‘Health Care Is a Human Right’ Say Nigeria’s Unions In West Africa Campaign

‘Health Care Is a Human Right’ Say Nigeria’s Unions In West Africa Campaign

May 11, 2023

Solidarity Center
Solidarity Center
‘Health Care Is a Human Right’ Say Nigeria’s Unions In West Africa Campaign
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The Nigerian working group of a campaign led by the Organization of Trade Unions of West Africa (OTUWA) is collaborating on a regional campaign demanding more investment by governments in the health of their citizens. OTUWA represents trade union national centers in the 15 West African countries comprising the Economic Community of West African States (ECOWAS).

Addressing journalists at a public event in Abuja, Nigeria working group coordinator Dr. Ayegba Ojonugwa, last month warned that governments must increase health workers’ wages and improve their working conditions—including safety—to staunch the outflux of health workers from the beleaguered sector.

“We are here today to further advocate that health care is a human right,” said Ojonugwa, who noted that West Africa’s governments are not implementing the 15 percent minimum annual budgetary health allocation to which African heads of state agreed in the landmark 2001 Abuja Declaration. Currently, no country in the region achieves this percentage and Nigeria’s health care indicators are some of the worst in Africa—in part because medical professionals are in such short supply there.

In Nigeria, OTUWA’s “Health Care Is a Human Right” campaign—launched in Abuja in March 2021—is supported by the International Federation of Women Lawyers (FIDA), the Medical and Health Workers Union of Nigeria (MHWUN), the National Association of Nigeria Nurses and Midwives (NANNM) and labor federations Nigeria Labor Congress (NLC) and Trade Union Congress of Nigeria (TUC).

In the region, the campaign is supported by OTUWA’s affiliates together with many of their health sector unions. A 2020 survey of 700 health workers living in Gambia, Ghana, Nigeria, Senegal, Sierra Leone and Togo provides a window into the region’s health-sector shortcomings and presents a raft of recommendations for ensuring the protection of health worker rights and effective, accessible health care for all.

 

Liberia: Health Care Workers Raise Alarm

Liberia: Health Care Workers Raise Alarm

Apr 9, 2020

The National Health Workers Union of Liberia (NAHWUL) warns that healthcare workers and other citizens are at increased risk as President George Weah’s increasingly unpopular administration continues to shed public-sector jobs—including 448 healthcare workers last month—even as the COVID-19 pandemic gathers steam. As of April 5, 2020, Liberia is reporting 13 confirmed cases and three deaths, which NAHWUL says includes one healthcare worker’s confirmed diagnosis and the death of another.

“This is no time to reduce medical capacity, especially during a global pandemic,” said NAHWUL Assistant Secretary-General, Deemi T. Dearzrua, adding that the union is concerned not only about the livelihoods of its members and their dependents, but the lives of citizens needing medical care.

NAHWUL reports that 448 of its members—or almost 4 percent of the union’s membership—last month were forced to leave their jobs and accept a pension without the legally-required notice period and even though they did not meet the criteria for forced retirement. Under the law governing public sector workers in Liberia, workers are entitled to three-months’ notice and are not eligible for compulsory retirement until age 65 or completion of 25 years’ service. Those who lost their jobs include doctors, nurses and pharmacists.

“Nobody knew the jobs were gone until our pensioned-off members called to inquire about their unpaid February pay,” said Dearzrua, adding that the union needs government to communicate with NAHWUL about changes affecting its members.

NAHWUL says the capacity of its remaining members is also at risk because they are being expected to report for work without adequate personal protective equipment (PPE), training on how to safely treat contagious patients or government-provided COVID-19 information. During the 2014-2016 Ebola outbreak, Liberia lost 8 percent of its doctors, nurses and midwives to Ebola. A 2015 WHO survey found that healthcare workers in three West Africa countries were between 21 times and 32 times more likely to be infected with Ebola than people in the general population.

The Liberian government has not paid many public-sector workers’ February and March salaries, including those of healthcare workers, whose salaries were reduced last year under a so-called wage harmonization program. The salary-reduction program, which the government claims was necessitated by loan conditions imposed by the International Monetary Fund (IMF), last year led to strikes by teachers, healthcare workers and others.

In Liberia, the Solidarity Center supports NAHWUL’s advocacy for bargaining rights, conducts basic trade union training for its members and educates healthcare women workers about gender issues and their rights.

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