Strike looms in health sector as JOHESU threatens action over unmet demands

The Nigerian health sector is on the brink of an indefinite strike as the Joint Health Sector Unions (JOHESU) and the Allied Healthcare Professionals Association (AHPA) issue a stern ultimatum to the Federal Government.

In a 13-point communiqué signed by JOHESU Chairman, Ado Kabiru, and Secretary, Martins Egbanubi, the unions resolved that unless the full implementation of their flagship demands, as outlined in the October 29, 2024, Memorandum of Understanding (MOU), is achieved within the stipulated budgetary timeline, they would activate an indefinite strike action.

The JOHESU National Leadership converged in Abuja with Federal Government delegations on December 20, 2024, to forestall the impending strike. The delegation included representatives from the Federal Ministries of Labour and Health. While the meeting aimed to address the issues, JOHESU stated that fresh mechanisms must be implemented within the coming weeks to ensure the resolution of the lingering adjustment to the Consolidated Health Salary Structure (CONHESS), which has remained stagnant for 11 years.

JOHESU commended the Federal Government for backing the establishment of the Consultant Pharmacist Cadre through extant circulars. However, the unions lamented the low compliance rate, with only 15% of federal health institutions implementing the directive. They demanded that the Federal Ministry of Health sanction non-compliant Chief Medical Directors by March 31, 2025.

In addition, JOHESU urged the government to expedite the upward review of retirement ages for health workers and consultants and to address unpaid COVID-19 hazard allowances.

The unions highlighted several unresolved issues, including: Payment of seven months’ arrears for the CONHESS review, which must be completed by December 31, 2024. Full implementation of the Pharmacy D Call Duty Allowance on the IPPIS platform. Reconstitution of the Boards of Management for 73 Federal Health Institutions to enhance accountability. Finalizing the payment of outstanding salaries for members in 13 professional regulatory councils and agencies.

JOHESU also criticised the Federal Ministry of Health’s handling of the National Health Facility Regulatory Agency and the Drug Revolving Fund, calling for a lawful review of Standard Operating Procedures in collaboration with relevant professional bodies.

The unions then urged their members to remain calm while awaiting further directives. They emphasized the need for the Federal Government to address their demands promptly to ensure industrial harmony. The next conciliation meeting is expected to hold in February 2025.

As the clock ticks, Nigeria’s health sector faces a critical test, with far-reaching implications for healthcare delivery across the country. Will the Federal Government meet JOHESU’s demands, or will the nation witness another round of industrial action? The coming weeks will tell.

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