“I’m only surviving by faith,” said Agbenro, who is supposed to be starting a second round of chemotherapy at the state-run National Hospital in the capital Abuja. He says he has received no treatment since August 2.
“Since the strike started, no doctor has come to check on me. I’m only surviving by faith,” Agbenro told CNN.
“We are not accepting patients with serious medical needs,” a member of staff at the National Hospital told CNN. “There are no doctors on the ground, so patients in bad conditions are referred to private hospitals,” added the employee, who asked not to be named as he doesn’t have authorization to speak with the media.
However, treatment at private hospitals cost significantly more than those run by the government and those who cannot afford private healthcare will suffer most.
Resident doctors in the country’s state-run hospitals are striking over “poor welfare” amid a resurgence of coronavirus infections and a move by authorities to scupper the industrial action.
As the strike by doctors over pay and conditions enters its third week, patients requiring urgent medical care such as Agbenro have been left in the lurch at the public hospitals.
At the National Hospital, CNN also met Emmanuel Ejim who had surgery to repair a ruptured abdomen shortly before the strikes started, has gone untreated since the doctors boycotted work.
“Doctors are no more attending to me. The nurses only check on me whenever they please because there is no one to supervise them,” Ejim told CNN.
Both men said they cannot afford the cost of seeking healthcare in a private medical facility.
CNN has contacted the National Hospital spokesperson for a comment.
Healthcare ignored by the ruling class
Many wealthy Nigerians rely on medical services abroad due to the country’s crumbling health infrastructure.
The 78-year-old Nigerian leader has made multiple visits to the UK for medical treatment for an undisclosed ailment.
His aides say his medical record is best handled by UK specialists, who have looked after his health for four decades.
The National Association of Resident Doctors (NARD), an umbrella body for doctors in Nigeria’s teaching hospitals, said the country’s heath sector is ignored because little attention is paid to it by the ruling class.
“We are not pointing our fingers to the right direction. Anybody who has malaria in the upper strata can travel abroad to get a checkup because they can afford it. But most Nigerians can’t afford treatment overseas,” NARD President, Uyilawa Okhuaihesuyi, told CNN.
“Our health sector is ignored because they’ve paid no attention to it,” said Okhuaihesuyi, adding that Nigeria’s budgeting for health has been poor.
‘Nigerians dying needlessly’
He added that medics are also protesting unpaid salaries of around three to six months for some of NARD’s members, and a lack of insurance benefits to relatives of doctors who died from Covid.
The doctors’ union wants a substantial increase of health workers’ hazard allowances — an additional payment made to frontline medical staff.
“As of today, the hazard allowance is 5000 Naira ($12) for all health workers, and this was last reviewed in 1991,” Okhuaihesuyi said.
Okhuaihesuyi has rejected the proposed increase as “not good enough.”
“Since the start of the year, we have lost 19 members (of NARD) to Covid-19. There’s supposed to be insurance covering all health workers but as it stands, we do not have any death in service insurance given to the next of kin of our members,” the NARD president added.
The Labour and Empowerment Ministry did not respond to CNN’s request for comment. CNN also reached out to the Nigerian Health Ministry but received no response.
The Labor Minister has responded to the strikes by invoking labor laws against the striking doctors, and a “No Work, No Pay” rule implemented, he said in a recent interview.
Ngige faulted the doctors for “failing to give mandatory notice” to the government before commencing the industrial action.
Citing labor laws, the minister stated: “If you are on essential service, you must give the mandatory notice before you down tools,” adding that attempts at conciliation failed.
The doctors’ union, however, argued that the strike became a last resort after its ultimatums to the government were ignored.
While criticized the country’s Labour Minister for “preferring” to spend government resources on litigation against the doctors’ union than meeting their demands for better welfare.
Brain drain intensifies
Many Nigerian doctors have long given up on the country’s health sector as the brain drain intensifies.
Okhuaihesuyi said poor working conditions had contributed to the mass exit of Nigerian healthcare workers, who seek better-paying jobs overseas.
“It’s going to get worse,” Kingsley Douglas, a Nigerian physician and public health consultant, said about
“Many doctors do three to four jobs to just be able to earn a basic living in Nigeria,” he said.
The physician remarked that Nigeria’s pandemic response will be greatly affected by NARD’s indefinite strike.
“To a large extent, the strike will affect the Covid management situation but doctors need to be alive to save lives,” said Douglas, who suggested that the timing of the strike could be strategic.
“One could argue that the timing is wrong, but the doctors are also strategists. The timing of the strike comes at a point it will have the most effect.”