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Primary Health Workers’ Strike: People React

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Prince Ibinabo Lazarus – Primary Health Worker
We initially demanded the formation of Primary Health Care Management Board because of unfair treatment meted on Primary Health workers by local government councils in terms of salaries and other entitlements due us.
Now that the National Assembly is trying to make local governments autonomous, let’s hope the councils can manage the health workers and health facilities since all money payable to the board must come to an end.
So, our demands have been made known to the state government which includes the implementation of the consolidated salary structure; promotion of senior staff, implementation of last promotion exercise, among others.
And the workers have resolved that we are not going back to work until all our demands are met. Health workers in local governments should be treated like their counterparts in the state. A situation where there is disparities in the salaries of health workers of the same level who are working in the same facility, simply because one is employed by the state government and the other by the local government is unacceptable.
It is my sincere wish that the state government meets our demands so that we can go back to work so as to avoid the devastating effects the strike might have on the state. Already, there is collapse of the free medical system and increased morbidity rate. I want to advice mothers not to go for vaccination at the Primary Healthcare centres because the vaccines are no longer potent.
We are appealing to well meaning citizens of the state to persuade government to grant us our demands. We are merely asking for our rights. And as far as I am concerned, Primary Health Care Service deliveries have collapsed in the state. Clients and beneficiaries should seek for service deliveries in the secondary and tertiary sectors.

Mr  Robert Ibiso – Health worker.
Government knows the conditions we gave. If the conditions are met, we have no excuse whatsoever not to go back to work. We are willing to serve the populace at any time but government should give us our due right and treat us the way we deserve. I know too well that the incumbent governor of Rivers State may not do much about the on-going strike.
For now people are still benefiting from some of our health care service deliveries despite the industrial action. But you cannot compare what is going on there with the services we provide. We were trained for this job. We were trained to carry out some services in our health facilities in order to contain the spread of contagious diseases like cholera, measles and others. Today, go to Pott Johnson, Church Hill and other health centres and you will discover that immunisation and other health service deliveries are bequeathed to our clients even though we are on strike. You can imagine the caliber of quacks used for this.
Perhaps, this is the reason government is dilly-dallying over the implementation of our rightful requests. But this might lead to a big health problem in the state if not handled urgently.
Mrs Veronica – Nurse
The health workers are demanding their right on the grounds that they have not been promoted for the past eight years without a cogent reason. There has been no employment of new technical staff to replace those who have left the service by retirement, resignation or death. Workers are not being paid their due salaries.
Nevertheless, there seems to be confusion among the health workers currently. There are those who feel oppressed by the local government council, for not effecting their demands but at the same time prefer to remain with the local government areas after the Primary Health Care Management Board was mandated to deduct the money from source and take over the payment of their salaries and other demands.
Another set of the health workers is comfortable with the arrangement by which the Primary Health Care Board, takes over the payment of their wages and allowances, though they have other demands.
The beneficiaries of the primary health care service deliveries should braze up for harder days ahead because I don’t see this tussle ending soon. The poor masses are beginning to feel the impact of the strike because immunisation rate had dropped in the state. More people are dying.
I advise that the public should appeal to the government to implement the demands of the striking workers so that they can go back to work. Their services are very essential especially to those in the rural areas who cannot assess secondary and tertiary health institutions and those who cannot afford private hospitals.
However, I will also tell the public to seek for healthcare services from the private hospitals or abroad (for those that can afford it) because the level of our health care systems is now zero.

Grace Moses – Applicant
The industrial Action embarked upon by Primary Health Workers is unfortunate and detrimental. They are punishing the poor masses. The situation could be likened to where two elephants are fighting and the grasses are suffering.
Go to some health centers in the state and see how people are suffering. Antenatal and other bills have been increased unprecedentedly. Mothers are made to pay for things and services they ought not to pay for.  Indeed the strike is causing a great hardship for everyone in our state especially pregnant women, mothers and their babies.
My sister-in-law is pregnant. She has not been going for antenatal care because the workers are not there to attend to them. For some times now, she has been having some pains, but she keeps enduring the pain at home since she can’t not afford health care services in the private sector and that can force her to seek for health care services from traditional birth attendances though she detests it.
So, government should please do something about this strike before people begin to die unnecessarily.
Annonymous – Medical Doctor
The issue is that politicians do not value the services of health workers. Every administration that comes on board treats health workers in the local government as if they are no human beings. Look at my office, I am a medical doctor and a director in the civil service, can you compare this office with that of another director in another department  in this local government or even in the state? The neglect and marginalisation is too much and I don’t know why. Health workers are the last to receive their salaries and allowances. Meanwhile the council chairmen are busy embezzling this money. For more than eight years, there has not been employment  in the primary health sector yet people have retired, some have died, many have resigned. We are grossly understaff. Yet wehen the workers labour to serve the public, they will not be paid, nor will they be promoted along with other workers in the local government.
As a director you cannot sanction an erring staff under you because you have no control over her salaries and allowances. The number of health workers is over bloated by the councils who make  money from the large number of ghost workers.
That is why NULGE and a few health workers who are benefitting from the corrupt system are fighting against the establishment of the Primary Health Management Board. They are jittery that with the board paying workers’ salaries and allowances they will no longer make their millions. The board is there to strengthen the Primary Health Sector in State, cater for the welfare of the health workers and at the same time make sure that the workers sit up and carry out their duties as they should and some enemies of progress are kicking against it. The State government has built over a hundred health centres in different parts of the state. Tell me how can the local governments manage these health institutions? The state government in its wisdom, set up the Primary Health Management Board to take charge of these health centres to make sure that the health centres are alive and active even when Amaechi’s tenure elapses.
So, for me, government should not go back on the promise of transferring health workers salaries from the local government councils to the Primary Healthcare Management Board. It is in the best interest of the generality of the workers and the public.
I will also urge government to attend to other demands of the genuine striking workers vis-à-vis the payment  of CONHESS arrears from March 2011 to June 2014; payment of HAPPS arrears; payment of 38 months unified salary structure arrears for health workers in the 23 local government areas; implementation of the last senior staff promotion among others.
When this is done, the real health workers will go back to work and things will normalise.

Mr Micheal Nnadi- Student
For me I am not feeling the impact of the strike, maybe because I don’t patronize the primary health care services or any government hospital at all. I prefer private clinics, though they are expensive, they give you quality service.
However, I don’t buy this idea of workers down tooling every now and then. Our country is becoming a country of daily strike actions and I don’t think it is good for the image of the country. The health workers should think of other ways of ironing out their differences with the government instead of punishing the poor patients. They should stop being selfish and think of the interest of those who depend on their services.
On the other hand, those in authority should try and be more responsible and reasonable. They should take workers welfare as their priority. How much are these workers even asking for? Is it half of the amount our leaders spend on politics and other frivolous ventures. I am quite  sure that if our leaders do not steal public fund, there will be enough money for all sectors of the economy.
So government and the striking workers should settle their differences and stop making life more miserable for the poor.

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Opinion

Time and Season Can Tell

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Quote:”In matters of the heart, seasons expose what emotions try to hide.”
There is a silent crisis unfolding in modern relationships—one that many people endure quietly but rarely articulate. It is the experience of emotional attachment without clarity. Unlike betrayal, which announces itself loudly, or conflict, which forces confrontation, this crisis creeps in softly. It begins with warmth, grows through shared vulnerability, and then dissolves into silence. In my observation, some of the deepest emotional wounds are not inflicted by harsh words or dramatic endings. They are caused by something far subtler: the gradual withdrawal of affection without explanation. Silence in relationships is often mistaken for neutrality, but it is not neutral. Silence communicates—only it does so in a language of confusion. When someone slowly retreats without offering clarity, they leave the other person suspended between hope and reality.
There is no clear goodbye, no decisive closure—only distance. The unanswered messages. The reduced enthusiasm. The subtle shift in tone. Emotional ambiguity can be more painful than open rejection because it denies finality while sustaining expectation. It leaves the heart in limbo. In today’s world of instant communication and digital closeness, emotional intensity is frequently mistaken for love. When someone gives us attention, listens attentively, checks in consistently, and offers companionship during vulnerable moments, it is natural to assume that something meaningful is forming. After all, connection feels like commitment. But attention is not always intention. Closeness is not always clarity. In emotionally complicated relationships, there is often an imbalance that goes unnoticed at first. One person invests deeply—emotionally, mentally, even spiritually—while the other remains cautiously detached.
The connection may feel mutual, but the level of commitment is not. And when investment is unequal, pain eventually follows. One of the most dangerous consequences of such relationships is how subtly we lose ourselves in them. It does not happen overnight. It begins with small shifts. We check our phones more often. We rearrange our schedules. We replay conversations in our minds. Gradually, our emotional world begins to orbit around one person. Friends grow distant. Personal goals lose urgency. Self-worth becomes tied—quietly but firmly—to someone else’s presence and validation. When that person withdraws, the collapse feels catastrophic. Yet the devastation is not solely because love has ended. It is because identity has been shaken. We are not grieving only the person; we are grieving the version of ourselves that depended on them.
Silence, I have come to believe, can function as a form of power. When one person controls communication through distance—responding selectively, appearing and disappearing unpredictably—they unintentionally gain emotional dominance. The other person is left waiting, interpreting, hoping. They analyze every word, every delay, every change in tone. This imbalance may not always be intentional. Sometimes it arises from emotional immaturity or fear of confrontation. Yet its impact is undeniable. It reveals an uncomfortable truth: emotional availability is not guaranteed simply because connection exists. Chemistry does not equal commitment. Attraction does not equal accountability. With time, I began to understand that not every relationship is meant to last. Some people enter our lives not as permanent partners, but as temporary teachers.
 They are not there to complete us, but to confront us—with our vulnerabilities, insecurities, and unmet needs. At first, this realization felt discouraging. It seemed to reduce love to a series of lessons. But eventually, it felt liberating. Emotional loss stopped looking like failure and started looking like revelation. Each experience—especially the painful ones—exposed areas where I needed growth. Where I needed stronger boundaries. Where I needed deeper self-awareness. Boundaries, I have learned, are not barriers against love; they are protections for it. Love without boundaries is not love—it is emotional exposure. Connection without clarity is not intimacy—it is uncertainty. Affection without commitment is not partnership—it is illusion. Healthy love requires mutual understanding, transparency, and intentionality. It demands that both individuals stand on equal emotional ground. Where one speaks, the other listens.
 Where one invests, the other reciprocates. Where one withdraws, the other communicates. Time, more than emotion, reveals truth. In the beginning, feelings are loud. They rush, they excite, they overwhelm. But time tests what emotions promise. It exposes inconsistency. It clarifies intention. It separates temporary attraction from sustainable partnership. Seasons, too, teach us something essential about relationships. No season lasts forever. Some bring growth. Others bring pruning. Some relationships stay long enough to build a foundation; others stay just long enough to teach resilience. Neither is wasted. When we accept that relationships operate in seasons, we release the need to force permanence. We stop chasing clarity from those unwilling to give it. We stop romanticizing inconsistency. We stop equating intensity with depth.
Instead, we begin to value emotional safety over emotional excitement. We learn that peace is more sustaining than passion without direction. We recognize that self-worth must never depend on someone else’s attention.In matters of the heart, time and season always tell.They reveal who is consistent and who is convenient. They expose what is genuine and what is temporary. They show whether a connection is rooted in intention—or merely in circumstance. And perhaps the greatest wisdom is this: not every silence deserves to be decoded. Some silences are answers. When we understand that, we stop fearing endings. We begin trusting timing. We stop clinging to uncertainty and start choosing clarity.Because in the end, the heart may feel quickly—but time always tells the truth.
By: Isiocha Kate
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Opinion

Why Adaeze Deserves A Second Chance 

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Quote:”If performance is the standard, then continuity in Rivers’ health sector is not a favour — it is a necessity.”
When the executive council was dissolved and political permutations began to dominate conversations across Rivers State, one sector stood out in the public debate,  Health.  In a state where access to quality healthcare remains both a social necessity and political responsibility, performance has become the most persuasive argument. And in those conversations, the name of Adaeze Chidinma Oreh consistently resurfaces. Her tenure as Commissioner for Health was marked not by ceremonial appearances but by visible system reforms that ordinary residents could measure in improved service delivery. From the outset, she placed primary healthcare at the centre of the state’s health strategy, reinforcing the idea that sustainable reform begins at the grassroots.  Primary Health Centres across several local government areas witnessed structural upgrades, improved staffing coordination, and better supply chain management for essential medicines.
Under her supervision, Rivers State deepened participation in the Basic Healthcare Provision Fund, ensuring that federal health allocations translated into tangible services at community level. Health insurance enrolment expanded significantly during her time in office, broadening access to affordable care for civil servants, informal sector workers, and vulnerable populations.  Public opinion often cites this expansion as one of the most impactful interventions of her administration. HIV service delivery also experienced notable scaling. More facilities were equipped to provide testing and treatment services, reducing travel burdens for patients and strengthening continuity of care. Her administration strengthened disease surveillance mechanisms, an important safeguard in a post-pandemic era where preparedness is as critical as response.Beyond expansion of services, she demonstrated regulatory firmness. Illegal and unlicensed medical facilities were shut down, sending a strong message that patient safety would not be compromised.
This crackdown on quackery earned her both commendation and resistance, but public health advocates widely supported the stance as long overdue. Emergency medical response systems received renewed attention. Ambulance coordination and referral systems were reviewed and strengthened, improving response time in critical cases. Maternal and child health programmes gained renewed emphasis. Immunisation campaigns were intensified, and advocacy for respectful maternal care became more pronounced within state facilities. Health workers frequently described her leadership style as consultative. Stakeholder meetings were not mere formalities; they were platforms for problem-solving and accountability. She engaged development partners strategically, aligning donor support with state priorities rather than allowing fragmented programme implementation.International partnerships brought in technical assistance, equipment upgrades, and training opportunities for healthcare personnel.
Transparency also became a visible feature of her administration. When misinformation circulated — particularly around admissions into health training institutions — she addressed the public directly, clarifying facts and protecting citizens from fraud. Within professional circles, she was regarded as technically sound, able to interpret data and translate policy into operational strategy. Her public briefings were often data-driven, reflecting measurable indicators rather than abstract promises. The Primary Healthcare Leadership Challenge saw Rivers State earn recognition during her tenure, reinforcing claims of structured reform. Community outreach was not neglected. Rural communities reported increased supervision visits and closer monitoring of local health facilities. Civil society organisations in Rivers State frequently acknowledged improved responsiveness from the Ministry of Health during her administration.
She maintained visible engagement with frontline workers, visiting facilities and interacting directly with staff and patients. Her approach to governance balanced policy reform with human engagement — a combination many observers believe strengthened trust in the health system. Under her watch, health insurance awareness campaigns improved public understanding of pre-paid healthcare models. She supported integration of technology into health administration, enhancing data reporting and accountability systems. Persons living with HIV/AIDS, women in rural communities, and economically disadvantaged families became central to programme targeting. In public discourse, she was often described as performance-driven rather than politically flamboyant. Awards and recognitions followed, but more importantly, measurable system improvements formed the basis of those honours. Healthcare professionals credited her with restoring a sense of direction to policy implementation.
Her tenure reflected continuity in reform rather than abrupt, cosmetic changes. Critics of political reshuffles argue that the health sector, more than many others, benefits from sustained leadership to consolidate gains. Many residents believe that reform in healthcare requires consistency, institutional memory, and steady administrative hands. As conversations around reappointments intensify, health stakeholders continue to emphasise competence over political balancing. In markets, professional associations, and community meetings, her name surfaces in discussions about measurable impact. The argument is less about sentiment and more about outcomes — expanded insurance coverage, improved primary healthcare structures, firmer regulation, and strengthened partnerships. Rivers State’s health sector remains a work in progress, but public opinion suggests that her administration laid foundations that require continuity rather than disruption.
In a political climate where appointments are often influenced by calculations beyond performance, her tenure stands as a case study in technocratic leadership. If governance is ultimately about service delivery, then health remains one of its clearest tests. And if performance, regulatory courage, grassroots impact, insurance expansion, strengthened disease control systems, and improved public trust are the criteria, then let Adaeze Chidinma Oreh be the person.
By: King Onunwor
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Opinion

Empowering Youth  Through Agriculture 

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Quote:”While job seeking youths should  continuously acquire skills and explore opportunities within their immediate environment as well as in the global space through the use of digital platforms, government, corporate/ multinational organizations or the organised private sector should generate skills and provide the enabling environment for skills acquisition, through adequate funding and resettlement packages that will provide sustainable economic life for beneficiaries”.

The Governor of Rivers State, Sir Siminalayi Fubara, recently urged youths in the Rivers State to take advantage of the vast opportunities available to become employers of labour and contribute meaningfully to the growth and development of the State. Governor Fubara noted that global trends increasingly favour entrepreneurship and innovation, and said that youths in Rivers State must not be left behind in harnessing these opportunities. The Governor, represented by the Secretary to the State Government, Dr Benibo Anabraba, made this known while declaring open the 2026 Job Fair organised by the Rivers State Government in partnership with the Nigeria Employers’ Consultative Association (NECA) in Port Harcourt. The Governor acknowledged the responsibility of government to create jobs for its teeming youth population but noted that it is unrealistic to absorb all job seekers into the civil service.
“As a government, we recognise our duty to provide employment opportunities for our teeming youths. However, we also understand that not all youths can be accommodated within the civil service. This underscores the need to encourage entrepreneurship across diverse sectors and to partner with other stakeholders, including the youths themselves, so they can transition from being job seekers to employers of labour,” he said. It is necessary to State that Governor Fubara has not only stated the obvious but was committed to drive youth entrepreneurship towards their self-reliance and the economic development of the State  It is not news that developed economies of the world are skilled driven economies. The private sector also remains the highest employer of labour in private sector driven or capitalist economy though it is also the responsibility of government to create job opportunities for the teeming unemployed youth population in Nigeria which has  the highest youth unemployed population in the subSahara Africa.
The lack of job opportunities, caused partly by the Federal Government’s apathy to job creation, the lack of adequate supervision of job opportunities economic programmes, lack of employable skills by many youths in the country have conspired to heighten the attendant challenges of unemployment. The challenges which include, “Japa” syndrome (travelling abroad for greener pastures), that characterises the labour market and poses threat to the nation’s critical sector, especially the health and medical sector; astronomical increase in the crime rate and a loss of interest in education. While job seeking youths should  continuously acquire skills and explore opportunities within their immediate environment as well as in the global space through the use of digital platforms, government, corporate/ multinational organizations or the organised private sector should generate skills and provide the enabling environment for skills acquisition, through adequate funding and resettlement packages that will provide sustainable economic life for beneficiaries.
While commending the Rivers State Government led by the People First Governor, Sir Siminilayi Fubara for initiating “various training and capacity-building programmes in areas such as ICT and artificial intelligence, oil and gas, maritime, and the blue economy, among others”, it is note-worthy that the labour market is dynamic and shaped by industry-specific demands, technological advancements, management practices and other emerging factors. So another sector the Federal, State and Local Governments should encourage youths to explore and harness the abounding potentials, in my considered view, is Agriculture. Agriculture remains a veritable solution to hunger, inflation, and food Insecurity that ravages the country. No doubt, the Nigeria’s arable landmass is grossly under-utilised and under-exploited.
In recent times, Nigerians have voiced their concerns about the persistent challenges of hunger, inflation, and the general increase in prices of goods and commodities. These issues not only affect the livelihoods of individuals and families but also pose significant threats to food security and economic stability in the country.  The United Nations estimated that more than 25 million people in Nigeria could face food insecurity this year—a 47% increase from the 17 million people already at risk of going hungry, mainly due to ongoing insecurity, protracted conflicts, and rising food prices. An estimated two million children under five are likely to be pushed into acute malnutrition. (Reliefweb ,2023). In response, Nigeria declared a state of emergency on food insecurity, recognizing the urgent need to tackle food shortages, stabilize rising prices, and protect farmers facing violence from armed groups. However, without addressing the insecurity challenges, farmers will continue to struggle to feed their families and boost food production.
In addition, parts of northwest and northeast Nigeria have experienced changes in rainfall patterns making less water available for crop production. These climate change events have resulted in droughts and land degradations; presenting challenges for local communities and leading to significant impact on food security. In light of these daunting challenges, it is imperative to address the intricate interplay between insecurity and agricultural productivity.  Nigeria can work toward ensuring food security, reducing poverty, and fostering sustainable economic growth in its vital agricultural sector. In this article, I suggest solutions that could enhance agricultural production and ensure that every state scales its agricultural production to a level where it can cater to 60% of the population.
This is feasible and achievable if government at all levels are intentional driving the development of the agricultural sector which was the major economic mainstay of the Country before the crude oil was struck in commercial quantity and consequently became the nation’s monolithic revenue source. Government should revive the moribund Graduate Farmers Scheme and the Rivers State School-to-Land agricultural programmes to operate concurrently with other skills acquisition and development programmes. There should be a consideration for investment in mechanized farming and arable land allocation. State and local governments should play a pivotal role in promoting mechanized farming and providing arable land for farming in communities. Additionally, allocating arable land enables small holder farmers to expand their operations and contribute to food security at the grassroots level.
Nigeria can unlock the potential of its agricultural sector to address the pressing needs of its population and achieve sustainable development. Policymakers and stakeholders must heed Akande’s recommendations and take decisive action to ensure a food-secure future for all Nigerians.

By: Igbiki Benibo

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