorates of allied health professionals; call for improved funding of health system | Administration, funding, remuneration, supremacy challenge | |
National Association of Resident Doctors (NARD) | 2011, 2013 and 2016 | Call for teaching allowance and skipping; upgrade of doctors to Integrated Payroll and Personnel Information System (IPPIS) platform; full implementation of adjusted Consolidated Medical Salary Structure (CONMESS) across board; request for residency training guidelines, appraisal and upgrading; request for Federal Government to address high-handedness of chief medical directors of some health institutions; implementation of the National Health Act | Administration, governance, policy, funding, remuneration | |
Local | NMA Lagos chapter | 2013 | Request for improved conditions of service, better welfare and improved facilities | Welfare, funding |
Association of Resident Doctors (ARD)—selected local hospital chapters | 2010–2016 | Mainly protests over actions of chief medical directors (CMDs) including irregular and non-payment of salaries for several months, poor welfare (demand for renovation of call rooms and improved call meals), non-payment of teaching allowances and update courses and shortage of doctors in the hospitals, as interns and residents completing training were not promptly replaced | Administration, leadership, health workforce distribution, welfare |