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Thursday, August 29, 2013

Strikes in Health and other Sectors: We've Lost our Way


An average Nigerian is pretty tired and sick of unions declaring strikes at every opportunity to “press home their demands” on a range of issues usually thrown into the basket as a veil for the issue-more money and position. I’m somewhat in a position to have an opinion on the validity of so many strike actions that take place in Nigeria and I dare submit without any apologies that it is largely self seeking, greed induced and lust for power, influence, affluence and unmerited remuneration.

I work in the public sector and I witness some distasteful attitude of government employees on daily basis. Mind you, there a few hard working and highly committed public sector workers out there but these ones are in a diminishing minority.  A significant number of workers in the public sector are earning far more than they put into service to the people. Government has largely abdicated leadership and necessary regulations to the various unions in the public place; some of which operate with impunity. Of course it is very convenient to blame “government” for all our woes but please who is “government”? I’ve asked this question many times and intuitively people point to the state secretariat or to the federal secretariat in Abuja. No, I disagree. We are the government; all of us in this nation state. We are part of the rot that has bedeviled our country and virtually every sector of our lives. If I may ask, what efforts have we committed in our various departments and offices to make things work even with the limited resources available to us? ASUU, for example, has been on strike for several weeks for the “good of education” in Nigeria but I’m not buying that argument. Throwing money at the education sector without a solid foundation for accountability, attitudinal change to work, responsibility, monitoring and evaluation, will be akin to fetching water in a basket. Has anyone bothered to conduct a research on how students perceive the input of their lecturers in their academic pursuit? How often do time tables change because some lecturer is not just available only for lectures to be crammed within a few days to exams? What about the timeliness of students’ assessment, exam results, and project supervision? These and similar issues are areas we should not ignore. How much effective hours are lecturers supposed to put in as part of their routine work and how is this input objectively assessed and by whom? How long should a thesis sit on the shelf of the assessor and who monitors that time limit is adhered to in the name of standard of practice and quality assurance? These checklists should also apply to health and other sectors. We must be able to account for the public trust and expectation of our position before we ask for more trust and responsibility.

However, it is inevitable that trade disputes may arise between employers and employees and that should have some rules of engagement by the unions so as to minimize damage to public interest and achieve the highest good for the people. There is also need to lead by example by subjecting any withdrawal of service to true democratic process. It is not just enough for the union executives to take a decision to proceed on strike or call a congress where members in attendance are usually those who are pro-strike. The grave implication of a total withdrawal of service warrants extending to all members of the union an opportunity to decide their willingness to be involved or not in such drastic measures. In some decent clime, ballot papers are sent to all members and time given for them to return their verdict on whether a strike action is supported or not.  A critical percentage of members must endorse a strike action before it is undertaken. This is not what happens in our own situation where a handful of “hot” heads gather and take “aluta” action in the name of “congress” and it is not unusual for a good number of members of these unions to be totally ignorant of the reason(s) for their strike action. What is the morality of this process of withdrawal of service by union members or “congress”, especially considering that members of the public suffer most in the situation? Has anyone quantified the needless loss of lives and worsening of diseases of patients in many needles s strikes in the health sector? Just recently some amalgam of striking unions in the health sector, named JOHESU, called their members for a total strike for reasons that are difficult to situate in the context of any improved health care delivery to the people. Is it not a shame that for selfish and pecuniary reasons, we betray public trust and the responsibility we owe to professionalism and humanity? Visit a typical public health institution and you will see many “health workers” that have no business in the hospital order than union activities and fomenting trouble. These redundant workers sit back and think of ways to advance themselves to unmerited positions on the back of reckless unionism and frank lawlessness. Unfortunately, government instead of showing leadership and applying the principle of rule of law will rather engage these unions in endless negotiations on issues that basically do not address any real growth and development in the sector. Walk into any public institution, and I can speak of health, and you’ll find staff watching video or playing games on their computers, being on endless breaks, or chatting away while some eyes are fixed on the clock for the magical time of 4pm when they leave without delay for a day of “work done”. We can accuse “government” of inefficiency and all manners of incompetence, but there is no word to describe the level of irresponsibility, deficient work ethics and lack of productivity by a good number of government workers who are quick to down tools to press home for “better condition” of service. In any well supervised system or in the private sector, these workers won’t last a day on their job except of course they prove they deserve to be paid at the end of the month. Worse still, when they embark on the incessant strike, they still collect their monthly salaries and entitlements while members of the public suffer untold hardship, misery and death due to these actions that are contrived to deceive the public as fighting for a general good. A real fight for the general good will include rejection of salaries if government fails to address issues that will optimize work and improve the wellbeing of the public. People go on hunger strike to press home their firm beliefs or convictions on the subject of their protest. No, our “strikers” continue to “earn” their salaries for doing no work and in fact it is usually factored in as a part of resolution of the dispute that all remunerations for the period of strike are paid in full before calling off the strike. What is the morality in accepting salaries from government when your claim for a strike action is government lack of attention to the sector? Won’t it be a stronger statement to refuse salaries as a mark of principle and to clearly demonstrate to the public that their interest is the primary concern? No, a good number of our lecturers in public institutions have their children in elite private universities or outside of the country. How many health care workers will be happy to be treated in their own institutions when ill, and how many of them who can afford to “travel out” for medical consultation, will readily submit themselves to the local facilities and personnel when they or their close relations are ill? Are we not deceiving ourselves and going in a vicious cycles that is  spinning out of control by  a total lack of national rebirth ethos, and  by not taking our future into our hands through giving in our best, even in the midst of obvious limitations? Everywhere one turns, it is the scream of “Gimme! Gimme!!” and there is a deafening silence when it calls for sacrifice and to give back to the system. We are running down our institutions, countries and African continent by the recklessness that is prevalent in our unions and lack of individual accountability and we are failing to address personal responsibility by laying blame on some imaginary “government” when in actual fact we are the government and we must take a collective responsibility and start the process of rebuilding our institutions, sometimes in pains and discomfort. We cannot eat our cake and have it. The call now is for sacrifice and for all categories of workers to have some introspection and operate within their bound of competence, professional calling and local and international best practice. A country cannot choose to isolate itself from the comity of nations and apply strange modalities of doing things. We must examine what is obtainable in similar environments and learn what makes their system to work and ours not working. There is no need to reinvent the wheel. Unions and organizations should place a ban on strikes, step away from military mentality and start to retool strategies in engaging organs of government in effecting any desire change in the context of general improvement of quality of service rendered to the public. The interest of the people should be of paramount importance to such extent that members of the public will be the ones to champion our position in any event of dispute with the government. If we bother to gauge public perception of the current incessant strikes, we will be shocked to know how much they loathe our actions and how much they are seeking for alternative ways to bypass our inefficient, unreliable and poor services. 

Hopefully, one day government will come to realize that our service public institutions cannot be sustained this way and will consider handing over to Organized Private Sector to manage while government provides the enabling environment/infrastructure for operation. Until the process of recruitment of staff, work supervision and output evaluation are streamlined, we’ll continue to have over bloated workforce that is essentially jobless and willing tools for destabilization and reckless strikes action that are basically self seeking and immoral in approach and execution. We have placed our interests above the general interest of our society.
When all the ongoing strikes are eventually “suspended” (to be resumed at a later time as service oil for our “famous” unionists) I hope we can muster the sincerity to count the losses:
  • Worsened diseases that have resulted in preventable complications and permanent disability in some cases; 
  •  Deceased patients who can’t be brought back to life;
  • An unreliable health care system that cannot be trusted with the health of the people;
  • A workforce that generally lacks ethos of service with a distorted sense of entitlement;
  • Students who will never return to school because their circumstance has changed irreversibly;
  • A battered education system that remains perpetually in coma;
  • Lack of faith in government and in public institutions by the people and resort to self help with resultant jungle mentality and low premium on lives and property
We can’t possibly build a healthy nation and in turn, a progressive continent, with the above indices. We can’t afford to continue on this destructive path any longer. It’s time we cared more deeply for our people and in turn create a fertile bed for us to thrive as individuals and as a community.

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