Health
JOHESU Issues Fresh 15-Day Ultimatum to FG
By Adedapo Adesanya
The Joint Health Sector Unions (JOHESU) and the Assembly of Healthcare Professional Association have issued a fresh 15-day ultimatum to the federal government, vowing to commence an indefinite strike over outstanding welfare issues.
In a letter addressed to the Minister of Labour and Employment, Mr Chris Ngige, and other relevant stakeholders on Saturday in Abuja, the National President of the union, Mr Biobelemonye Josiah, said the ultimatum was necessitated by the nonchalant attitude of the government to the plight of its members.
According to Mr Josiah, the welfare issues include adjustment of Consolidated Health Salary Structure (CONHES) as was done with Consolidated Medical Salary Structure (CONMESS) since 2014, payment of all withheld April and May 2018 Salaries of our members and withheld Salaries in Federal Medical Center, Owerri, JUTH and LUTH review of the defective implementation of COVID-19 Special Inducement and Hazard Allowance.
It added that other demands include – the implementation of the National Industrial Court of Nigeria (NICN) Alternative Dispute Resolution (ADR), Consent judgment and other court judgments, increase in the retirement age from 60 to 65 years for health workers and 70 years for Consultant Health Professionals.
”Others are payment of reviewed hazard allowance in terms of payment that guarantee fairness and justice to all concerned, payment of actual 30 per cent consolidated basic shift duty allowance to Nurses/Midwives and others.
”Payment of teaching allowance to members on CONHESS 7 and 8 (Nurses, Midwives and others) and proper placement of Nurse Graduates and Interns,” he said.
The JOHESU president also said others include payment of outstanding salaries of intern health professionals and all the Tertiary Health Institutions, proper implementation of the consultant pharmacist cadre for pharmacists in the public sector, among others.
According to him, “you will recall that up till the time of writing this letter, the Federal Government has not deemed it fit to honour the Terms of Settlement entered into with JOHESU since September 2017.
”This is especially the upward review of CONHESS Salary Structure as agreed, to be completed within five weeks from the date of agreement amongst other requests.
”Government did not deem it fit to address these key issues during the duration of the last seven days warning strike and has only met with JOHESU on July 12.”
Mr Josiah said that it would also be recalled that on July 2020, that the Minister of Health agreed that a mistake was made by the government in the payment of COVID-19 Special Inducement and Hazard Allowances.
He noted that the shortfall was in the payment of 50 per cent Basic of Consolidated allowances to all those Health Workers.
He disclosed that it was a mistake on the part of the government and the shortfall shall be paid according to affected health workers.
He added that up till the time of the letter, the shortfall has not been paid. To make matters worse, when the payment for June 2020 was made, the government decided to again wrongfully pay 10 per cent of Consolidated Basic Allowances to our members affected by the shortfall of April and May 2020.
“This is in contravention of the spirit and content of the MoU signed on April 21, 2020.
”JOHESU, in compliance with the provision of Section 41 of the Trade Disputes Act Cap.T8 LFN 2004, is constrained to give the federal government of Nigeria 15 days ultimatum with effect from September 3.
”This also is to inform you that with effect from midnight of September 17, all our members in the Federal Health Institutions shall embark on indefinite strike action in all state and Local Government health institutions.
”You are all placed on red alert for the strike if the federal government foot drags in attending to our demands,” he said.
Mr Josiah, however, noted that JOHESU had shown maturity, selflessness and patriotism in the face of extreme provocations and the government’s nonchalant attitude on the welfare of its members.
By Adedapo Adesanya
The National Health Insurance Authority (NHIA) says the number of Nigerians enrolled in health insurance has risen to more than 22 million.
The Director-General of NHIA, Mr Kelechi Ohiri, said this resulted from the implementation of the mandatory health insurance, which has gained momentum nationwide.
He said this on Wednesday at the Annual General Meeting of the Nigerian Association of Insurance and Pension Editors (NAIPE) in Lagos.
Mr Ohiri said enrolment had increased to 22.03 million, representing a 35 per cent year-on-year growth, attributing this to stronger collaboration with state social health insurance agencies, ministries, departments and agencies, organised labour, employers, the private sector, and the gradual implementation of the mandatory health insurance provisions of the NHIA Act.
He said that the country had moved beyond policy formulation to delivering measurable improvements in healthcare access, service quality and consumer protection in line with the federal government’s health sector reform agenda.
According to him, Nigeria already has the necessary policies and legislation to achieve Universal Health Coverage, positing that the key challenge was effective implementation.
“The decisive variable is now implementation- consistent, rigorous and accountable execution that converts political commitment into healthcare access for real Nigerians,” he said.
Mr Ohiri said that the transition from the former National Health Insurance Scheme to the NHIA had strengthened regulation, consumer protection, accountability and strategic purchasing, while providing the legal and operational framework for achieving Universal Health Coverage.
He added that improving the experience of enrollees remained central to the Authority’s reform agenda.
According to him, NHIA has strengthened its complaints management system, introduced faster resolution timelines, and intensified compliance monitoring of Health Maintenance Organisations (HMOs) and healthcare providers.
He further added that NHIA had sanctioned facilities that failed to meet the required standards, adding that his organisation had resolved 3,878 complaints, representing an 87 per cent resolution rate, while 95 per cent of the cases were concluded within prescribed timelines.
Mr Ohiri noted that more than N14.2 million had been refunded to enrollees, while non-compliant healthcare facilities had been sanctioned.
He said NHIA had also introduced service standards, including a one-hour treatment commencement target for enrollees requiring urgent care, to improve access to timely and quality healthcare services.
The NHIA boss further disclosed that capitation payments to healthcare providers had been increased by 93 per cent.
He said fee-for-service reimbursements rose by 378 per cent to enable providers to invest more in personnel, equipment and infrastructure.
According to him, 7,592 healthcare facilities have been assessed under the SafeCare quality framework as part of efforts to institutionalise continuous quality improvement across the country.
Mr Ohiri also highlighted interventions targeted at vulnerable groups, including support for more than 48,500 pregnant women, expanded maternal and newborn healthcare services, the Vulnerable Group Fund, and improved access to healthcare for pensioners and retirees.
He said Universal Health Coverage could only be achieved if every Nigerian, regardless of income or location, had access to quality healthcare services.
By Modupe Gbadeyanka
The new one-hour authorisation response time ultimatum policy introduced by the National Health Insurance Authority (NHIA) has received the full backing of SUNU Health Nigeria Limited.
This policy was introduced by the agency to ensure enrollees get prompt approval codes to access care.
Healthcare service providers have been urged to report any Health Maintenance Organisation (HMO) that violates this initiative through an email, with the HMO in copy and a timestamp attached as evidence of the request. They may proceed to offer services to enrollees thereafter.
Speaking at the company’s second-quarter Providers’ Forum for the Lagos-Ogun region in Lagos recently, the chief executive of SUNU Health, Dr Moyosore Olomola, expressed optimism that this policy would improve healthcare delivery in the country, especially for enrollees, who crave quality service.
At the event themed Improving Quality and Access to Care Through Stronger Provider Network, and held at the Nigerian Institute of Medical Research (NIMR) in Yaba, Lagos, Mr Olomola reaffirmed the HMO’s commitment to operating within legal and operational frameworks to guarantee adequate care for enrollees.
“Access to care and quality of care remain key priorities in our healthcare systems. We know quite well that deliberate collaboration, strategic partnerships, and a shared commitment to excellence are required to achieve these priorities.
“A strong provider network is doubtless the backbone of any effective healthcare system. It ensures that our mutual enrollees receive the right care, at the right time, in the right place, and at the right price,” Mr Olomola, represented at the programme by the organisation’s Chief Operating Officer (COO), Dr Faith Nwachi, stated.
He further assured that SUNU Health would strictly adhere to the one-hour authorisation limit, stressing that this aligns seamlessly with one of the organisation’s core values—promptness and its corporate slogan, Humanity is the centre of our initiatives.
In a bid to further improve access and quality of care, SUNU Health also demonstrated its new operational software and Mobile app, aptly named SUNU Legacy.
Also speaking at the event, the NHIA Lagos State Coordinator (Ikeja), Dr Bethuel-Kasimu Abraham, noted that the forum’s expected outcome is to significantly reduce delays in accessing medical care.
Other key expectations include ensuring continuity of care, improving patient outcomes, and strengthening accountability among HMOs.
Addressing specific pain points faced by enrollees, the NHIA Ogun State Coordinator, Mr Dare Adefeso, acknowledged that the agency had received complaints regarding out-of-stock drugs and the discrimination of enrollees by certain providers.
He affirmed that the NHIA is actively addressing these issues, stressing that moving forward, every facility must ensure enrollees are properly catered to regardless of their status, provided they have an active health insurance plan.
Corroborating the long-standing legacy of SUNU Health, the Ogun State Director of the National Orientation Agency (NOA), Mrs Aishat Tiamiyu, shared that her agency is responsible for public information dissemination and has been enrolled with SUNU Health for over 25 years.
Commending the HMO’s stellar service over two decades, she called for the immediate enrollment of new NOA staff into the scheme.
The Providers’ Forum remains one of the strategic channels employed by SUNU Health to consistently engage healthcare providers, understand their operational challenges, introduce new software updates, and solidify partnerships aimed at fostering premium healthcare delivery across Nigeria.
By Aduragbemi Omiyale
The National Agency for Food and Drug Administration and Control (NAFDAC) has announced the recall of a sexual enhancement product known as WAP Sensual Enhancement Capsules.
In a statement on Monday, the Nigerian agency disclosed that the recall is due to “undeclared pharmaceutical ingredients” in the product, whose country of origin is unknown, but is marketed and distributed online in the US through eBay.
It was emphasised that the recall is being “voluntarily” made by the manufacturer, Best Supplements Best Prices Company.
The detection of the undeclared pharmaceutical ingredients was made by the US Food and Drug Administration (FDA).
Laboratory analysis by the US FDA revealed that the product contained undeclared sildenafil, tadalafil, and flibanserin, which were not mentioned on the product label. Such substances may include phosphodiesterase type-5 (PDE-5) inhibitors or related compounds commonly used for the treatment of erectile dysfunction, the statement by NAFDAC stated.
Sildenafil and tadalafil are ingredients in FDA-approved prescription drugs used to treat erectile dysfunction.
It was noted that these undeclared ingredients may interact with nitrates found in some prescription drugs, such as nitroglycerin, and may lower blood pressure to dangerous levels. Consumers with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates.
Flibanserin is the active ingredient in an FDA-approved prescription drug used to treat low sexual desire in women. Flibanserin can cause drowsiness, sedation, dangerously low blood pressure, and fainting, especially when combined with alcohol.
Consumers have been encouraged to report compromised products (medicines or medical devices) to the nearest NAFDAC office, call 0800-162-3322, or send an email to sf******@********ov.ng.
