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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

NDDC, A Regional Commission?

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The Niger Delta Development Commission was established by the Federal Government of Nigeria to mitigate the effects of oil exploration and exploitation activities on the oil bearing communities or States. It is worthy to clarify that some of the  NDDC states are not from South-South geographical zone. NDDC is about oil producing States, irrespective of the geographical location. South – South geographical zone is made up of six states namely; Akwa-Ibom, Bayelsa, Cross River, Delta, Edo and Rivers State. As it is today, there is no regional commission called South-South Commission. Rather, what is well-known, is Niger Delta Development Commission to aid development in the oil-bearing States. NDDC is a distinct interventionist agency of the Federal Government of Nigeria to douse down tension or agitation of the people of Niger Delta region.
Agitation by the bearing community led to the establishment of the Ministry of Niger Delta Affairs, despite being scrapped by the present administration of President Ahmed Bola Tinubu. For instance, Abia State is in South-East region and it is part of NDDC, and it will benefit from South-East Commission established by the present Federal Government of Nigeria, to fast track development of South-East Zone. So, Abia State would benefit from NDDC and South-East Commission. Abia is an oil producing state in Nigeria. In the same position, Imo State is a South-East State and also an oil producing state; which automatically makes it a member of NDDC State.  And would benefit from both commissions; and no doubt, because of being an oil producing State and by location, South-East State. Automatically, by virtue of oil activities going on in the two Eastern States, they are members of Niger Delta Development Commission.
In the line of operation, Ondo State is in South-West region and by virtue of being an oil producing State, is a member of NDDC. This no doubt, makes Ondo State a beneficiary of NDDC creation. There is no question to ask why Ondo should be member of NDDC? And Ondo State is a member of South-West Development Commission, because of its geographical location as a State in that region. So, the argument that NDDC is a regional commission is out of place. Thus, NDDC is not only for States in the Niger Delta. Another question is: is there an established commission known as South-South Development Commission, that Rivers State, Akwa Ibom, Edo, Delta, Bayelsa and Cross River should benefit from? The answer is capital No! So NDDC is not a regional commission because it is not only for the six states that make up the South- South. Hence, there is need for the present Federal Government of Nigeria, to urgently address the inequality and disparity created already.
This is because the six geographical zones have zonal commissions. The Federal Government should correct the equation. The misconception that NDDC is regional is not in order and is not correct. As it is today, there is no South-South Commission to help fast track development in the region. The political representatives from the South-South zone, should unite themselves and demand for South-South Development Commission as other zones have theirs. The Federal Government should put modalities in place to establish South-South Development Commission. The status quo should not be allowed to remain as it is now. Thank God, the daily quota of oil production has increased to about 2.5m barrel per day. And that is the reason why South-South should also benefit from the increase of oil activities in Nigeria.
Observationally, every region is bracing up to gain from the oil revenue of the country. And South South Zone which seems to be the hub of oil and gas is lagging behind in terms of purposeful development. NDDC should embark on an aggressive development of the member states. The Federal Government of Nigeria, should correct the negative believe that NDDC is a regional commission. Politicians of the zone should sheathe their swords of discrepancies and work together for the development of the zone. There should be a united front to convince the Federal Government to create or establish South-South Development Commission. Therefore State of the South-South zone in the Niger Delta Development Commission should be made to benefit like their counter parts from South- East and South- West in the NDDC. Thus, NDDC goes beyond regional vision. And that is why the Federal Government should establish South- South Development Commission to balance the equation of regional commission springing up in the country.

Frank Ogwuonuonu
Ogwuonuonu  is a free lancer in PortHarcourt.

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Opinion

That NANS’ Induction Of Former Tai LG Boss

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Last week, precisely Thursday, February 20, 2025,  students in Nigeria and the diaspora, under the umbrella of  the National Association of Nigerian Students (NANS) inducted the former Chairman of Tai Local Government Council, Chief Matthew NenuBari Dike into its Hall of Fame and gave him a certificate of recognition for what they described as his  “outstanding contributions to the development of education and students in Nigeria”. Presenting the award at Saakpenwan, headquarters of Tai Local Government Area, the National Vice President of the National Association of Nigerian Students, Mohammed Sabo,  said unequivocally that the induction into the Hall of Fame and conferment of the award on Chief Dike was essentially  by merit; a product of his endeavor in building the education sector and human capital in Nigeria.
According to the National Vice President of the National Association of Nigerian Students in Nigeria and the Diaspora, the students body does not have a history of conferring frivolous and financially induced awards on people. Chief Matthew NenuBari Dike is one of fewest local government area chairmen  of Nigeria that have been so recognised and honoured by students in Nigeria and the diaspora. This is a welcome development given the fact that Tai Local Government Area has not been one of the local government areas in Nigeria that has attained the social,  economic and infrastructural sophistication to come to national limelight because of its rural and seeming obscure nature. However , good works and success like light cannot be suppressed, not even by enemies. Success is contagious, a force and voice that speak louder than arm-chair and callous criticism.
Looking at the antecedents of the awardee and recipient of the Nigerian students goodwill, Chief Matthew NenuBari Dike, it is not saying a new thing that he deserves the honour. Within 100 days in the saddle as chairman of Tai Local Government Area, Chief Dike  had made significant achievements in  driving the development of the education sector and students in Tai Local Government Area, and of course, Nigeria, a feat that marked him out for honour by the National Association of Nigerian Students. Aside recruiting 250 adhoc teachers to improve teaching and learning in Basic and Senior Secondary Schools in the Local Government Area, the former chairman has also established a Special Science School to develop manpower overtime in critical areas in the Local Government Area having noticed that in the last ten years no student of Tai Local Government Area had gained admission to read, Medicine, Engineering, Medical/Health Sciences and many other science based courses.
Chief Dike’s initiative is therefore to address a felt  and critical need of the people. Through a rigorous screening process, 104 students emerged as the first set of students to begin the Special Science School at its take-off facility, Model Primary School 2, Uedume, under Mr. Tete Baridamue Osih as the Director. Speaking during the Inauguration of the School, two weeks ago, the former Chairman of Tai Local Government Area, Chief Dike affirmed his administration’s commitment to deliver a new building for the Special Science School . No doubt, the Chief Dike’s adventures in the Education sector is a novel, and capital intensive project. It is a road less taken; only Local Government Area chairmen who are selfless, sacrificial and committed to human capital development of their people can take up such gigantic project, considering the cost-implications. Establishing a fully-furnished Science School for the Local Government Area requires a modern laboratory, provision of science books, a state-of-art science library and adequate funding.
Recurrent expenditures such as payment of salaries of staff, political appointees, councillors, overhead, and other entitlements of workers combined with ongoing capital projects and empowerment programmes that the chairman of the Local Government Area is embarking on, amidst limited income source, make Chief Dike a celebrity in governance, after the like of his principal, Sir Siminalayi Fubara, the “Rivers First” Governor. Students in Nigeria and the diaspora therefore, were objective, sound in judgement and devoid of primordial sentiment when they adjuged the former chairman of Tai Local Government Area worthy to be inducted into their Hall of Fame and honoured for his contributions. The adage that the “aroma of the Fart determines the substance of the poo” finds expression in the person of Chief Dike whose exploits in the education sector aimed at developing the capacity of students to meet critical needs of the Local Government Area, is a testament that  Chief Matthew Dike will do more when given higher responsibility or another term.
John C. Mason, in one of his best sellers, “Leadership Gold”, said every human organisation rises and falls on leadership. A good leader will inevitably midwife development in his sphere of influence. This corresponds with the wise saying of the Biblican King Solomon that ‘when the righteous rules, the people rejoice but when the wicked rules, the people groan”. The socio-economic situation of a people to a great extent shows who a leader really is. The works or activities of a leader in relation to the people speak volumes of leadership stuff. Chief Matthew NenuBari Dike  made significant impacts in the education sector and human capital development for a greater development in Tai Local Government Area. He is determined to leave a legacy in the sands of time of that Local Government Areas by raising millionaires through his economic empowerment programme to drive self reliance and reduce the level of abject poverty the people wallow in.
If Chief Dike had to achieve such commendable feat within only 100days  of 1,095 days term of office, with availability of funds or sustained financial resources, a stable economy and peace, he had the capacity to achieve ten times what he had done for the people of Tai Local Government Area. While this is the beginning of a long and tortuous journey in governance, it is necessary to join students in Nigeria and the diaspora to commend Chief Dike for his impacts in the critical areas of education, human capital development, economic development, etc. To act contrary is to live out the saying of Decimus Magnus Ausonius that “The earth produces nothing worse than an ungrateful man”.

Igbiki Benibo

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Opinion

Dealing With Fake Drugs In Nigeria

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Since late Prof. Dora Akunyili’s tenure as the Director General of the National Agency for Food, Drug Administration and Control (NAFDAC), the fight against fake, illegal and expired drugs seemed to be in limbo until the current raid by the agency. For over one-week NAFDAC has been in the news as it has taken the war to the door post of fake, unauthorised, expired medicine dealers across the country. From Ariaria Market, Aba to Bridgehead, Onitsha, Anambra State, to Idumota drug market, Lagos, the stories are the same. Warehouses are being raided, medicine shops are being closed, counterfeit and expired drugs are being destroyed and so on. The current Director General of NAFDAC, Prof Mojisola Adeyeye, must be commended for the reinvigorated effort towards ridding our society of poisons in the name of drugs.
Some of these drugs according to NAFDAC are expired, imported drugs which are repackaged and pushed into the markets. Some of the seized drugs were vaccines stored in dilapidated, unventilated rooms, sealed with iron sheets in highly unsanitary conditions. It is doubtful if there is any adult Nigerian that is not aware of the damage caused to the citizens and the country by fake and substandard drugs. How many times have we or someone we know taken malaria drugs, antibiotics or other medicines for a cure of an ailment and they were ineffective? How many people in the country have died because fake or relabelled expired drugs were administered to them? Experts have posited that fake, adulterated, substandard drugs fuel antimicrobial resistance, as substandard antibiotics fail to properly treat infections, leading to stronger and more resilient bacteria.
The proliferation of these harmful substances is indeed a crisis of national significance. It threatens public health, weakens trust in the healthcare system, and exacerbates Nigeria’s already fragile health sector. Local drug manufacturers who invest millions of Naira to produce genuine, quality drugs for the citizens are denied the fruits of their labour by criminal syndicates who take advantage of regulatory loopholes and weak enforcement to flood the market with dangerous substances, putting millions of lives at risk. So, by all means, they should not be spared. But the question that begs for an answer is, where were the government agencies when these fake and expired drugs entered the country and travelled to the states? Why were they not intercepted at the point of entry either via the ports or the land borders and the importers arrested and prosecuted?
According to Adeyeye, most of these poisonous drugs are brought into the country through the ports and the porous borders. Is there nothing that can be done to beef up security and checks against illegal drugs at the borders? Or is it a case of the personnel at the borders looking the other way when they must have been settled thereby allowing unhindered entry of fake and unauthorised products into the country? It is also worrisome why we have allowed drugs to be sold in the open markets in the country. For many years, the federal government has been coming up with policies to address the uncontrolled and undefined buying and selling of medicine with or without approval, all to no avail. Open drug markets continue to thrive, leading to abuse and counterfeiting.
A former National Chairman of the Association of Community Pharmacists, Mr Samuel Adekola, in a recent interview bared his mind on the issue of open drug market. He said, “We know that open drug markets are not the best for Nigeria because of how the drugs are sourced. The government has been coming up with policies to address it, but you know that nature abhors vacuum, so once there is no alternative, these markets crop up because people must use drugs. Policies of the government must support alternatives which will make the drug distribution process/system in Nigeria a regulated and sanitised one. The whole essence of this is to save society from fake and adulterated drugs because the burden of fake drugs on citizen’s health and the economy is huge. Today, 70 percent of deaths in the hospitals arise from drug misuse or fake drugs.”
Early in the week, the NAFDAC DG during a television interview announced that the Kano Coordinated Wholesale Centre for drug marketers has taken off and that that of Lagos, Aba, Onitsha and other places are in the pipeline. Hastened efforts in actualising this will go a long way in checking the menace of fake drugs. Also, in addition to Adeyeye’s request for more funding and more staff for the agency to help in manning the borders and prevent the infiltration of poisonous drugs into the country, there is the need for technology-driven solutions to the challenge. The adoption of digital tools, such as mobile verification codes on drug packaging, can help consumers verify the authenticity of their medications. Blockchain technology can also be explored to track and trace pharmaceutical products from manufacturers to end-users.
NAFDAC and other regulatory bodies should be empowered with adequate resources to crack down on counterfeiters. Policies that improve oversight, enhance drug registration processes, and promote stricter penalties for offenders are essential. The nation’s drug distribution policy which stipulates penalties for defaulters must be implemented. While Adeyeye’s proposed death penalty for fake drug peddlers may be too harsh, many years imprisonment without an option of fine will not be out of place. While commenting on the recent raids, the National Chairman of the Pharmaceutical Society of Nigeria – Young Pharmacists Group, Tekena George showered some encomium on the NAFDAC DG, saying that beyond enforcement, her transformational policies promote local production of high-quality medicines in Nigeria, noting that by encouraging domestic manufacturing, she is not only reducing the country’s reliance on imported drugs but also strengthening the nation’s medicine security and economic resilience.
Indeed, over-reliance on imported drugs increases vulnerability to counterfeit products. Both federal and state governments should therefore encourage domestic pharmaceutical production, backed by strong quality control measures. This will ensure a safer drug supply chain. Nigeria should work closely with international agencies such as INTERPOL and the World Health Organisation (WHO) to dismantle transnational drug counterfeiting networks. Sharing intelligence and coordinating enforcement efforts will help disrupt the supply chain of fake drugs. Awareness campaigns are inevitable in dealing with the menace of fake drugs in our society. Many Nigerians remain unaware of the dangers of fake drugs. Government agencies, civil society groups, and healthcare professionals must therefore collaborate to educate the public on how to identify counterfeit drugs and report suspicious products.
Most importantly, the National Orientation Agency, religious and traditional leaders, parents, schools and other organisations must join hands in changing the “get rich at all cost” mentality of some Nigerians. As some people say, corruption, greed and selfishness are the root of all the problems in Nigeria. And unless these vices are dealt with all efforts at stemming fake drug distribution and other menace in the country will bear no positive result.

Calista Ezeaku

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