• It’s about to be a hell of a day for patients at the University College Hospital (UCH) Ibadan because their doctors have decided to stand on their ten toes against the horrible condition they’ve had to live in for months.

    What’s going on?

    On Monday, February 17, members of the Association of Resident Doctors at UCH Ibadan officially embarked on an indefinite strike to protest the electricity blackout in some parts of the hospital. This story actually goes way back; stay with me.

    How it started

    UCH owed the Ibadan Electricity Distribution Company (IBEDC) so much money (₦3.1 billion to be exact), and the electricity company had been patient with them since 2019 when the bill started piling up. But on October 26, 2024, they decided they had enough and cut off the hospital’s power supply over an outstanding ₦400 million debt, part of its accumulated bill.

    102 days of darkness

    For 102 days, the entire teaching hospital was in absolute darkness. Both doctors, patients, and students in the hospital were deeply frustrated by this, and they spoke out several times. The first was through a protest held in November 2024 by relatives of the hospital’s patients; “We are tired of our loved ones suffering; patients are dying because they cannot receive the medical tests needed for treatment,” one of the protesters said at the time.

    Nothing was done about the complaints raised in the November protest, so months later, medical students schooling in the teaching hospital protested on January 25, 2025, in State and Federal Secretariats about the same issue, yet nothing was done. On February 10, they organised a second protest at the office of the hospital’s Chief Medical Director (CMD). Power was restored to the hospital two days later, except it didn’t get to the doctors’ quarters.

    The last straw

    It was one thing when the entire hospital did not have light, and it was a different level of frustration seeing that the main hospital had been disconnected while residential parts of the hospital remained in darkness. The resident doctors at UCH weren’t having it, so on Friday, February 14, they held an emergency meeting, and issued an ultimatum after, saying they’d go on an indefinite strike if power was not restored to the residential areas of the hospital, latest, 4 pm on Monday, February 17.

    The doctors were not shitting around because after they saw that their warnings were ignored, they embarked on the strike just like they said they would and at the time they specified.

    Why does this matter?

    It’s a no-brainer— the doctors at UCH have endured horrible working conditions and deserve better. Additionally, the absence of doctors has automatically put the lives of patients at risk, but the authorities who should solve both problems are not doing anything about it.

    It’s even crazier because UCH is not the only Nigerian hospital that has had to deal with poor electricity supply. The Lagos University Teaching Hospital (LUTH) have had this issue in the past, and so have Primary Healthcare Centres in the Federal Capital Territory (FCT), AKA, where the President lives.

    While the primary concern in these situations is usually the well-being of the patients, the medical professionals suffer, too. It’s not just poor power supply; they also have to endure other terrible things like late and sometimes non-payment of salaries. The situation is so bad that  16,000 doctors have left Nigeria in five years. It got even worse because, in 2024 alone, a whopping 15,000 doctors left the country.

    As of March 2024, there were only 55,000 licensed doctors in Nigeria. Lagos and Abuja alone had a huge chunk of the doctor population (12,300), leaving the rest of the country with 42,700.

    With the crazy number of doctors’ exodus recorded in 2024, Nigeria might be in big soup because even more doctors might leave, as nothing much has changed. This possible reduction in the doctor population will leave Nigeria open to massive casualties in the event of a disease outbreak. With big donors like the United States taking a step back in foreign aid, there is no better time for the government to sit up than now.

    What can you do to change things?

    Part of the oversight functions of the National Assembly is to summon government officials and ministries for questioning over poor performance and other similar issues. The medical sector is long overdue for serious intervention, but since that has not happened yet, you can pressure the National Assembly into taking action by doing the following:

    • Reach out to the lawmaker representing your constituency and tell them what you want. You can find their contact details here.

    • Consistently talk about it on social media through the use of hashtags. Start a digital campaign by creating a petition for a state of emergency or urgent intervention in Nigeria’s healthcare system. You can create your petition on platforms like this.

    • Start a digital campaign by creating a petition for a state of emergency or urgent intervention in Nigeria’s healthcare system. You can create your petition on platforms like this.
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  • It seems every union in Nigeria is fighting the Federal Government; from the Academic Staff Union of Universities (ASUU) to even petrol tanker drivers (Petroleum Tanker Drivers Branch of National Union of Petroleum and Natural Gas Workers (PTD-NUPENG).

    The latest to join the queue are doctors, with the Nigerian Association of Residents Doctors (NARD) threatening to strike if their demands are not met before the National Executive Council (NEC) meeting on January 24. 

    But what are these demands and how would their absence affect Nigerians if the strike happens?

    A list of piled-up debts and demands

    This isn’t the first time the doctors will threaten to go on strike. In August 2021, they did live up to their threats and went on a two-month strike that ended in October 2021.

    This was after the Federal Government had refused to pay entitlements such as salary and COVID-19 allowance, as well as an increase on the low hazard allowance, (a fee paid to workers who do dangerous jobs), which was only N5,000 per doctor.

    Two years later, even though the Federal Government has paid off some salaries and the COVID-19 treatment allowance, there are a lot of outstanding demands.

    These include the payment of salaries from 2014 to 2016, an adjustment in the Consolidated Medical Salary Structure (CONMESS), and overdue payment of the Medical Residency Training Fund (MRTF), amongst others. Even the hazard allowance, which was increased to N34,000, has not been paid since its approval in December 2021.

    Now that we understand why they want to strike, how will their latest tussle with the government affect us?

    Expect more deaths

    Nigeria has a double-digit mortality rate, as you can be sure of approximately 12 deaths among 1,000 people. The statistics are worse for pregnant women, as a 2022 United Nations Children’s Fund (UNICEF) report states that 576 pregnant women have died in the course of 100,000 live births. The cause? Lack of access to healthcare, according to Minister of Health, Osagie Ehanire.

    If we have such bad statistics now, imagine how it would be when there are no doctors available.

    It will affect business

    A lack of doctors will ultimately lead to a lack of patients, which will affect the income of business owners around the hospital premises. Think of grocery store owners that need people to buy consolation gifts for patients, transport workers, and so on. 

    Patients will not receive top-tier healthcare

    Patients who are under hospital admission for an extended period of time would feel the brunt of the strike the most, as the strike would mean fewer doctors to give them the medical attention they deserve, especially in times of emergencies.

    This is already happening with the rise of the doctor brain drain. Nigeria only has approximately 24,000 doctors in the country as opposed to the mandated 363,000.

    The Solution

    This is a wake-up call to the Minister of Health, Osagie Ehanire, to answer the demands of the NARD before we have another strike. If you want to take up the challenge for these doctors, you can get started here.

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