In a bid to address longstanding challenges in Nigeria’s healthcare system, the Federal Government and the Joint Health Sector Unions (JOHESU) have initiated a comprehensive reform agenda aimed at improving service delivery, addressing workforce concerns, and ensuring equity in health sector policies.
During a high-level meeting in Abuja, Minister of Health and Social Welfare, Dr. Muhammad Ali Pate, reaffirmed the government’s commitment to fostering an equitable healthcare system that benefits both patients and health workers. He assured JOHESU representatives that their concerns—ranging from salary structures to working conditions—would be prioritized as part of the broader healthcare reforms.
“We recognize the sacrifices of our healthcare workers, and we are determined to create an environment where both patients and professionals receive the support they need. Our approach to reform will be inclusive, ensuring that all categories of healthcare personnel are adequately represented in policymaking,” Dr. Pate stated.
The discussions between the government and JOHESU focused on several crucial areas:
- Salary Structure and Welfare: Review of hazard allowances, salary parity across medical professions, and incentives to curb brain drain.
- Infrastructure and Equipment: Upgrading healthcare facilities and ensuring hospitals are adequately equipped.
- Manpower Development: Increased recruitment and capacity building to address workforce shortages, particularly in rural areas.
- Universal Health Coverage (UHC): Expansion of the National Health Insurance Scheme (NHIS) to make healthcare affordable and accessible for all citizens.
- Equitable Policy Implementation: Addressing concerns of discrimination in promotions, appointments, and professional recognition within the sector.
JOHESU, representing health workers outside the doctor cadre—including nurses, pharmacists, laboratory scientists, and other allied health professionals—has long advocated for equal opportunities and recognition in the sector. The union’s National Chairman, Comrade Biobelemoye Josiah, reiterated that health reforms must reflect fairness and inclusivity.
“For years, our members have been marginalized despite their critical role in healthcare delivery. This reform must correct the systemic imbalance in remuneration, career progression, and welfare benefits,” Josiah emphasized.
While both parties expressed optimism, several hurdles remain. The ongoing issue of medical brain drain continues to deplete Nigeria’s health workforce, with many professionals seeking better opportunities abroad. Additionally, persistent underfunding and bureaucratic bottlenecks have slowed down previous reform efforts.
Policy analyst Dr. Ngozi Okafor warned that without substantial financial backing, the proposed reforms might struggle to materialize. “Nigeria allocates less than 5% of its annual budget to healthcare, far below the WHO-recommended 15%. Without increased investment, these reforms may remain on paper,” she noted.
To ensure the success of the proposed reforms, the government has pledged to establish a monitoring and evaluation framework. Stakeholders, including JOHESU, will have representation in key decision-making bodies to track progress and hold authorities accountable.
As Nigeria’s health sector faces mounting pressure to deliver quality services, this renewed collaboration between the Federal Government and JOHESU signals a step in the right direction. However, healthcare professionals and citizens alike will be watching closely to see if these commitments translate into real, lasting improvements.
