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The Digest:

As the indefinite strike by the Nigerian Association of Resident Doctors (NARD) enters its fifth day, the core issues remain a list of unmet promises, from unpaid allowances to systemic decay, pushing the nation's healthcare to the brink.

Key Points:

  • Review of excessive and unregulated work hours to protect doctor and patient safety.
  • Payment of unpaid 25%/35% upward review arrears of the CONMESS salary structure.
  • Immediate reinstatement of five doctors unjustly terminated in Lokoja with full back pay.
  • Payment of outstanding promotion arrears for medical officers across federal hospitals.
  • Release of the 2024 Accoutrement Allowance, contrary to government assurances.
  • Clearing bureaucratic delays in rank upgrades and salary adjustments post-exams.
  • Payment of denied specialist and professional allowances for clinical care provided.
  • Inclusion of House Officers in the civil service scheme for benefits and timely pay.
  • Correcting wrongful entry-level placements that reduce new doctors' salaries.
  • Progress on the stalled Collective Bargaining Agreement has been unresolved for 16 years.
  • Release of corrected professional allowances has caused salary shortfalls for over 7 years.
  • Regularisation of all locum staff facing long-term contracts without job security.
  • Halt to the downgrading of West African College certificates by the MDCN.
  • Issuance of membership certificates to graduates by the National Postgraduate College.
  • Granting hospital CEOs autonomy for immediate one-for-one staff replacement.
  • Tackling the brain drain driven by poor remuneration and working conditions.
  • Urgent upgrade of infrastructure and medical equipment in all healthcare facilities.
  • Halting the creation of non-medical consultant cadres is deemed detrimental to care.
  • Implementation of agreed special pension benefits from the July 2025 MoU.
This comprehensive list reveals the storm of systemic neglect that healthcare workers face, where the cure for the system's ailment is not just funding, but fundamental structural reform and respect.

Sources: Daily Trust, NARD