Last week we published part of the findings of the presidential committee on the harmonization of the health sector,if you missed that, click
today we will look at the;
1. THE NEGATIVE IMPACT OF DISHARMONY ON THE PROMPT, PLEASANT, EFFECTIVE AND EFFICIENT DELIVERY OF HEALTH CARE
2. THEIR RECOMMENDATIONS
THE NEGATIVE IMPACT OF DISHARMONY ON THE PROMPT, PLEASANT, EFFECTIVE AND EFFICIENT DELIVERY OF HEALTH CARE
It has been established from the foregoing that there is disharmony in the health sector. The reasons for the phenomenon have also been well articulated, even though they may not exhaustive. There is no doubt that disharmony in the health sector has a negative impact on the prompt, pleasant, effective and efficient delivery of health care to those needing it. The infighting among different health professional groups has eroded the needed team spirit for effective and efficient service delivery.
Lack of cooperation and collaboration amongst health professionals has led invariably to poor research efforts and results, and ultimately, to poor productivity. The disharmony in training institutions has resulted in a drop in the quality of trained personnel, giving rise to half baked professionals. A natural concomitant of this phenomenon is poor service delivery in all its ramifications. And internationally, it has downgraded our health indices and given negative perception of ourtrainees and all the professions. Thus, there is need for concurrent training of all healthcare professionals in the same school to enhance team spirit on graduation.
1. To ensure that all health professionals have equal opportunities of rising to the peak of their careerin line with their Schemes of Service, the Committee recommends the creation of more Directorates in the Tertiary Hospitals.
2. The Committee recommends that Cap 463 LFN, which is the principal instrument regulating the operations of the Teaching Hospitals, should be reviewed.
3. In a similar vein, the Committee recommends that action should be expedited on giving legal backing to the Federal Medical Centres and Specialty Hospitals which currently operate without enabling laws.
4. The post of Chief Medical Director/Medical Director should be re-designated as Chief Executive Officer (CEO) and made open to all Health professionals with proven competence and managerial expertise.
5. All form of discrimination capable of hindering capacity enhancement of any group of professionals should be discarded. Accordingly, government is encouraged to work with National Universities Commission (NUC) to enhance professional capacity and development by allowing Universities/ Training Institutions run degree programmes that are relevant to the various Professionals in Health Institutions.
6. Necessary machinery should be set in motion, and the process fast tracked, to have an approved Scheme of Service for
cadres that are yet to have them and review existing ones as found necessary.
7. All Chief Executives of Tertiary Health Institutions should be directed by government to faithfully implement existing Schemes of Service.
8. To stem the disharmony arising from discrimination in the remuneration and pay relativities of health workers, the Committee recommends that government should implement recommendations of previous Committees on remuneration and pay relativities.
9. The Committee believes that equitable representation of all health professional groups on Management Boards would give
each and every member of the health team a sense of belonging and guarantee industrial harmony in the health sector. The Committee therefore recommends that all encumbrances to having a balanced representation of all health professional groups on Management Boards of Tertiary Health Institutions should be removed.
10. On the structure of the Federal Ministry of Health, the Committee recommends that it should be restructured in a manner that will enhance the career prospects of all health professionals and allow them to rise to their peak in line with establishment guidelines and requirements. ….TO BE CONTD
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